I am not trying to demean your experience or invalidate your feelings, but forgetting to email someone is a pretty easy thing to do. Doesn't mean that he doesn't care about you, or that he has emotionally left you. I also think that having an "off" session and perhaps him being tired and/or hungry (did you ask him about this, or assume) are all within the category of "T is human and makes mistakes."

I hope you can at least talk about these things with him and use his response to you as data for whether you can make this work for you. It seems to me that you have framed multiple behaviors as "he has left me" or "he doesn't care about me" and from my outsider, obviously limited perspective, I just don't see it.

The most important thing to me in therapy is the quality of the relationship that I have with my T. He only works part time, and there have been times when I haven't been able to see him when I wanted to. But I would turn my schedule upside down, see him on different days, different times, different places, stand on my head, whatever it took so that I could see *him*. He is what matters, the rest of the stuff is just convenience.

I've had a couple of awful sessions. There have been times when he's not been present. When I've asked him about this, he's always been open and honest with me about why and has apologized when it was his to own. But these times are few and far between what is otherwise a fabulous connection and what he offers me and the relationship overall.

It's a lot like my relationship with my husband. I'd like him to be perfect, to always be there for me no matter what time and day it is, to never have his own issues get in the way of what I want, and a bunch of other things. But it's the emotional connection that makes our marriage.

If the emotional connection to your T is there, and he has helped you, I'd consider lowering your standards to where you can overlook what I would call trivial issues. Of course, I understand what is trivial to me might well be crucial to you, and you have to decide for yourself.

Anne