To be honest, I think you would benefit from writing a list of topics to discuss in therapy. Organize it with where you want to start and get a couple important things on the list.

I’d suggest talking to your therapist about your last session and telling her what you feel you need. Skills, cbt, to talk, etc. Obviously, she’ll need time to respond as well. As far as her asking if you had used, she could have done it differently, but you described zoning out, needing questions repeated, not being able to concentrate ... I would have wondered if substance abuse was involved and I would have brought it up in a delicate way. The sleep thing and whether it was 2 days in a row? What was she assessing for? Ask her. Speak up for sure. I always taught my teens to say When you...I feel.....I need. Don’t be afraid to ask questions, question her, and ask for what you need! Pm me if I can help.