Hodge,

I can't say much about the difference from 20 years ago.. I still had PTSD back then.

However, I can comment on the lack of long term goals. I have one goal. It's to get well. That is as far as I can get. Half the time I can't even plan out my day never mind twenty years from now. I'd say this is quite normal for PTSD.

Does your psychologist have any experience with PTSD? Has he/she read up on any of it? It really sounds like an unexperienced therapist to me to try and say that "it has to be something more." As those are classical PTSD symptoms. Hell they are right in the DSMV...

Maybe you should be asking your therapist some questions? Find out what he/she knows and if they've bothered reading or learning about it!

bec