I basically freestyle, my most effective method is storytelling, if I'm a bit hypo it even comes out as a play. With number of acts, scenes, spotlights, curtain calls and all. Instead of actors entering stage left or whatever, I'd have a mood, emotion or event. Lol
When I'm depressed though, I notice my writing is a bit more clinical, still a story telling feel, but with bullet points, subheadings and such...
You're most welcome

glad I could be of assistance, hope you know you can PM me anytime.
PS when I get stuck, I just write down whichever random words come to mind first, then I take it from there...