i am terrible at it, and never told my last T whenever she forgot something or when i was worried about her thinking bad of me, or anything to do with the relationship, really.
with my current T, it took until 2 weeks ago when she was late, and had to leave on time (aka: i got a shorter time slot)...I did end up telling her it upset me, in a most agonzing, round about way.
I was already anxious for the appointment due to stuff I wanted to talk about, and then her being late compounded upon it, so I was practically mute for the first 20 minutes. She was confused and was like "Hello! What happened?" Until I finally told her I was already anxious, and the waiting felt intermniable, and now I feel like there is no point in talking about it since the appointment will end soon.
She got it right away, and was like "Ohhh. So you're pissed at me because I was late. I'm sorry, I know I am absolutely terrible at time management." (so true) She apologized right away, and said of course my feelings are valid...and it thawed me enough to be able to talk about what I needed to talk about.
Her non-defensiveness hopefully helped in that if something else comes up in the future, I will be able to bring it up easier. We'll see.
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