I also spent years and years in therapy and I used to complain "All I ever got out of all that therapy was a whole lot of self awareness but no change".
Well, after coming to terms with my sexual abuse, I decided to seek out a specialist who knows how to work with trauma and childhood sexual abuse issues. BIG. HUGE. DIFFERENCE it has made in my life - seeing a specialist.
It's a heroes journey, and you are the hero.
Loving Kindness Meditation will dramatically improve your spirits; give it a try for just 3 days: http://www.youtube.com/watch?v=sz7cpV7ERsM