For me it works to have sensitivity and respect for my own issues, even when others don't really see or understand them, and I also respect other people's struggles just as much. It may or may not work for you, but for me there's a lot of relief and acceptance in the belief that any suffering experienced by myself or another is worthwhile, even if in the great scheme of things some people may find it trivial or strange.

Beyond that, though, this feeling of being a pathetic insect may be more than what I'm talking about here. Like you said, it's beyond judgment, like a sense that's there wherever you go and whatever happens. Now I don't know your therapist of course, but most therapists don't actually feel that way about clients, or else they wouldn't be therapists. With that in mind, it might be helpful to let your therapist know how you feel, at least gradually. This is very important about you and how you feel yourself in the world. I know it might stir these exact same feelings and thoughts telling your therapist this, but if you can find a way to communicate these things that can be bearable for you, it might be the beginning of some deep and useful work. Whatever you choose to do about it, feeling this way doesn't necessarily mean it's true. I hope you will find a way to work with this!