My T will come and get me from the waiting room and ask me how I am once in the room. I will respond "Okay" (even if I'm not) and T will tell me what she has planned for the session. Usually she will want to go over and discuss any home work I had and also discuss the email I sent her (I always email with an update before each session because I tend to get nervous and forget things if I don't). T will then ask me if I have anything I would like to add to the agenda. I usually don't and then we get started. As far as ending goes my T magically ends our conversation right on time each session without cutting me off or anything. I'm not sure how she does it... she must have excellent time management!