I'm not sure what this means or how it applies. My therapist has never not done something she said she would do. She has also not been able to fit me into her schedule a couple times when I needed an extra one, but has done this when she can. So I'm not sure that I can associate her schedule with her reliability, as long as she's there for my regular appointment time. There was one time she double booked and I got bumped. As a person, she seems reliable enough. Not flakey. I guess I'm still not sure what this topic is getting at.