I've never been confident that my therapist would "chase" me if I just didn't show up. I'm pretty obsessive about sessions, so I hope that he would at least call to see if I was dead or something, but I'm not at all sure he would. And that would make me feel terrible.

I also doubt that most of them would even connect a no call/no show to their behavior. They would just think that the client was tired of therapy or something.

I do think it could be effective if you said something like "Lately I have been feeling very invalidated and not listened to in therapy. I need to take a week off to calm down and collect my thoughts, but I'll be back the following week and I would like you to put discussing that on the agenda."