18 months is nothing in the world of therapy. If your therapist doesn't know what to do with you then find a more able therapist. Perhaps an analyst. That'd wap **** can go on for years & still find something to do lol. No seriously co had a "counsellor" (no way near as trained and knowledgable as a pyschoanalys) who run out of ideas with after 6 months. The analytic therapy I am in now is really IMHO the only real way forward in any long lasting terms.