Hi BatsBelfry. I agree with others that it is best that you come prepared with topics to your therapy appointments. Or as an alternative, what I often do is create a list of therapy goals that I want to work on and get help from my therapist with. My therapists have always had this list of goals, and if talking points seem to run out in terms of current day updates, we might refer to the therapy goal list and start working on one. Sometimes the current week happenings even put therapy goal work to the side. It's good sometimes to ignore less significant current "stuff" and refocus on goals. I think most all of us with bipolar disorder have goals we put aside frequently and don't complete.

I don't know how you really feel about your therapist. If you're not terribly close to her or feel she inspires you or helps you forward, you might want to consider changing therapists. I do believe that a good therapist can sometimes dig deep (asking the right questions) and figure out things that we need to work on that maybe we sometimes don't realize. Yes, we need to create our therapy goals, but they need to find some in us, too. Do you really feel you have nothing to work on? If not and you do like your therapist, try meeting less and see how it works. If you find she's not adding value to your life, do look elsewhere.

I once had a therapist during a period of near crisis. She got frustrated with me and asked to see me only once per month. That was ridiculous considering my situation! She clearly didn't like me, and didn't feel up to the task of my case. l would have preferred she just be honest with me, rather than asking to reduce our meetings. I did get the message. She was also the same therapist that called my psychiatrist and told him she was "afraid of me". There is such thing as negative countertransference and inadequate therapists. Even some therapists practice "avoidance".