You sound a bit frantic about controlling every moment of your sessions. (Might be a wrong perception on my part). What would happen if you just went in without your prioritized list and without planning in your head how things are going to transpire in your session? (Again, maybe I'm misreading what you are saying.) Can you let things just happen "organically" in your session without the fear that time will be wasted?

I have never been a planner about my sessions -- kind of the opposite of you I guess. That also has its drawbacks. But I always went into my sessions feeling pretty calm and willing to let our discussions flow pretty naturally. Yes, there were sessions when we didn't "get as much done" as others, but sometimes just sitting there and having that place to de-stress and talk about whatever, even if it wasn't some deep, intense subject, was the most therapeudic thing that happened to me all week. Sometimes not having a "plan" means that we get into topics we never, ever would have explored if I had been dictating off a list of notes what I wanted to discuss. Those are often the best, most insightful sessions of all because they come as such a suprise and awakening.