The topic of conversation is definitely up to me. My T will ask me how I've been when she greets me at the beginning of the session but it is entirely up to me what we talk about. If I don't want to talk about something anymore she doesn't pressure me but instead asks me what I would like to talk about instead. I found out first hand that if I have nothing to say T is quite willing to sit in silence for an extended period of time. I see a psychodynamic therapist so that probably has something to do with it.

My T has said a couple of times that ideally I would be doing most of the talking but that is something we will have to work up to as I have a lot of trouble opening up. Sometimes the conversation is 50:50 but sometimes it is more 25:75 (25% me, 75% T).