The skills I've learned via therapy to manage my manic issues of irritability, anger management, sleep issues, substance abuse, and relationship management have been profoundly helpful. 

However when I am depressed (where I have been since the beginning of the year), therapy does not do anything for me. I talk to the lady every week, I still feel depressed, she gives me some temporary boost of motivation, but when experiencing anhedonia, fatigue and a lack of any motivation, it really doesn't feel it does much for me.

Anyone else?