I work at a centre as a t and am allocated my clients with no choice over them. That doesn't mean I don't like them. Every client is so different that it is a fresh start with each and every one of them. We all have our different boundaries and ways of greeting each other, it's very hard for ts to get the greetings right with each client without some negotiating. I strongly encourage you to talk to your t about how the absence of her handshake evoked such strong feeling of not being cared for, perhaps this goes a lot deeper than amused a handshake perhaps it evoked memories of shame and rejection for you Sarah. It doesn't mean your t doesn't care about you it just means either she forgot or she sensed something from you that indicated not to shake your hand. What do you think, could you be pushing her away?