I too have sometimes wondered if there's a different way my T and I could be doing it that might make it more helpful to me. I haven't brought this up with my T because most of my sessions I have a burning desire to talk about specific things so I'm going with that at the moment. Also I feel that some of the talking I do is hard for me, and I feel that I can gauge myself what I need to talk about to make it a little bit hard but not too hard. Also I see things unfolding naturally - the feelings that come up for me when we have breaks, or when I ask T a question, and the way my T responds to certain things, maybe even with just one subtle yet significant word seem to be takng me on a path. You sound like you have doubts about whether you are actually going anywhere, which may be valid doubts. Can you feel yourself things that you could be doing in therapy or things you could bring up that would challenge you a bit more?