I have some concerns about the therapy I'm receiving; maybe those of you who have been doing this longer can help. I'm seeing my T about once a week, I guess for CBT. So here are my concerns:

1. He's usually at least 5-6 minutes late, and has been as many as 15 minutes late before. He never mentions this, or apologizes at all. Recently he's been ending the sessions several minutes early, too. Now when I'm paying over $100 for a 1-hour session, that seems a bit... wrong. Am I just being obnoxiously punctual? Am I wrong to expect at least 50 minutes of actual "couch" time?

2. Every session, he asks me how I'm doing, I mumble that I'm fine (because "fine" is my go-to euphemism for "not that good, actually"), and then the silence ensues. There is a LOT of silence between us. Granted, I have a very hard time trusting anyone and I know I'm not opening up as much as I should. But shouldn't a therapist actually try to start a conversation or lesson or something, instead of sitting there in silence, deconstructing his pen or bending a paperclip until it breaks?

3. I've been to maybe 20 or so sessions, but at the latest one he just wanted to "review" everything we've been over. Okay, that's fine, but then he actually told me that he "doesn't know where to go next" with my therapy. And it's been like this from the beginning -- he's always seemed very disorganized. Like he's not following any actual process, just winging it from session to session. Is that normal?

4. He says that I'm ready to try these things we've been going over in real-world situations and insists that I need a job, even though I'm absolutely terrified of interviews, the first day, meeting new people, workplace bullying, etc. I guess he thinks the "talk therapy" part is over, even though I don't feel any better in social situations than when we started. We talked for one session about my past traumas, and I guess he thinks that's enough to "cure" me? I know I'm paranoid and depressed, but it really feels to me like he's just sick of me.

I don't know what to do at this point... I honestly feel like I'm "failing" at therapy, and that's plain pathetic. I'm considering quitting the whole thing cold turkey, but I know that I have a lot of unresolved issues and some mental illnesses that aren't getting any better. Maybe I really am just a hopeless case.

Any advice or help would be appreciated. Thanks in advance.