I agree to sit down before and write out what concerns and fears you have about starting. You could simply say "I brought some things in I'm concerned about, could you read this before we start?" This would be a great ice breaker.

Also Hope, there is an app called "moodtracker". You might check it out. I use this and print it out before each session. It really helps get the ball rolling. My T reads over all of it (take like three minutes) and we go from there.