This is what I wrote.

You’re right this isn’t working. I’m not coming back. I feel I’m wasting both our time. Whether you believe it or not I tried. I came in last time confused, uncomfortable, angry, with racing thoughts, wanting to hurt myself to prove that I actually bleed blood not energy. You chopped it up to anxiety which is fine but I really don’t feel I can work with you. I knew this when you suggested Miguel could go to public school but I kept trying hoping it would get better. I’m obviously not conveying myself or my family dynamics well. I don’t want a referral to another therapist. I’m done with therapy for now. I will continue to see Dr. X for medication