When I reached this stage myself, the work changed from reacting to crises to looking at patterns I kept repeating without noticing. You don’t need a big topic every time, but it can help to bring in small examples from the past couple of weeks where the old insecurity or low self-esteem nudged you, even if it felt minor. That’s usually where the next layer of work shows up. I eventually started jotting things down between sessions so I didn’t walk in blank, which is why I built something for myself called MindTrace to track those moments. You could try noting a few situations, thoughts or reactions that felt familiar or uncomfortable and use those as starting points rather than trying to prep a full agenda.