The actual answer is UBI and job training programs. It lets people survive and gives them the opportunity to learn new skills without worrying about starving to death in this capitalist hellscape.
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It might be a combination of bad therapists and not having the right style of therapy.
I finally went back to therapy after a couple decades last year, and the therapist I found does TEAM-CBT (Testing, Empathy, Agenda-Setting, and Methods). I still get a lot of the CBT style methods, but this way forces me to put down actionable goals or at least quantify the feelings/beliefs/problems I have. I absolutely despise putting a quantitative label on ephemeral topics/ideas/concepts, but I will say, it has done a lot for me and has made enough of a difference that people close to me have commented on my improvement.
Might be worth looking into, since part of the TEAM process is figuring out what you want to work on, and from there they can help you figure out the steps to get you there.