Becca, when I feel this way, I will literally go into therapy with a checklist of things I want to tell my T. I will go down the list and tell him about things, just to get them out. During this time, he knows not to say anything. The stuff I tell him doesn't even seem related at first-- because it's just a bunch of stuff that I need to say. I will literally tell him about something, finish it, and then start something else, and so on. He is very good about "storing" the important stuff that he picks up on. Then we integrate it later.
Maybe you can do this so you can "get it all out" and then both you and your T can pick out what seems most important.
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