Welcome, Wired Wrongly.
I have an already established relationship with the person I see. Sometimes I mine my posts here and other notes I've made for material for the sessions. I'll even print out a post or summary to bring and discuss.
You're the "customer"; the therapist is there providing you a service. I hope your particular therapist is sensitive to you and will adapt to your personal state.
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My dog  mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.
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