My T rarely offers me tissue. Once, she took out a box and put it beside me on the table.

Usually, I have to stand up and walk over to the paper towel dispenser (clinical consulting room) and get paper towels to blow my nose or wipe my eyes.

She looks at me when I cry, whether it's a little tears or full blown crying, though I'm usually too ashamed to see what expression she has on her face.

Your T's practice seems pretty cold to me.