I relate heavily to the OP. Especially the past couple of days. I always just seem to get in trouble for just existing the wrong way... particularly at work.

What am I supposed to even talk about in therapy? I've tried it numerous times over the past several years, and I don't know what the fuck to say. And then when I do try to say something, the therapist latches onto some simpler and more obvious issue that I don't care about OR just ignores my concerns altogether.

I think therapy seems to work out better if you have one obvious, specific problem. Like I knew someone who was having panic attacks. Therapy helped her. I knew someone who was hallucinating and cutting herself. Medications combined with therapy helped her.

But if I don't have the one specific obvious problem, then both myself and therapists seem to get lost and the resulting sessions are ineffective .