My T almost never asks me how I'm feeling at the beginning of sessions. Instead we have a pattern of her waiting until I'm ready and settled enough to talk. If it takes too long, then she might start with "what are you thinking about?" But hardly ever, "how are you feeling?" Once in was "What's wrong?" When I came in and was obviously upset. I don't think I would like "How are you?" every time. If she did ask that, I think I would ask that she find a different way to phrase it each visit so as not to get boring.