Do you just know what you want to talk about, or think about it, or write it down, or what?

I feel like my therapy sessions are kind of a waste of time because I go in just answering questions about how good/bad I'm doing in what aspects. It's like verbal writing prompts essentially. I do enough journaling and questioning what's happening to have a better idea of things than she does by talking for me 45 minutes on Friday mornings.

I have a "treatment plan with goals" n stuff but it's literally a list of "use coping skills/DBT skills/take meds/etc.... to avoid substance use, self-harming, behaviors, etc...."

I'm sorry, man, but imagining a stone falling in a lake 2-3x a week, some clonidine, coloring or writing 3-5x a week, and telling myself other people have it worse 2-3x a week isn't going to make me not die because of crap mental health (and resulting crap physical health).