I suppose it's easy to be unsure of how the therapy's going if one doesn't have concrete goals? I use my goals, along with educating myself on the treatment research, as a barometer of progress, while understanding, like another poster mentioned, that working on them won't necessarily be easy or painless. I found having community helpful too, during the most intense parts of the trauma work and as other issues arose, it was good to have feedback from others dealing with similar challenges and who were familiar with therapy.

If I was too mentally ill to have goals, I would definitely need some more trusted support to stay on track during treatment.