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I'm an admitted lurker on this site, but I'm finally taking the plunge and posting . . . so, bear with me!

My question is rather simple and yet too complex for me to figure out: what do I say in therapy? I started seeing a therapist when I was a teen for anorexia (alongside OCD, anxiety, and depression, but that all falls under the ED umbrella), and have been in treatments since then. Now, I'm doing rather well ED-wise (compared to where I have been in the past) but I rely on consistent therapy sessions to maintain accountability and progression. Really, I can only afford to see my T every two to three weeks, but she is great! She lets me e-mail her constantly and, even if she doesn't reply, I love knowing she is there. I have said so much to her through e-mails without censoring a word, but then I sit in her office, and my mind goes blank. All of the thoughts suddenly turn off and I have no idea what to talk about! Part of anxiety involves having no life outside school, so there aren't really normal things to fall back on. So, I'm stuck sitting there, shrugging, trying to figure out why I can say so much in an e-mail and so little with my mouth!

There has to be some way to prepare for a session, to figure out what to say when my mind goes blank, but after six years in therapy, I still haven't figured it out. Until now, I always had ED thoughts as a fallback option!

So, I'm sorry for the lengthy question, but any advice on how to figure out what to say to really open up in therapy (oh, and trust is a big issue in my life, so clearly opening up never came naturally to me Wink )?
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((rissy))

Hi Smiler glad to meet you & glad you posted! This may be overly simple suggestion, but my first thought that comes to mind, I wonder if you could try writing out everything you would say in email, and taking that to a session? Even if at first just discussing what would've been emailed in person by reading off paper? That could be a way to ease into being more comfortable discussing things face to face possibly. I know it's hard, I can relate to feeling almost frozen in the office, but my mind reeling as soon as home. Best luck to you, hope this helps a little.

AH Hug two
Thank you everyone for the warm welcome

Armored Heart, I told myself to read an e-mail in person so long ago and never followed through. But, now that you brought this idea back in my thoughts, I think I'll give it a try. I have an appointment tomorrow, so it's just far enough away to plan and just soon enough to not overthink things and back out I think I was always terrified of feeling so vulnerable, but if it's an e-mail she already read, it may be a little easier at first.

heldincompassion: What a clever thought. I wonder where my session will go when I let those words out!

Thank you guys so much. I really was building my anxiety about my session tomorrow because my lack of openness was leading her to ask if I wanted to terminate. So, to turn things around, I'm certainly going to put those plans into action . . . we'll know how it turns out in less than 24 hours Eeker
rissy.... when I hit those moments of not being able to talk to my T (not often) I usually say that I really want to talk to him but I'm having a hard time finding words or I'm scared or my anxiety is preventing me from talking and then THAT usually leads to all kinds of interesting and helpful conversation.

I also agree that it would help to get you started by writing down things you want to say to T as you would say in an email but read it to her instead.

Welcome to the Board. I look forward to getting to know you.

TN
Hi rissy,

I'm new here too. I have the same problem you do. I am great at communicating through email, but when it comes to saying things in person I'm a terrified, nervous mess.

There is another forum I am apart of and someone there suggested I handwrite a letter, to write it the exact way that I would an email but just on paper. The next step was either reading it out loud to my T, or to hand it to her to read.

I tried this for the very first time last week (after a session where I physically ran out of her office) and it took half the session for me to talk myself into giving it to her. Once I did she read it quietly to herself and then we worked through each chunk bit by bit. It was so relieving to do that, I finally feel like my T and I made some progress. I'm doing the same thing in tomorrow's session.

Sometimes we need to incorporate written communication into our therapy session so that we can eventually use our voice. It takes the pressure off of saying difficult things but also notifies my T of things I want to talk about during that session. It gives her the ability to ask me questions and open up a bit more, it eases my anxiety.

It's worth a shot right? Hope things went well rissy.

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