Sometimes you can get therapy covered through health insurance. It’s worth checking, because therapy can be really helpful, even just for having someone to share stresses with. I hope you’re able to find someone!
My new therapist's office sets a recurring bi-weekly appointment for their patients, which I find fantastic, and it's been a great start, but it's still relatively new and we're getting familiarized enough to work out a specific treatment plan, so every two weeks, she'll open with a genuine: "How are you?" and it's a toss-up in my head between: "Are you sure you wanna know? Or should we get shit done..."
It's both. It's an invitation to bring up anything recent, but you can also treat it like a normal greeting if you'd rather not go there right now.
It's also open ended enough that you can say "I'm doing well, I've been thinking about my childhood a lot lately" and take the session wherever you want organically. It could also just lead into small talk while you get comfortable