If we're in the middle of talking about something serious/intense, marriage counselor will generally be like, "We'll need to wrap up soon, but...," then keep going for a bit. (He'll go over by 5 or 10 minutes sometimes). So it's a time warning, of sorts. He seems to try to wait till we're in a pretty good place before stopping. When he shifts from the couch to his desk chair, that's about time to end (he'll check his schedule to see if our usual time works). Sometimes he'll still be talking to us or maybe telling us a story/anecdote before we go (or we'll be sharing some random thing with him.) We'll figure out schedule, he'll stand up, open the door, and hold out his hand. We'll each shake his hand, and he'll either just be continuing to talk to us or say, "It was good to see you" to each of us, then we walk out his door. He usually walks us the short distance to the waiting area, then says, "Take care!"

T is much more strict regarding time, so I keep a closer eye on the clock (there's also not a functioning clock I can easily see in MC's office). So I generally know when it's about time to stop and will be like, "I know we have to stop in a minute." When it's time to end, she'll generally be like, "We do have to stop," then will grab her appointment book. She sometimes lets me go a couple minutes over, too, but not to the extent that MC does. She'll stand up and open the door, sometimes saying "take care," sometimes "see you next week." She doesn't generally walk me out unless she's headed to get water or coffee.