How do sessions start? What should I talk about? I take your lead in starting the session. It can feel uncomfortable initially to have the focus on you without a lot of direction or structure, but in this way I’m more confident that I’m not imposing a focus for the session. If I feel we’re avoiding something important I’ll talk to you about that. Generally, we aim to talk about what brought you to therapy and how the therapy is progressing (are you seeing progress, is there something in the therapy that needs adjustment to make it more effective).

Article - Getting the most from therapy