I journal every evening, so I always have notes that are generally not specifically related to therapy. However, sometimes I bring them up and we talk about it. Usually though T will lead the session, and I more or less join him for the ride. Sometimes he will give me homework and I bring that. Most important sessions though are not based on my notes. In fact, most sessions are not. However, some things I cannot say, and writing them helps me bring it up in the first place.