I doubt I'm the only person with several issues and topics in therapy, but it frustrates me that it gets very disorganized. I sometimes leave frustrated over the fact it was a "wasted" session because it just spread things around further.

The problem is that I have quite a few "things" to address, and a lot of the methods or techniques are different for each. Yes, there is some overlap, but not enough to be doing double duty.

I'm wondering if anyone can give me any feedback or suggestions on how to organize things to get the most benefit and not feel overwhelmed the messier it gets...

For example:
The most important issue right now for me is finding employment again and relocating. So I address the problems I face with that: anxiety, reading disabilities, self-confidence, etc.

But the day before therapy, something may happen that will bring up painful memories from my abusive past that have me at the heels of depression and hate. Those obviously are pretty great things to address for my own health and wellbeing. But then I'll leave not having addressed something important beforehand.