maybe there is something under the surface that you aren't thinking of that is fueling the upswing in symptoms... i know that is possible, just because you dont know what it is doesnt mean it cant wreak havoc

i haven't done much therapy so i dunno how it works really well... i mean i have done therapy but i dont remember any of it :/
but maybe your T and you can explore those possibilities?
i dunno how you would identify a hidden trigger

god knows i have a ton of them