My T often ends by saying "We have to stop". Sometimes it takes me by surprise because I think we have a lot more time left. Other times it feels like we were out of time a while ago. Then we stand up and make or confirm our next appointment. She walks with me to the door and says "Take care". Sometimes she walks a little ways down the hall with me. Then I head to the receptionist to pay. I'm glad I pay a receptionist and not my T directly. That would feel too much like I'm paying her to talk to me. I know that's not the case, and that she really does care about me, but it would just make me feel bad.