What kind of therapy is this that you're doing? More specifically, are you court-mandated to go to therapy or is it a condition of keeping a job or staying in school or keeping custody of your kids?

If it's any of the the above, or something similar, then you're out of luck because that's how mandated therapy works. In fact, allowing you to get a doctor's note is quite a liberal policy if you're mandated.

But if you're voluntarily seeking therapy, it's downright strange.

I'm exceedingly tolerant of the eccentricities of Ts and medical providers. Very few weird things bother me much or feel unacceptable to me. But that would be unacceptable to me. I have great insurance but I still have a $15 co-pay. I'd have to go sit in an Urgent Care Clinic for 2-3 hours because I can't get in to my regular doctor that quickly. All that just to satisfy the T I wasn't lying. I wouldn't do it. I'd tell them no. And why and ask them what their problem was. (If I was a voluntary client, not a mandated one.)

I don't give reasons if I have to cancel an appointment, unless it's very last minute. So far, I've never been charged, not even for an appointment I spaced and showed up on the wrong day.

I love directive therapy, I've done the type of therapy where the T pushes and it's really helped me, but we agree on that first. I don't like demands and a demand for a doctor's note is an eccentricity I wouldn't tolerate.

I hope you can get this figured out with your T and if not, that you can find another T, one that doesn't put you in such a one-down position. But then again, if you've been mandated, you are in a one-down position. That's the reality. But if you're voluntary, now is a good time to work up the courage to say no.

I wish you the best.