SAWE, I also have been struggling with this 'now what?' feeling in therapy. I said my horrible stuff and I still feel horrible about it. There was no real relief there. And NOW what do I do? What do I talk about? How do I progress from here? Somehow, I thought just saying it would be enough, but it isn't. It didn't fix anything. So, no great insight or advice from me. If you figure something out, I'd appreciate it if you would share it.