I don't know. I seldom have a "big" topic to bring up. I still, after 3-something years, feel silly talking about myself for almost an hour. More and more often I don't want to go to session, or I do cancel. But if I don't go for more than a couple of weeks I start falling apart. I can't get past the feeling that my t is just doing a job and wants to get off work and go home. So if she, for example, suggests that I color I feel like a fool.