I will say that when I had my meltdown, I am certain that the T knew I was very serious about quitting. I had no history of threatening to quit. I had never played any games with him. In fact, I had never really expressed any strong emotion up to that point. So even though I wasn't yelling or crying or anything like that, I think it had a big impact on him for me to suddenly go, NO, I'm not okay; this sucks and I'm done. Maybe some of it too was that he was a student and more open to changing what he was doing to help me. He wasn't really in the habit of doing things a certain way, and not "married" to any philosophy of therapy at that point.