Yes, I had a hard time with this, would talk and T would respond and then I would continue on without "acknowledging" what T had said and that it related to what I had said and was talking about. Essentially I was just going with what was sparked in my head but, unfortunately, T couldn't know what was in my head/doing the sparking We spent quite a few months with T making me stop, say something about what she'd said indicating I had heard it, and then I could talk again. When anxious, it is so easy for me to just keep moving along in my own fantasy world of what I am thinking/anxious about without letting the actual world and what's really happening, in.