I dunno because I have dropped my pdoc and t for generally not listening to me or not being able to help me, or not letting me decide what I need.

I will say this.. you likely know yourself better than anyone. Could you tell your T that you feel unheard and that is not working for you. These people are "supposed" to be working for you. Providing a service, they are also getting paid for that and probably quite well. I don't know if you have laid it out to them how you are feeling about your care. From my own experience the best type of patient/dr/t care comes from working together as a team and not from the perspective of dr in charge...power imbalance point of view. Doesn't leave much room for the patient to be pro-active in their own care,which trickles into other parts of life.

Other than that you could set out to find a pdoc or T who will value your input and welcome your participation in figureing out what you need help with.

I get it tho, been there and no it doesn't feel good...sorry