Yes, my T often asks if I'm present or if I heard her, and sometimes, she asks me "what did you hear me say?" because sometimes, what I heard and what she actually said are two totally different things.

I'm very grateful that my T checks in with me to make sure I'm present and that I'm not distorting what she said in to something else.

If I tell her that I'm not present or that I'm not hearing her or that I don't have the slightest idea what she's said, we stop and talk about what's happened. We talk about why I've dissociated or what has triggered me or where my mind has gone. Once I'm present again, my T will repeat what she's said if necessary, and we continue on. Several times, I've heard her clearly during the session, but gotten things mixed up in my head afterwards. When that happens, I tell T the next session that I need her to repeat what she'd said the previous week, and we'll talk about it again.

My T has never gotten mad at me for not hearing her or distorting what she's said or not being present.