hmm.. maybe go in with a list? like something actually on paper. that way you can really consult the list like, "well, according to this, this is what we *should* be talking about." like let the list keep you on track or something. just an idea.

it might help you to organize the time better too, like if you spend x time on this then you'll have y time for that, etc. sometimes that's how i 'plan out' my therapy, that way i can make sure i fit everything in, and end with stuff i want to end on (something also important to me, ending on a "good note.")

anyway, sending you some positive energy.. and good luck!