Trace, I recommend looking into schema therapy. It has worked very well for me and helped me hugely. It is a structured approach so both client and therapist know what they are doing and why, and goals are regularly discussed. It's structured like CBT, but more in- depth and longer term, and with some gestalt elements like using imagery to get in touch with emotions (which complements the logical approach of CBT). I have found it very good. I don't think I would get on at all with a therapist who didn't share what their plan was and why.