I talk about leaving all the time. The one I see does not seem to react to it at all. I do not see how to trust a process I do not understand nor do they seem able (or willing) to explain. The therapist does not seem to think I mean it in that the appointment time is still there when I call back to arrange a time. I don't do it to punish her as I assume it makes little to no difference to her whether I go or not. I cannot see why it would matter whether I was there or some other person who was willing to pay for her to sit there. I do it mainly to make sure I am not too attached and to quell the urges to smash myself I have when I leave.