I said "once a month," which is probably average. It's always me that brings it up...mostly because I get the feeling that the therapist hates me, or is mad at me, or I'm mad at him. Once in a great while it's in a positive way, but mostly it's conflict. But since one of my main issues is being able to handle conflict directly and without getting hurt or hurting someone else, it's probably the most useful part of therapy for me.