Ellie Jo, i would just go in, introduce yourself, explain what your symptoms are: ex: angry, tired, lonely and say those are the things you want to work on. Then the therapist will ask you a bunch of questions that will lead you into slowly telling your story and share it in such a way that it is like two old friends talking. Then from there it shows you the circumstances that caused or brought about your problems. Then the therapist usually guides you into answering a question on what you think or how you would approach something like that and what your goal is. It is all good. Just go and relax and it will all work out. Blessings and tc.