My T looks out the door to the Lobby, and I get up and follow her in. We make small talk...hi/how are you's are exchanged, etc. Then, she officially starts the session by saying, "So, how are you doing?"

She ends each session by asking me with a few minutes left, "What are you walking away with?" Then, I highlight the things we discussed and progress I made...she may interject to emphasize or add something. After that, she walks me back out.