Abby, when she said "where do you want to start" could you have said "I want to talk about how hard of a week I've had after the last session"? Do you think that you want her to mind read a bit possibly? One thing that I have come to realize is how much talking a person has to do to be sure that they are understood. Another person's experience is much too complicated to be understood easily. It does take a lot of communication.