My tdoc typically gives about 2 or 3 weeks notice before he's going to be on vacation, plus I know that he goes to back-to-back conferences this time every year. It still sucks - the conferences mean I don't see or contact him for three weeks, and this year, because I'm in a bad depressive episode, I'm still kind of angry at him even though he gave adequate notice. Part of my anger is that my pdoc is exceptionally busy as both a clinician and teacher/researcher and is VERY hard to reach under normal circumstances, plus she was on vacation for one of the weeks tdoc was gone and I don't think he checked to see if she would actually be there to cover for him. He told me she would be there to cover for him and she wasn't.

But some of that is on me, really, boundaries being what they are and all regarding how often I should (or more accurately should not) be contacting him outside of sessions, plus he gave me homework to get out of the house at least 3 times a week to help alleviate the depression and for the first week he was gone I stayed in my house all week long, with a predictable worsening of the depression. Once I started following his advice, the depression started to get a little better and I felt less needy and abandoned.

I do think it is still valid to be mad at him and feel abandoned - feelings are what they are - and if I choose to, he will have no problem discussing it in my next session.

Springing a break on a patient with little notice is crappy, IMO, so if yours does that, by all means say something to your tdoc if you felt unprepared for the break.