How did you cope before 7 months ago?

Any chance of incorporating those strategies or improving them to suit your current needs?

This is assuming you didn't suddenly become bipolar overnight and have previously managed to somehow work around it, or compensate for it...

Meds can and do help, well the right ones anyway, wrong ones just fruck you over even worse. But thing is, meds can't do all the work for you, coping skills are needed with or without meds in order to manage effectively.

Instead of attending sessions where you're just rambling while your T listens, (from your post this is obviously not really beneficial)... I suggest setting goals for therapy. Discuss what you would like to achieve in therapy and how to work towards that. Allow your T to guide you in employing healthy coping skills.

I mean rambling sessions can be cathartic, but I for 1 personally cannot set aside an hour a week just to do so. To me that would be a gross waste of my time as I have friends who listen to all my bullshyt without a set appointment. So I need my T to actually serve a purpose beyond borrowing me his ears...