I wanted to read/have my therapist read things I'd found that illustrated or described how I was feeling but she would not. I use to sit all tangled up with "arguing" that I should be talking, that it was my job to talk and what should I say? and just have a heck of a time!

It helped me sometimes to imagine my therapist "next to" me instead of across from me and to just talk to her like I would anyone else I was familiar with that I knew was trying to help me, was a friend, etc. instead of viewing her like I would a teacher or someone in authority? If you can't say things you "need" to, say something related to the subject of what you can't talk about? "Greasing the wheels" helped me some too, once I get talking it's a little easier with my T responding and asking a few questions for clarification, etc. Just occasionally saying, "I'm having difficulty talking" might help, might get at least a response from her that will trigger something further you can say, etc.