I don't think yawning means you are not present. It is an *UNCONTROLLABLE* response. She may have just eaten before you (I yawn bad when I do that), or had a crisis until 3 in the morning, or who knows? If she's anything like me if someone *talks* about anything tiring (tiring like their own lack of sleep, or up all night, etc), I yawn. I'm yawning RIGHT NOW.

If she is yawning the *whole* session, I'd say something. I'd ask her if it's just best to try a different day/next week. I always try to think about it, if my T behaved that way towards me, how would I feel? (If she got on to me for yawning. If T said "You know, you yawned once today, I don't think you're taking treatment seriously..." Really??)