Learning, this is a wonderful list. Look at you! Just want to point out (and you maybe know what I'm gonna say from our previous interactions) but you're so sensitive, as well as smart. I do think you can benefit from going to therapy..
I am tired a lot too lately and can definitely relate to just wanting to sleep. I just wanted to ask just in case, have you been checked out by a doctor. Medical stuff like anemia, thyroid levels, and vitamin D levels, which can make a difference in the winter months.
Re: having therapy but not being able to make changes... maybe not every T is the right fit.. maybe you could make a goal for yourself.... therapy, with a focus on feeling more empowered? And getting out and doing stuff? (And feeling cheered on and supported in doing stuff!). And I don't think therapy necessarily has to take away from life, it's like reading... my books are a road map to life, even though reading is not doing, but thinking, pondering, and dreaming... this is an important part of life, clarifying what really matters. Maybe therapy is the same way? So I think therapy can help!!!!! (Obviously!)
Take care of you