So when the accident happened, you didn't really have any therapy, and that was at such a crucial time in your life, omg, 13! Are you a child, are you a teenager, what are you? How do you deal with that responsibility?! and it sounds like in 2009 they didn't realize how unresolved this issue still was for you. But your original post here makes everything pretty clear, I think. Maybe you could print it off and show it to your current therapist? Because really, what chances do we have to express to them how we really feel? I am not that good at speaking my feelings. Then sometimes they will have you fill out a form, why are you here? Who writes on paper anymore??? A patient really has to let the dr know what she needs, ie what the problem is, then they have the best chance of fixing it. You state it very well here. Let the CBT therapist know, and then she can at least tailor your therapy to these issues.