Dear Dr W:
Either you didn't read the email I sent you last week, or you read it and forgot about it. Either way, that tells me all I need to know. That basically invalidates therapy altogether. There is no "therapeutic relationship" and I'm not sure how therapy can work without one. It doesn't matter what you do during session - you could stand on your head. But if it ends at the end of session, then there is no relationship. What you do in session is purely manipulation, an act. Which is forgotten the minute the session is over. I won't send this email, beause I'm convinced it would be treated like the last one - either unread, or read and ignored. So .... I will sit with these feelings for the next 7 days. I could cancel our next session which would mean a 2-week break. Maybe that's a good idea. Or I can wait and bring it up in the next session. It really doesn't matter - the damage has been done.

I can see you not paying much attention to whiny emails that are asking for reassurance. But to express caring because you were upset over a suicide of a patient of yours, where you knew the family - all I did was to say how sorry I was that you had so much sorrow in your life right now, and that all I had to offer was a song, and I gave a link to that song. It was a brief note, from the heart.

I didn't expect a reply, and I said so, but when I brought it up in session, you didn't even remember the email? Really? It meant that little? Normal human beings at least acknowledge expressions of sympathy. That was all it was. Everything you say about intimacy and relationships is a lie if it does not exist between sessions.

I will sit with these feelings for a while, and either bring them in a week at our next session, or give myself a 2-week break to think about things. Either way, I only have myself to consider. Obviously, you don't give a rat's *** one way or the other.