When I feel like I have a lot of things going on that all need attention, I make a list and bring it with me. Then, I read that list off to T and we prioritize it together. We'll negotiate how much time to spend on each topic and then T helps me keep to that plan. I also tell her which topics feel less urgent than others - sometimes, she disagrees with me about the urgency of stuff, because I will say something is less urgent if I'm just really scared to talk about it. At the end of the session, if we didn't get through my list, she'll ask me what I want to start with next time.

I also do a ton of journaling in between sessions, which helps me to prioritize. Sometimes, just writing something out is enough and that topic no longer feels like it needs to be discussed as much. I might just mention it to T, but not spend a lot of time on it.

I've found that things will unfold in their own time. It's taken me 4 years to talk about my disordered eating, but since that wasn't as pressing of a concern as other things, that's okay. We're working on it now. If I jump from topic to topic too much in session, I feel too scattered, so I try to stick to just one or two things and work them through to a natural end and then move on. If I'm starting to panic about talking about something, I'll switch to a different topic for a bit. Also, I typically spend the first 10 minutes of session talking about any immediate, pressing concerns, and then we move on from there.

I've thought about asking for more frequent/longer sessions, but I can't really afford it.