I used to feel like that often too. I'd have so much to talk about and so little time. Even now, with 90 minutes, it's not enough. My former T used to tell me, when I had a list, to start with what I'd be most upset about if I left without saying. Yes, it might be that "xxx" topic. She also said that a lot of my issues were related even though I didn't think so, so it would often lead to the same main issue. Sometimes, it's best to let the session evolve because it could turn into something not even on your list.

I was always tempted, and I did do this, to start with the "easiest" topic. Then, when I left, I'd look at my list and wish I had jumped in with the "xxx" topic. It might help to start out by telling your T you have so many things on your list, and hear what she suggests. I know therapy can be frustrating because the list keeps growing and new things come up each week. But, there are main themes and they stay the same.

I also found out the hard way that when I try to accomplish too much, like get to my entire list, I feel worse when I leave because I don't feel connected to my T. That used to happen a lot and my T told me I shouldn't have an agenda because it's better to see what happens when we start talking. I hope some of this helps.