SAWE, I know how insignificant it makes you feel when it looks like your T has completely forgotten about you, but I don't think that's what happened. I used to have very intense reactions to being told no when I asked my T for something, and I also reacted very strongly when I was certain he had forgotten about me because he didn't do something we had previously agreed upon. This is one of those times when my T would have asked me, "Are you sure I didn't think about you at all? Can you think of any other possibilities?" And then we would have come up with a list of several other possibilities that had never occurred to me because I was so certain he had forgotten about me between sessions. Eventually, after going through this process many times, and realizing it had nothing to do with him forgetting about me, I could ask myself the same questions he asked me. This skill has been very helpful to me in real life when someone doesn't respond to an email or doesn't return a phone call, etc. Instead of immediately jumping to my default conclusion, which inevitably led to feelings of worthlessness that further increased my tendency to isolate myself, now I can see other possibilities and my relationships are much more stable.