I want to say that what comes next from me is steeped in my biases and experience. There are nuances to your relationship with L that I can’t understand. I think that a lot of problems in the therapeutic relationship come when there are expectations outside of the “hour.” L did not give you what you wanted and what you felt you needed in this situation. When there are precedents that something will happen in a specific way, when things don’t go that way it can cause problems. It’s important to keep in mind two things: time is finite and we are all only humans. It sounds like L has given you her best in this situation as far as her time and ability. I’d encourage you to give her some grace. Keep in mind that outpatient therapists are not designed to be crisis support.