My T lets me decide what we're going to talk about. At the beginning of the session, he mostly asks how I'm doing and we'll start from there. I keep notes that I bring to therapy, so that I won't forget anything important. Sometimes, when I'm afraid to bring something up, I email him prior to the session and ask him to bring it up.

The talking is 50/50 I think, like a real conversation. Not all the time though. When I'm very emotional, it's like my brain shuts down and I can hardly think, let alone talk. So then he has to be the one to keep the conversation going. He's very good at that, he always knows what to say and what to ask, there are no (awkward) silences.