You've been seeing her for 9 months, every other week. I did the math... she has flaked on 3 appts in that time, so basically 7% of the time.

So look at it as a normal 9 to 5 job. Most employers have a 90 day, or 3 month, probationary period. Take the 7%. If an employee flaked 7% of the time during their probationary period, they would miss almost one whole week.

What employer would just sit back and do nothing? Now think that you are paying her. So basically, in the scenario, you are the employer. Consider the time it takes to get there, the gas, the frustration, the emotional upset and turmoil. She owes you more than just "oh, my head," and if that is all she can give you, I think it may be time to consider moving on from the therapeutic relationship with her.

I know you may be concerned for her, and possibly worried about hurting her, but that shouldn't affect this. You pay her for a service, with the expectation that she will be available at the agreed upon time. In any other type of business relationship, I think most people would be able to say "this isn't working," and move on. The difficulty is that with therapy there is attachment, we open our hearts and souls to our Ts, which muddies the waters a bit when it comes to stuff like this.

P.S. sorry if I got too analytical. I'm tired and for some reason thats where my brain went when I saw numbers...