I write in a journal to her and send it to her via email and she writes comments back on it and then has an idea of what we need to talk about during session. I find this helps me because if I don’t do that, I don’t bring up anything “real” in session. Aka I’ll just talk about funny things that happened in my week or just be mopey and quiet. This allows her to direct the session more but still with my input of what’s actually bothering me/without her just guessing. I’ve made remarkable progress since I’ve started doing this and we’re both a lot less frustrated.
I also have a fidget cube that I use during session. It helps a lot. I definitely need things to fidget with.