I'm hearing "get better at living life and to feel ok most of the time" as a pretty clear goal. If you don't feel that way, it's something you'd certainly want.

For me, if a therapist can't explain how they can help me, I'd lose them. There are lots of bad therapists out there (I met one recently). If you don't like this lady for any reason, shop for a new one. Therapists are like any other consumer service, you can start, stop, comparison shop, etc.

I like cognitive therapists and I think you might too. I say that because you seem to want clear structure, goals, etc.

Cyran0