I've talked a lot about cognitive distortions in my therapy.

It's not that what I think isn't real... it's more that the way I think things is hurting myself and is making my life hard. I have a really strong tendency to think I "know" what other people are thinking. And it is usually bad stuff. However, I don't actually know what people are thinking, and this pattern really hurts me.

I think reading The Feeling Good Handbook by David Burns has really helped me.

My T. didn't bring it up. I brought it up to him. I read the 10 common cognitive distortions sticky in this forum and I found that I do about 8 of them. I don't find it horrible just disturbing ... No really I don't think about it as not being real...I just call it having to fill in the blanks of the unexplained craziness that was my childhood... my mind's way of trying to make logic out of total chaos. But now that the chaos is gone, its learning to undo the things our minds did just to survive. If you don't like the term cognitive distortions just use your own term for it...personally I call it and so does my t. now...my twisted thinking..

yeah she isn't saying what you think or say is a lie or not real. it is very much real and true to you. you are being sincere with her. how you view the world just may not be objective reality or it may not be the full picture.