My therapy was a process over time, not an each session sort of thing (any more than each day of a week is equally as significant to that week but they all go into making it). If a lot of stuff is going on emotionally, I would make that today's topic, explore what is happening "now", not what's on some dead/lifeless piece of paper. It's the relationship between you and the other person, not the agenda, "the map is not the territory".