Getting started is hard. Sometimes my T stares at me until I start talking. If she does ask "how are you" my reply is "I hate that question." Or sometimes I say "fine" and she says "no you're not."

Lately I've been starting with something just conversational, but not necessarily therapy stuff, like talking about the cats or something. And in a few minutes she will try to turn the topic around to deeper stuff or ask what I want to talk about this time and then we start all of the above, but it's not as awkward after at least starting with a conversation about something.