Stormyangels, Ts are indeed human, and most patients can understand that, but it's easy for someone with abandonment/rejection issues to assume that it's personal. My T was late for every appointment (sometimes 30 minutes or more), but has been much more conscientious since I shared my feelings with him. Actually, I told him that if I was exhibiting this type of behavior, he would see it as avoidant, passive-aggressive, or exhibiting narcissistic traits. I also told him that I understand things happen, but for all I know, he's just hitting the snooze button and rolling back over. I must be the patient from hell, but I also told him that I honor my obligations (paying, being on time, etc) and he should honor his. I also told him that every time he is late, I began to ponder what is going on in his life that is preventing him from meeting his obligations. Hence, I'm considering his needs before my session even starts. For someone who was parentified as a child, I'm susceptible to considering his needs without reason which is counter-productive to the process. If therapist tardiness or cancellations become a chronic problem, it needs addressed. I think that many therapists forget that the alliance is CO-CREATED.