I like your T's suggestion of using art or a collage to depict what you need, as I for one often just have a vague background sense of what I'm wanting/needing and find it difficult to put it into words (or feel ashamed and threatened by trying to articulate). Drawing or depicting in some other way sounds like a good way of getting you in touch with what you're wanting.

It also sounds as if you're not dealing with trying to articulate what you need and want per se - but that you're being encouraged to ask for what you want specifically in terms of getting help? As in help with certain behaviours or overwhelming feelings? If that's the case then what you ask for would be different from what you might be wanting on a more moment by moment basis from therapy. Is there a distinction here, or am I reading too much into your words?

If it's any consolation, while I can be pretty clear about some of the things I'm needing and wanting from T (and others in real world) it's not so easy actually asking for them, so I hope you don't beat yourself up if you're unable to come up with very much at this point.

LL