I have this problem all of the time! How can I make the most of the therapy "hour" to feel cared about? I'm thinking of this myself. I make a list of things I want to accomplish in a session and write it down. If I'm too shy to ask for what I need, I may email it in advance.

For example:
* I want to do EMDR but is there some way to make it only part of the session or do it next time?
* I want to leave this session feeling cared about. Can I ask my therapist for a reminder of the connection? Can I let my therapist know that I use her soothing words to re-play to myself later?
* I want the therapist to know the pain I'm in.Can I be specific enough so she can help?

I hope this helps you as it helps me. Right now, I'm writing down random things I want to address and ranking the ones that seem most important to me/how much time I want to spend on each subject etc.