MRT, I get where you're coming from though yelling would be a no no in my own therapy. What matters I suppose is that you feel cared for rather than punished and that your T raises her volume but doesn't call you names...? "Knock it off" doesn't sound helpful to me (so maybe I'm harping on it, sorry) because attention IS a valid need and while we may use maladaptive ways to meet that need, we do need to get that need met.