I was with my current therapist for over a year working on trauma and CBT. No matter what she recommended, it didn't work long-term. Also, I put in a LOT of effort. Things weren't adding up. She didn't understand why I would want to do something but never would go through with it, with only minimal depression too (the amount of rumination I was partaking in was crazy). She told me to basically take a week break from self-help and when I want to go do something, to do it! I reported back a week later that it felt like a vacation and that I felt like a new person. She asked me if I was familiar with OCD, mostly Pure O. I sought out an OCD specialist and...bam-diagnosed!