I'm not quite sure I understand why there's a lot of weight on the idea that she didn't bring up almost passing out last week.

My T rarely brings up things that happened the week before. He leaves it up to me to bring it up. I see this as keeping me in the driver's seat in working towards getting my needs met. My T doesn't do "passive" approaches and wants me to be direct in addressing my feelings.

There could be a whole host of reasons why your T didn't bring it up....perhaps not wanting you to feel pressured into addressing it, leaving the option for you to bring it up.

My T knows that I have had issues with SI on occasion. He never brings it up. I'd imagine he doesn't want to deliberately draw attention to it so that I can use it as a way to manipulate him into feeling or acting a certain way. He would certainly allow me to talk about it if I chose to. I just don't feel that it's a primary concern as it doesn't occur very often. And the work that we're doing hopefully would lead to eradicating that kind of behavior.