Beth, I’m sorry your therapist is so inconsiderate. If it were me I’d be screwing up the courage to quit this therapist altogether. I did that with my old pdoc when she consistently ran at least an hour behind in appointments. Once I had an appt scheduled for 9am and she didn’t even come in until 9:30! No call to say she’d be late and the receptionist didn’t even say she wasn’t there yet when I checked in. That was it for me!

Really only you can decide if you’ve reached the end of your therapy journey. I think plenty of people do get to a point where it’s just not useful anymore, and why keep paying for something that’s not even helping? If I couldn’t stay with my current therapist for some reason or another I’d be done with therapy. I don’t have the patience to tell my whole sorry tale to another person!