I've felt negative once about my pdoc because our appointment was really short. I asked the receptionist if there was some kind of mistake when I was leaving because it was sooooo much shorter than it should have been. I was very angry although I couldn't verbalize why at the time. I just knew there were things I wanted to say but couldn't think of while in session. We had appointments that ranged from 15-40 minutes depending on what was up. So if I had nothing to say we'd end it or if not keep going. Problem is that was an underlying assumption and never explicitly said. This particular time I was depressed but not talking, and he's not the inquisitive type. So I felt like I was being pushed out the door prematurely. So as I was leaving I complained (quietly) to the secretary asking if I had gotten it wrong: did we have a 20 minute instead of a 40 minute? She said no it was a 40, and I just asked her if she could check with him on that when he was free. She did gave him the message and he called me later that day, of course I was anxious by this point for complaining so I didn't answer He left a very lengthy voicemail, admitting he was confused about why I was upset. He apologized profusely and said to call back or I could wait until the next appointment. It was fine. He agreed to follow up a little better with me since I can be quiet, and I agreed to speak up if I have more to say. It works itself out if you can communicate well together...

You and A. will work this out, so I wouldn't avoid him. It is ok to be angry about the missed appointment even if you logically know it was a legit reason. Tell A. how you feel with out accusing him of anything. Your reaction is normal given your diagnosis especially and A. will know that so he will not react angrily. The service worker is another story as agencies tend to mess this stuff up all the time. You, or someone who works with you (like A maybe) need to stay on top of them to be sure your services don't fall between the cracks.