I have recently had this same issue as well. It has been coming on for a few months now and I have hinted around a bit but never came out and laid it on the line. It just feels like he doesn't want to hear what I have to say anymore and he feels the need to distract himself from dealing with me in session. It finally came to a head last week. We spent an entire session talking about my SI thoughts. Then something personal really knocked me down mid-week. I was so upset I cancelled my Friday session because quite frankly I was so depressed and I had no idea what to say to him. I knew if he responded with his usual distracted self I would only feel worse. He ended up calling to check up on me Thursday.

Anyway, I took some time to calm down and wrote him a letter explaining exactly how I feel and what it feels like he is feeling during sessions. I told him it seems like he really doesn't want to hear me anymore and it seems like he needs to multi-task just to put up with me. I told him that he seems to have changed in the past few months and asked him to be brutally honest with telling me if that is how he really felt. I was prepared to accept his answer as long as it was honest. I was prepared to quit and fine someone else even though I hoped that we could come to a resolution.

Since he had already requested me to email him to confirm I would be at the next session, I sent him the letter the day before in my email and told him I was sending it early to give him a head's up with what is going on in my head and to not put him on the spot I session.

He addressed my letter first thing in the session. He sincerely apologized and told me he felt very guilty for making me feel that way. He also said he would stop doing the main thing he was doing that caused me to have those feelings. I feel guilty for causing him to change his style/technique but I accept his attempt to make things right. He still didn't answer the brutal questions as to why things changed but like others have said it might be something personal going on with him.

I am still not over my bad feelings and still don't feel comfortable confiding in him but I will try to meet him halfway and work on it with an open mind.

I encourage you to let your therapist know. Personally, I never email my therapist except for scheduling but in this case I think it was important to give him my thoughts outside of session. I think maybe some therapists get defensive when we confront them because they are put on the spot. By giving him my letter the day before he had time to process everything and respond in a more positive manner.

Good luck. I know it is a horrible feeling when it feels like they have changed.