I wonder if you can answer the question, and then state what you need. Like: "I'm okay, I think we really need to work on solutions to conflict I'm having at work though." Just because you say you're "good" does not mean he will (or should) assume that you do not need his services. And, likewise, if you say you are doing poorly, he is unlikely to own that as his responsibility. Take charge of your session and lead T where you want to go for that time.