I'm sorry you're struggling, MKAC. It's really great that you started writing your story and shared it with your T!

I have no idea if this would be helpful at all, but could you write down a list of potential topics to discuss, and then when it's time for therapy, you could prioritize the list? I usually go into T with an idea of what I want to talk about, but sometimes my best sessions are when I don't overplan.

As far as eradicating the depression stuff - I know it will take time (maybe a long time!), but I can tell from your posts that you are thoughtful, intelligent, articulate and motivated. You can overcome this.