I'm in a similar situation just now... I'm hoping that by opening up discussion, and by being as honest with my therapist as I can, and her being honest with me, that we can work through this together, find solutions... It might be an opportunity for some out-of-the-box thinking and ideas. Hopefully there is a way to move forward and continue. Personally, I'm looking to exhaust every avenue possible with my current T, I hate the idea of having to move on and maybe find someone with a different approach - but I guess that option is there too.