This seems especially poignant. In addition to the trauma of finding your mom and her being unresponsive for such a long time, for her to say she didn't know who you were sounds devastating. And also confusing as hell for a 5-year-old.

Feeling like your therapist isn't seeing you properly right now, especially ahead of a break, sounds really painful.

I wonder too if there isn't something going on for him that's getting in the way of his usual reflective capacity. When I've called her out, my therapist has acknowledged on a couple of occasions when she hadn't really been present. Knowing the overview of why that might have been for reasons that had nothing to do with me was reassuring.