Can we please work on the things that are really hurting me instead of talking about my cats or how often I brush my teeth? Please. I feel so chaotic inside even when I'm not in a bipolar episode. Every time I go to the hospital they say "Severe fear of abandonment... needs intensive therapy once you get out," or "Need to process trauma... need to work on this in therapy," or "Trouble maintaining relationships? Outpatient therapy." The list goes on. These things and more are why my quality of life sucks. I keep waking up screaming, I feel so alone, I feel things so intensely even the positive emotions hurts and I don't think you get that. And I have brought up a lot of these things with you, but you keep brushing them off to ask about the weather or some stupid ****. I get I have untreated ADHD and it's hard for us to stay on topic, but you're a therapist; you should be able to handle that task.