I totally get very anxious before sessions, especially when I do know in advance what we will be talking about because then it is something more serious versus talking about something that may have happened during the previous week. I definitely have tried to implement a routine before I go, either time with a friend or just quiet time to gather my thoughts, listen to good music, etc. I have also found it helpful to get there earlier rather than rush to have time to calm myself down in the waiting room before I actually go back, practice some deep breathing, try to relax and tell myself it will be ok