And that is something that is most important to bring up. Your self-worth. You automatically have the assumption that he dislikes you, and that he would gain personal joy in not seeing you on his birthday. I promise his cancellation has nothing to do with you. If you think he may be canceling due to approaching age to retirement and wants easier clients, just ask him if he sees you as a serious case. I had to ask that a couple of times before with therapists and they were quite honest.

But here is a question, do you see yourself as just a burden on someone who is being paid to give you therapy in an hour's time?