I'm so sorry about your upcoming surgery and the ensuing long time on crutches. It sounds like the expected lack of exercise is really worrying you. Check with your doctor, maybe you could do some seated exercises, such as "Chair Dancing"? http://www.amazon.com/s/ref=nb_sb_noss_1?url=search-alias%3Dmovies-tv&field-keywords=chair+dancing&x=0&y=0

The search within, and the intensive therapy you are considering with your lcsw, both sound really important. Good luck and keep at them!