Usually, I make mental notes to make eye contact. I make mental notes to stop eye contact so it doesn't turn into creepy or interested (I've been accused of hitting on someone I'd NEVER even flirt with just because I didn't break eye contact when I should have).
When I'm with my therapist, Manny Misdiagnosis, I don't do any preparation anymore because I'm sick of people thinking I'm more functioning than I am and can't have AS because I don't have this one obscure symptom that they read in their college textbook once. I try to shut off my running internal monologue. I'm just natural, dysfunctional aspie me. I look at the corner of the back of his monitor when I'm trying to find the words for a question he asked me, I'm picking at my clothes to an extent that I'm paying more attention to that than I am to him, I'm thinking about everything else in the world and allow my anxiety level to get out of control because he asked me where my anxiety is on a scale of 0-none to 10-jump-out-a-window. (The answer is always 9.) I tell him truthful things at odd times because they matter to me at that moment. "The lights in this room are too bright.", "I don't like this chair.", "This office has no windows. Aren't you claustrophobic or depressed in here?", "I wasn't listening. I heard people talking in the hallway.", "Why do you hide your award behind your plant?" Manny Misdiagnosis no longer thinks I have ADD.
Manny wants to do a mock job interview next session. I'm going to say "No." He thinks it's a marvelous idea. I don't think so. I'm stressed out enough talking to him and I'm stressed out enough at job interviews. Nothing good can come from having a mock interview with Manny Misdiagnosis.
One thing you have to consider is that your therapist is searching for body language cues from you. Without eye contact, your therapist might feel at a loss because he's probably grown accustomed to relying on eye contact as a primary cue. He will have to consider your condition and accommodate your preferences. You need to feel comfortable enough to open up and be honest with your therapist. If his insistence on making eye contact is interfering with your ability to share, he needs to know this. Discuss this with him directly.