If it's a one-of situation and I have an established relationship with the T, I will let him know what he said and how it made me feel and see if we can move on. I have in fact done this several times in the past. We all have off days and I know it is never deliberate so I do cut him some slack.

As a client who is not only paying for a service but also in a vulnerable position, hands down my needs should always take priority in the room. This doesn't always happen tho. Just recently I expressed a need to increase my sessions and those needs were not appropriately heard or met. He had his reasons and I had mine. We talked about it and I still disagree with him, but next time I will be more forceful about it if I feel as strongly. Sometimes we need to advocate for ourselves.