What are some of the topics you discuss with your psych dr?

I find myself struggling sometimes when I'm at the appointment with things to talk about. I have an appointment today and I'm trying to figure out what to talk about. I feel weird going in with a list b/c most of the time, I'll jot down a few notes and when I get in there my mind goes totally blank and I forget everything.

Personally, I would like to just be like "Can you put me out of work on disability?" but then of course they always want to know why.....I mean I could tell her the truth, but I'd rather not be checked in to the closest mental ward. I have been having paranoid thoughts lately about how everyone is out to get me, but I know that's not true, but I still have them anyways. Also I've been having disturbing dreams that seem to follow me throughout the day.

But then if I tell her I can't handle work, the people at work will be disappointed, and I HATE disappointing people. Mainly because my mom always said that I was a disappointment. There's just all these inappropriate thoughts that race through my head all day and I'm starting to have problems with determining what is real and what didn't really happen. I feel like such a loser.