Motivation and interest especially can be Therapy goals. A T can be more of a "life coach" when we need that from them more than we need to be rehashing old stuff. Sometimes thinking of my T as a life coach makes it easier to talk about every day things that are bugging me.
The med fog is also something I would bring up. Meds are ment to help improve your life not to put you in such a fog that you can't get things done.