One thing my T does that is helpful is that each and every time I go in (all of his patients do this), I fill out a depression assessment (it's like 16 quick multiple choice questions long so it's not at all overwhelming) that places my degree of depression on a scale. He also has us fill out a form with general questions about how we are doing in relation to the last time we met, what side effects we may be having from meds and whether they are tolerable or not, what questions we would like him to answer, what events have gone on in our lives since we last talked. Stuff like that. I find it helpful to organize my thoughts and questions for a few minutes before I walk into his office to talk, and the depression scale gives him at least a place to start with how I am doing at the moment. It keeps me from defaulting to the "I'm fine" response and makes our appointments so much more effective.

Can you write down a few thoughts and questions to work from during your appointment so it can be a productive one?