my counselor writes out the appointment card and we both stand up at the same time.She always checks before writing out the card if there is anything else we haven't covered or need to cover next time right before writing out the appointment card. Sometimes when she is doing this I get up and look at her knick knacks. then I am already standing when she hands me the card, opens the door and Im on my way.

there have been times when she has not stood but I always know that its the end of the session because she hands me the card. I have alot of trust for my counselor so there is no uncomfortableness in beginning or ending my sessions. It just feels natural.

After a while you will probably get into a routine so that you know for sure what is expected and how to say goodbye for the week with your counselor.