I don't see inconsistency in your W's responses. The om's attention was probably exciting, and she was probably unhappy. I think it's entirely possible, even likely, that one aspect is mentioned at one moment and another is mentioned 1st in another context.
Will you outline a few more inconsistencies?
*****
I agree you can probably find a better therapist, one who has trained in clinical psych or one of the major modalities.
To begin, psychiatrists think first about meds; that's how they're trained. You may get more benefit something different - EMDR, Gestalt, TA, CBT, etc. Tapping may be useful.
I also recommend looking for someone who sees benefit in the peer counseling available in an online forum that does not focus on one outcome or another. In your shoes, for example, I'd avoid a forum in which those who preach D or R are the loudest voices.
Therapists can do things peer counseling can't do. Peer counseling can do things therapy can't.
*****
My reading of your posts is that you don't comprehend how much power is in your hands.
For example, why let your shrink invalidate what you think? Why accuse him of 'invalidating' you? Why noy say to yourself that he doesn't support you, so you're going someplace else?
Another example: Why hide behind, 'Evidence-based treatment emphasizes that honesty, transparency, and consistency of narrative are foundational for healing and rebuilding trust.'
There's also a widely held theory that BSes should move on without going into too much detail. Shirley Glass and Peggy Vaughan have anecdotal data showing that the more info about the A is given to the BS, the better the outcome, but it's just anecdotal.
Further, you seem to be ignoring the fact that you being decide for yourself when and if your W has earned back trust. You can do that now. You can decide she has to do more to earn it back. The problem may be in you (which I think your example shows), but it could be in her (which I expect is where it lies).
But you, and no one else, choose when and if to trust her.
(I interrogated my W for hours every day for weeks after d-day, so I get the need for data. I thought I got totally consistent answers, but then I don't see that 'exciting' and 'unhappy' are necessarily different. )
*****
IMO - it's my opinion because I was taught this by several therapists - rumination is a result of self-talk and not understanding or not wanting to face feelings. For me, the way out of ruminating is to ask myself, 'What am I feeling?' until I get the right answers. Then I can feel the feelings, which lets them go. Then I have no reason to ruminate, until the next time.
I know that's a lot easier to say than to do. I went through cycles of learning the process, leaving therapy, then starting the rumination again, restarting therapy, rinse, repeat. But it's what worked for me.
It doesn't work for my W - or, rather, my W has a different way out of rumination, one that she hasn't explained to me.
*****
IMO, you decide when and if you stop ruminating. You have to decide/recognize you have that power.
Alas, that means you need to figure out what you need to do to exercise your power. You've been relying on meds for years, and that hasn't worked. It's past time to change. I'm not saying it's easy. I'm just saying the responsibility is yours - and it goes almost without saying that you have the strength to do it, IMO.
The questions below are the ones that help me. Has anyone asked you questions like:
What are you afraid of?
What are you sad about?
What are you angry about?
How have/do you answered those questions?
[This message edited by SI Staff at 5:44 PM, Thursday, September 25th]