Boy I have a lot of thought on this one but I have to go quickly this evening. First what struck me is it might not be a matter of a CBT vs. whatever kind of therapist. What made a difference for me was my current one specializes in BIPOLAR patients. It has made a world of difference in how i feel I'm helped, understood and the progress i have made as well as help during crises. He spots so many things and since I live alone, I don't have that self-awareness or others' feedback when i am getting in trouble. I agree with what you said bout getting help with him/her by being a good communicator with my pdoc, who really respects him. This has saved me countless times, his intervention and action. I have had 3 therapists over 10 years.

Second, I believe a lot can come of those off-handed, let's talk about ordinary stuff sessions. Once it falls away, it could be I'm denying. Or there's way more going ion that the obvious meanings.

Funny, everytime I feel like dumping my t. in anger, confusion, whatever, I fight through it til the next session and usually it is wonderful and I can move forward.

I learned there are some things helpful to give: I listen. I journal, especially when I'm stuck. I talk even when I'm afraid or don't feel like it. I try to apply the suggestions, lessons I've learned. I am certainly totally honest with him. I guess my style is the spill your guts style. It wasn't always this way until m t earned my trust. And he knows more about me than anyone on earth. But that's fine with me. That's how I feel I am helped. And it takes work!

Anyway, just some insights on how I work it in case it helps you some way. Plus, there's always the option to change.