My experience with therapists is limited, but my impression is that they don't take the initiative. It's up to the client to steer the conversation. "What I want is X. How do I get there?" is a perfectly reasonable request, and what I suspect most therapists are expecting.
When I went to my first therapist, I told her that I was pretty sure I was trans, and that I wanted to confirm that and get started on hormones. That gave her a pretty clear indication of where I wanted to go, and she was then able to ask the necessary questions to get the information she needed.
Same with my second therapist. (I switched because the first no longer writes referral letters.) I went in saying that I'd been 10 months on HRT and 7 months full-time, and I wanted to get started on getting referred for surgery. I also had a clear idea of one issue I needed to get resolved in my mind before proceeding. By being clear on what I wanted, she was able to help me quickly, and I got my referral letter.
By taking charge of my therapy, my sessions went quite quickly. Had I gone in with less specific needs, such as "I'm broken. Fix me," I suspect I would still be seeing them.
If there's something on your mind that you want to work on, don't wait for her to ask. Tell her up front.