I think it's perfectly reasonable to tell a therapist that you're seeing what you're NOT liking about how they conduct therapy. I am curious, however, if you know exactly what or how you'd like therapy to look like. You don't have to tell us here, but I think it would be a really good thing for you to really examine this for yourself, make a list of how therapy should look and then take it in to your next session and have a chat with your therapist. If I'm remembering correctly, you've done some reading about therapy and you have very definite ideas of how you want your therapist to act. Talk with her about your ideas and wants. I will add, however, that you'll find that some therapists aren't interested in changing their style or techniques; some even get a bit testy when clients question them and this leads to a referral to another therapist or a comment about "I don't think we're suited to working together. I'm probably not the right person to work with you." Yes, we all wish that all therapists were able to accept critiques/constructive comments on their performance, but unfortunately that's not the case. Just as you have some thoughts on how YOU would like your therapy to proceed, some therapists have very definite ideas of how THEY want it to proceed. If you're not a match, then it's better to know that then just feel a smoldering fire of resentment. Some therapists have a very definite style in how the "intake" process of therapy will be conducted (the first two to five sessions) and some are really focused on note taking. If that makes you uncomfortable and unable to work with that therapist and they aren't willing to change, you're between a rock and a hard place because you can't change someone who is unwilling to change.

The other thing I wanted to add is that the time issue is what it is. If you've been told by a therapist that her sessions are 50 minutes in length then you can't complain or gripe if she doesn't keep you longer--if she consistently shortens your session or starts late, then you have reason to be angry. You have no idea how her clients are staggered and she might have a client after you who is very sensitive to abandonment and is unsettled if her therapist is even a minute late. Fifty minutes is fifty minutes--no more, no less. The other thing is, we forget that therapists are human and need to use the restroom, eat a lunch or snack or just simply refill their water bottle. If every client during the day wanted 2 or 3 more minutes, those minutes ADD up because it isn't just 2 or 3 minutes, it's more like 10, once the client picks up their things, gets out the door and down the hall and then the therapist has to put YOUR file away, tidy up the office and then go and get the next client. Sorry, but that's the reality of time.

The other thing is that scheduling your appointment or re-scheduling is part of your therapy. If you'd rather have a desk person do the scheduling, let her know and if she's able to do that, hopefully she will allow that to happen. But just know that a lot of clinics require their staff to keep their own appointment book due to the changes that are often necessary. In any case, unless you let her know that you don't want your "therapy" time taken up by appointment issues, she can't know that it bothers you. Speak up and let her know! If she refers you out because she sees you as difficult, then you're probably better off anyway. Good luck!