I think "How was your week?" is one of the worst therapist opening lines. Sometimes my week -- good or bad -- has nothing to do with what I want to talk about in therapy. I don't pay for small talk; I can get it in the supermarket check-out line for free. I have had one or two initial sessions that felt like this, and I didn't go back. I am okay with some chatting or rapport-building occasionally, especially if I initiate it, but in general, I'm there to get to work.