Would it be possible to get a 90 minute session or go twice per week? It really helped me. If not, can you do a lot of prewriting? One of the things I did was write everything out for my therapist to read at the beginning of session: it got her caught up quickly and let me be more ready to actually start processing and talking from the start. Sometimes I also listen to a relaxing audiotape for PTSD to help me calm first too, or evocative music to help me open up. I found feeling safe is also really important, I wrap up if I need to, maybe do a grounding or anti-anxiety exercise, very very helpful sometimes. Having a routine is also important to me- for example, I've found it easier (not easy, but easier) to wrap up a session if we pull an Angel Card first. It's a small silver deck of cards, size of fortunes in fortune cookies, full of words whose energy I can draw on and try to focus on like "support" "healing" "expansiveness" and having that little positive to leave with helps me go forward.