The only structure to my sessions is a final thought from T for me to ponder. The rest of the session goes where it goes. Sometimes I have a specific thing I want to talk about and sometimes I don't. If I don't, he jumpstarts by asking a question or two, either about something we previously talked about or about how things are going.

Whether I start it off or he does, it usually gets us going in one direction, but more often than not, we end up on a tangent of a tangent of a tangent. It's often something I never would have thought to bring up, but it's almost always something that ends up being important.

I like not having a pattern. It gives us the freedom to go where the session needs to go.