YES!! To your Subject line question. I've addressed it once or twice in therapy. I believe that my therapist truly cares about me, but he says he really can't help me more than being someone to talk to until my moods stabilize since I can't focus and my behavior is chemically related (bipolar, but also PTSD and insomnia). When he first met me, for a couple of months I was in a severe depression. Now I've been in severe mania for 6 weeks. So, I guess he's right, there's not much he can do except for learn my history and what I'm concerned about and practical stuff I can do to slow down some of the most detrimental behaviors (like going on shopping sprees).

I said, why can't we work on some goals? He said we would, but so far it hasn't happened and I still feel like I'm just purging every session or else talking about my manic incessant projects.

Sorry you're feeling so bad. I've been there. Depression is terrible. It makes you feel and think untrue things about yourself. You are worthwhile because you are a human being, not because of anything you do or don't do. And your treatment will make you feel better about yourself because you'll be better able to be there for those around you. Therapy will allow you to heal inside so you can move outside and be the person you want to be in this world.