We always start off with a few minutes of chit-chat, to sort of ease into the session. Then, if I have something I want to talk about, I'll say it and get right into it. Other times, if the last session was particularly "interesting", I'll ask him if he has anything from last session that he wants to continue with, or any follow-up before I get into a new subject.

I usually make a few notes during the week of what I want to talk about, so if we don't get to any I won't forget and can bring them up later. His policy is "You set the agenda", but sometimes I toss the ball to him and ask him what he thinks we should talk about. He's a very interactive T, so that's no problem. In fact, if I let him, he could probably talk for the entire 50 minutes. He's the polar opposite of the blank slate approach. Works for me .....