My first meetings were very tough, and good. The t was getting to know me, and I was trying to get comfortable with her. For me, I could not have a trusting relationship right away. My first few months I journaled my feelings and concerns. She would read these and we would take our discussions from there. Now, after a several months, I keep a list of topics I would like to discuss. I don't always bring up everything, but the list helps. Also, she will lead me into discussions that I hadn't expected. Each meeting is hard, but well worth the investment.
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