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People who are not lost are probably delusional.

First thing to recommend if you haven't already is to become a student of psychology. YouTube is pretty helpful with this. Some insight into what your brain firmware is up to and why you feel one way or another can be useful. Probably drop the therapist since this was their job and they appear to have failed.

It may be that your self worth has been bound up in ascending a ramp of mastery. This works well until around your age which is the point where you've pretty much learned everything. The ramp flattened out and now your self-worth is abating as a result. If that's the case, adding new mastery challenges "just because" can help. Learn how to weld. Buy a bulldozer. Figure out Representation Theory. Doesn't matter what it is, only needs to be something your brain recognizes as difficult and it doesn't have to be work-related.

This also may simply pass with time. Once you're 10 years past the point of learning and understanding and doing everything, it's less of a big deal. In other words there isn't the continuous decline you perceive coming. More like a flat plateau.



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