I need advice regarding possible termination of therapy for bipolar disorder. I have been in therapy a little over a year, 9 months with my current therapist. How do you know when it is over? I thought I would know because I would be feeling better. I felt better for about two months but now I am rapid cycling again and back to having strong suicidal thoughts. I have been using some of the strategies I learned and trying to exercise regularly, eat better, take meds sleep etc. I have been a model patient because I hate feeling like hell all the time. I am paying a lot of money so I wanted to be sure I received the most I could out of therapy. Despite relapsing, I am uncertain how else therapy will help me. I don't know if this is just the depression talking or if this is the right move. I like my therapist a lot, and really look forward to our sessions but that's not a reason to continue. She is no longer giving me homework and she has little advice to offer to make my depression go away, other than to speak with pdoc which makes sense. I feel like she has checked out of the relationship without ending our therapy and it is frustrating. I hate awkward conversations. Should I just be like hey you are not as helpful as you once were...have I received all I can from therapy..is it over?