I think you're on too many ad's and need a better anti-mania med.
I love you, you're one of the smartest ladies I know and a great friend.
You know how I feel about the cutting I can't stand to think of you hurting yourself.
What if you went and got a tattoo instead? I would start a fund. I've never had one but I want to.
You are the one to decide if you can make any headway with this t or just get a new one. There is a possibility that you're making headway when the therapy starts to get really umcfortable and you want to run. At least that's what i may have done with my past therapy.
At the same time you need to be ready to contine deeper with t. You can let him know it's overwhelming slow down. He's showing you trust since this last session & you're not letting him down it's not that. But he's showing you he's trustworthy and I think that's a good thing. I think he's a good t. But you & Miguel have to decide this. It's a big decision take a few days to decide if you can.
Much love.