I haven't had many problems with therapy other than it not helping.
However yes, there have been a few times when I've been confused with explanations. If you are confused, just ask what he means because if you just agree with him and you have no idea what he's talking about, you aren't going to get anything useful from seeing him. Your post isn't stupid at all however I do think that telling him that you feel it isn't helping is a good idea. He may be able to try a different approach.
Do I ever get told off for laughing? Umm, I have a really bad habit of laughing at the wrong times so my therapist pretty much accepts it...it's a nervous thing, I can't help it.
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