I normally end up crossing my arms tight then saying something ilke "I don't know what to say" and T will reply "yes, but your here" or something like that...I've been with this t for 2 1/2 yrs and it hasn't got much easier. I use to try and work out my strategy before the session, but as T pointed out when we talked about that, it was me trying to "control" the therapy to feel safe...what ever you talk about is important no matter whether its off the top of your head...or something you've taken with you that session..as my T says.."If therapy was too comfortable, then it wouldnt be working at a deeper level" I thought that very encouraging.
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