My T is really different. He invites me into the office where he has four sheets of paper with feelings on them. The big categories are happy, mad, sad, scared and then each one has other related feeling below it and I can pick one or as many as I want. Then we step down a little bit farther and he has another set of cards with “needs” (?) I guess... things like rest, embrace, community... and he will ask a question. Usually it is “what would you like to give yourself today ?” But when my husband and I were having a hard time he asked what I would gift to my husband. Then we use those as a starting point. T usually has some kind of activity planned to but it is open to change based on what I need. Like last week I picked rest and we didn’t do an activity, we got caught up (he had been gone the previous week) and worked on defining long term goals. My T is VERY directive and structured with me because I have CPTSD and Autism. I think he does similar things with his other clients because the cards are always set out but I am not sure. I LOVE this ritual.