That is a lot. I can imagine the menopause is a really hard reminder.
I am frustrated for you that your therapist doesn't seem to have a path forward for you. I know a lot of what you deal with is rooted in actual practical type problems, but that certainly doesn't mean you're a lost cause.
I would wish you a happy belated birthday, but that sounds wrong in this context. Instead I will wish for a better year ahead for you.