It takes time to build trust with a Therapist. And if there is ptsd in the mix it’s even harder, I totally trust my T but digging into csa and ptsd from back in childhood were some of the hardest work I have ever done , but by then I had full trust that my T truly had my back.
As for not knowing what to work on, write down a list of stressors in your life and pick one , focus solely on coping skills for that specific area. We can all have a trunk load of coping skills but we also need to know how to effectively use them when most needed.
I struggle with this at times over specific things in my life
My first T was useless, utterly useless so I complained , it’s a mental health facility , many T’s there. Richard was office administrator , so I met him to discuss his patethic excuse of a T “ Patricia” that was more excited about moving out of state in a few months. So him and I clicked and now we are heading on 9 years together.
Sometimes people just need to take a break from a T setting and give it another go after a break.
I always think it’s good to have someone face to face you can say virtually anything you want and no shock anyone. They have heard everything and then some.
Whatever you decide to do remember we are all here for you