My T from day one is very goal oriented.. We find a problem and the focus is on that and different ways I can try to help tackle those feelings or actions.
I would think that if your T isnt helping you with goals them speak up and okay X is one of my biggest struggle can we focus on that and find a solution that will help make it more manage able.
Our T's are not mind readers sure over time they get to know us but I think specifically asking for help with something you struggle with is the best way to good