I sometimes prepare, but rarely address the issues I've prepared. Either because I don't see an opening, or because I'm scared to address the issues. Or because I'm embarassed.

I always make a list for my pdoc. I see him roughly every three weeks nowadays (that's a big promotion, I saw him weekly for over four months until late March/early April). I write down bullet points whenever they come up, and the day I see him or the day before I scratch anything I don't think is important.
I also note my PRN oxazepam (Seresta) use and the reason why so he can check I'm not reliant on it. That was my idea. So far he has always said I'm managing it very well, though.