What to Talk About in Therapy

Written by the TherapyDecision Editorial Team · Last reviewed: 2026-09-22 · How we research this

It's common to sit down for a session and suddenly forget everything you meant to bring up. Here are some reliable starting points.

Reliable starting points

It's okay to not have an agenda

"I don't really know what to talk about today" is a completely normal way to start a session - a good therapist can work with that, and sometimes the least planned sessions lead somewhere useful. You're not required to arrive with a structured topic every time.

If you're doing a structured programme

In CBT-based approaches, sessions are often more guided by the current module or exercise you're working through - see how online CBT works for what that structure typically looks like.

Between-session notes help

A lot of people find it useful to jot things down as they come up during the week, rather than trying to remember everything in the moment - even a few bullet points on your phone.

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