I don't go into session with an agenda. I think that's because as a teacher I have to plan out everything in advance, and I just don't like to do that once I'm off work. I just let things transpire organically. Might as well. Even if I think I may have a topic, the session almost never goes that way anyway. T always starts by asking me generally how I am doing. Because I have bipolar disorder, monitoring my mood is just standard practice. Usually that will lead into something that really needs to be worked on. Things just move from there in whatever direction the winds take us. Even though I don't do much planning though, my T clearly puts a lot of thought into my major issues, skills I need to work on, and he always masterfully directs the session right to the meat of things. (The sly devil.) Always amazes me how well he knows me.