i think it's important to say something if you are bothered about something, but i also think therapy is a perfect place to practice skills on how to communicate effectively in the real world. e.g., when i first used to get angry at pdoc, i would simply cancel appointments but now i've learnt to tell him what's wrong. and slowly ive been learning how to express that more effectively. although pdoc has dealt with my anger before, it's not an "ideal" way for me to express myself, and (besides the fact that i try to treat everyone with respect anyway), i care about treating pdoc the same way i would treat other people, because it means i get feedback on how to be more effective in the outside world.