I don't post here much but I read a lot.

My T gives months and months of notice about planned missed sessions. Like I got her entire summer schedule in March, including dates into August. Even though the separations are really hard for me, I know they are coming, and can sometimes dial down the intensity in anticipation of a longer break.

Last week, she got sick - cancelled my session morning of, and then canceled the next week (I go 3x/week). It was really disorienting for me - probably partially because we have so much time to process breaks beforehand. In over 2 years, she's never cancelled like this. She missed a few sessions when her mother died, but that's it. She starts on time, ends on time, and is super consistent. I would have a hard time trusting someone who wasn't.