I still see this as a miscommunication. Paula, you wrote to your T you didn't think it was working, she perhaps agreed but still offered a session to come in and talk about things in general, which you declined. That may have been intended as a session to further discuss your situation and not a termination session. Since you declined that opportunity to discuss things with her in person, there isn't much else to do. She's not going to pursue you because you already declined. Ts should offer termination a session but since you declined her request to discuss further the situation, the final decision was yours. She doesn't have to offer anything after that. T won't pursue you if you cancel sessions, turn down an offer or just never return. Even if you're struggling inside a T will take your word for it if you tell them therapy isn't working.