I rarely want to cancel. My therapist has told me its fine by her if I cancel even without a 24 hour notice. She trusts me enough to know that if I cancel it's because I am doing ok.

I have been seeing her for 7 years and have only cancelled three times, once because I was sick, another time I was pissed off at her and the other because my car broke down.

Often I have gone into the session without a clear idea of what to talk about but I always manage to fill up the time. I almost always feel good about my decision to go even if I didn't feel like going in the first place.