It depends. Sometimes I send an email beforehand about something I want to talk about. Or I otherwise plan to discuss a certain topic. But other times, it just seems to come out of nowhere, like we'll just happen upon a certain topic that's really intense. I've found sometimes that the sessions I *think* might end up being intense (like today's) often aren't. And ones where I go in thinking "I'm not sure what I want to talk about today" end up being really intense/deep. It's funny, I said to my T today, "You probably expected me to be really emotional in session today" (because of an email I'd sent two nights ago saying I was struggling). T: "I never know what to expect from you, LT."