My T uses a person centered approach, and way back when I started seeing her she never explained to me what she was doing. Ever. That made me very nervous. I felt helpless and powerless and frequently started dissociating. We / I noticed that when T explains to me what she's doing (or why she is doing something) it helps me feel safe, gives me back some control and helps me to trust T. I
My T and I have a deal that she tries to remember to keep me informed and that I ask her whenever I'm not sure what she is doing or why she is using a certain approach. Works quite well.