Good question. I don't know if my T prepares but most of the time he seems to remember things from the last session. Sometimes I bring up things and he seems to remember. I don't know if he prepares or not, but he seems to be prepared. I know it's sometimes difficult to say what you need, but maybe next time if this happens you can say, I really want to talk about_________ . That is what concerns me. Sometimes when he talks about things I don't want to talk about, he asks me, is this something you want to go over? I'm not sure, though, if he reviews his notes beforehand. Sometimes he'll refer to his notes in session which doesn't bother me at all. I hope you are able to talk to your T about this.