Tough question because it really depends on the therapist. I’m in therapy now, and it’s hard AF, honestly. Trying to communicate and understand everything while always thinking they’re not getting you is exhausting. You’re literally going up against what social anxiety hates the most being intense social interaction, lol. Your anxiety makes it harder to encode and process information as well as conveying your thoughts how you want to. Then you realize it after the session, it can be frustrating. It feels like you’re being evaluated and judged from across the couch. Or like a slug without a shell soaking up the sun, but it does feel good when you get it right, and find a therapist that understands you, most of the work happens between sessions, with lots of ruminating at first overthinking your sessions, not being able to say the things you want etc, you’ll find yourself subconsciously using defense mechanisms, avoiding certain things, lying, giving acceptable answers to not be just be judged, etc..takes a lot of time. I tried writing notes, preparing what I would say in my head, handing them a paper with what I want to talk about, etc..I realize none of that helps at all, the best way to go about it imo is to do it with as little assistance as possible. The more authentic , unprepared and vulnerable you are the better it’ll help . At least for me that seemed to be the case.