My T generally leaves it up to me. Like she'll ask how I'm doing and ask what direction I want to go in that day. Sometimes, if I've e-mailed her in the past week (often the case), I'll ask if anything jumped out in the e-mail that she thinks we should address. Or if I'm unsure, I'll ask where she thinks we should go, and she might continue from a topic we brought up the past week. But ultimately, it's up to me.

Same with marriage counselor--he'll just ask us how the past week was and will mostly let us lead, though sometimes he'll jump in to ask more about something, say we should maybe spend some time on a particular area (like if it keeps coming up), etc. Or he'll do this annoying thing where we're talking about an argument we had, and he'll be all "But you got through the argument and are still here together, so that's good!" I used to be like, "Yeah!" but now I counter that more, like, "Well, yeah, but the issues are still bothering me" or something like that.