It sounds like a lot of your problems are in your own head; your T will not do anything about anything where he does not know what is going on, including guess about what is going on. You have to pretty much say, "I'm going to kill myself this afternoon, 4:00 p.m., in the pantry, with the butter knife" for him to have a clue. Even then he may or may not take any "action" based on how serious he deems the situation. He will not second-guess you and you should not second-guess him. He's there to listen to you, not to judge you.