This is one of the major reasons that I write down my thoughts and feelings before each session. I journal for days and then condense it down into something we can go through in one session.

I used to get so frustrated when I left my sessions. Feeling like I didn't accomplish anything and felt worse than I did when I went in. I know everyone has their own way of doing therapy, but writing things down has been a lifesavor for me. Even though the things I write are hard for me to actually talk to her about, it still works for me.

If there is something I want her to read, but don't want to talk about that day, I will indicate on my notes. This way, she knows what is bothering me and can get an idea about why I may be so anxious, depressed, frustrated, or whatever. Sometimes she may prompt me about it, and ask if I am ready to talk about it. If I am not, we will address it the next time, or when I tell her I am ready.