Ok here is one more option...working both with and against the system...be the change they need, whether that is as a psychologist or just a patient activist. I started reading this book the bitterest pill written by a British psychiatrist. It's about the history of APs. I haven't gotten very far in but it's awesome to see a psychiatrist who is critical of APs. I suppose it's the evil in me but wouldn't it be fun to say to your OT your goal is to read this book...then you could educate her on your progress. Maybe it's just me who likes to mess with my therapy team but they actually seem to enjoy the challenge. Maybe make your goal finding out more about open dialogue? I know you were researching that before. If none of that works you can always try the fake it until you make it tactic. If there is literally nothing you want to do put some activities in a hat a pick one to be your new imaginary passion. It's a lot easier to go along with doing what they want you to do than to fight them at every step because they will withhold privileges such as therapy from you. So go through the motions, learn to play the keyboard, pick up chess whatever, it doesn't matter, just do it until you get what it is you really want. That's what most of us do in our day jobs anyway....it's like 8 hours of ok whatever you say for some cash flow and fun on the weekends. Anyway....I have hope for you! Hope you feel better soon.