I don't think talking really helps me to be honest. With my former T, what helped was the relationship that we had, though it hurt like the dickens when she got sick and we had to quit. Just having someone there supporting me, loving me, not judging me, even if she wasn't able to help with all the stuff from my life, even like with the self harm. She helped some but I didn't stop with her. And that was the whole reason for going to therapy in the first place.
I didn't have a relationship with ex T or with Dr K although I do with my pdoc. So I think that's why I am not getting anywhere with ex T or Dr. K. I am trying a new guy via Betterhelp let's just call him J because I already have a Dr. J (my pdoc). He seemed to be more than a little concerned about my level of safety and it frankly irritated me. So we are not starting out well. We'll see how the chat session goes.