I am sure he will have a reason for falling asleep, but, for me, the relational damage done by his behaviour would be very difficult to navigate. He might be ill, on medication, be experiencing a personal crisis, be exhausted for all kinds of reasons not related to Omers. However, if he is so exhausted and compromised that he can not stay awake, he should have cancelled sessions and stayed home. It is a basic skill for a therapist to recognise when they are not present enough to work in a safe way. I think I am having a strong reaction to Omer's experience because my therapist has continued to work with me on occasions when she wasn't resourced enough and it has led to very difficult ruptures. Having said, that even she wouldn't fall asleep in sessions and she is an old boot with a dedicated relationship with whiskey ... It annoys me when therapist's can't hold us by protecting their own stuff.