I often have something I want to talk about, or several things. The most important thing seems to rise to the top during the week between sessions. Often things that I thought I wanted to talk about at the beginning of the in between time since less important as the session approaches. Sometimes I stick to what I identified as most important in the session. Sometimes I am not sure what to start with, but T trusts in the process for me to bring up what is most important for me to talk about. Sometimes to begin the session, I don't have a direction or the direction I have chosen is hard to get started on. T is very patient and just has me sit there until I am ready to bring up what I need to. He doesn't pressure me or babble and distract me. He says just give it time, and it will come, let it come. And eventually it does come and I can start. Sometimes what comes up surprises me, but it is never the wrong thing.