@barrington16 Welcome to Mayo Clinic Connect! Many of us here are nodding our heads, understanding the fear/hesitation of a blank page! A guided journal can be very helpful. Another trick is to take a key word, or phrase, place it in a circle in the center of the page, put ideas or words about it "shooting" off from it, and then expand on the whole concept. Have you tried that?

Will you share your writings with your therapist?
Ginger