I think for the most part I choose the topics that we talk about each session. The only exception to this is sometimes, I send something via email between sessions. My T will skip the small chat and delve right in as soon as I take a seat. I guess on these occasion she is like..great she finally when here let's go for it. It also seems like I have 3 main stress areas and we kind of cycle from one to the next and then back through them again and again.