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Oh I historically struggle with that too. I've found that talking with my wife on my way to therapy and spending the day before thinking about what I'm struggling with has really helped. You might also find value in taking notes of things to address whenever you have a mental issue.
The big thing is I instinctively want to downplay all my issues and I struggle with answering things on the spot. The conversation on the way there makes me already in a talkative mood, and if I've had a day or two of thinking about it in advance I at least know something that's on my mind.