My T usually walks out with me to the waiting room because I have no sense of direction and she needs to get the next client. I suspect that your T may have not had another appointment immediately afterwards and was intending to sit and write up the progress note and didn't realize that he/she was breaking a pattern. Perhaps your T normally has another client after you and the person wasn't scheduled for that day. My T usually gets up and walks over to her desk and sits down at the computer to check for future appointments. Then we schedule some if needed. I only remember one time when she said that the session was over. I didn't want to leave and didn't get up when she did. So she ask if I was ready and then I got up. As for paying, I pay my co-pay to the receptionist. Although, I am allowed to skip if I want to. It's not like they can't send me a bill--outpatient therapy place at hospital. Even my general practicioner uses the same billing people. So, I think you can find me without difficulty. HEHE!