I agree with so much of what the other posters have said.

I also feel that it is OK to discuss what ever is taking up space in your head at the moment. I usually have questions about something that was said in my last session, that I didn't think to ask about during that session, so I journal the question, then somehow that spurs some other thoughts and I journal about them also. It takes days for me to work on my journal pages. I then bring my new journal page/pages to the next session. I don't think I would know what to talk about in each session with out the journal page to read off of. After I read it/them out loud (or she reads them out loud, if the subject matter is particuliarly emotional for me.) We talk about each different thought, and then we go in one direction or another from there.

During our earlier sessions I needed to talk about my childhood hell, and that gave her some back round to go on. Now I talk more about my day to day issues, and she takes where I came from, to help me understand where I am, and why I am feeling the way I do, react the way I do, and say the things I say. Then she helps me understand how to deal with my current issues in a more productive manner.

I'm not saying this approach will work for everyone, but it works for me.

I love my T and the amazing amount of patience she has with me.
I am quite the handful.....God Bless Her!