Should T make allowances for special needs?

I think Ts should treat each client as an individual and adapt the session so that it helps the client. For example, if a client is doing trauma work and is getting triggered right and left, the T should go more slowly. Another client might be able to do the work more quickly. So yes, Ts should make allowances for individual variation and adjust accordingly. I don't think a rigid T does anyone any favors. I work in mental health and we especially make allowances for communication issues. Recently there was a client who was deaf and could not lip read. We provided her with a sign language translator. Similarly, I have worked with clients who speak languages other than English and we got translators for them too. We get a lot of clients with Axis II traits and have received training that recommends providing firm boundaries with this population. So we adapt there too.

Yes.

I have Asperger's Syndrome. It is important my therapist (psychiatrist) recognize this, because I think and experience the world differently than most people. Therapy would be pointless if my cognitive style isn't acknowledged.

My problems with communication and obsessiveness can easily be misunderstood as stubbornness. This can be tiring for a therapist and lead to unnecessary difficulties in therapy and even misdiagnosis. Understanding how I think can prevent this from happening.

It should definitely be taken in count. I have had problems with AS and psychiatrists just because neither them or I recognized we had an issue communicating with each other. Since then I have grown mentally.

I used not to know that I was supposed to take the patient role. It was always seen as me trying to challenge the doctor and her knowledge or whatnot. I just wasn't yet aware I was making a mistake socially and according to them we are not equals. I have then learned to pretend I'm not their equal and things are going much better. It would have been good if they had adapted to me as well and realizing I don't get the social gameplay instead of thinking I'm mean and trying to hurt them in their profession or something.

Yes, I think so. For example, I have been in eating disorder treatment for three years at Renfrew. I also have Gastroporesis and one day when I was in IOP it was after lunch and we were going into art therapy. My GP was acting up pretty severely and I was so nauseous I couldn't even stand up. T came in the room and sat with me for a few minutes after everyone else went into art until my stomach calmed down a bit. She said I was allowed to drink tea during group (which is normally not allowed - tea is only available during a meal after you finish) because it helps my stomach.

That was one instance where T made exceptions for me, and there have been many other instances in the past where she has done that too. Different people have different needs.

I'd like to ask the OP why they asked this and if they learned anything.

1. I'm searching for the lesson in my failed relationship with Madame T.

2. I learned to be more specific when posting questions.

I think it very much depends on the nature of the therapy and what is needed at different stages. I suspect in the early days of therapy, a t might make allowances for all kinds of things. There's a fine line between making allowances and enabling, though. What may be appropriate early on, when the client has limited adaptive skills may be inappropriate after the client does have those skills. The client might be expected to use those skills and to practice them in therapy. That may seem as though the t is not making allowances, but you could also see it as an opportunity to use unfamiliar tools in a safe place.

Searching for lessons or looking for scraps of evidence to support conclusions already reached? It's a fine line.

Looking for scraps of evidence to support conclusions already reached!

No, it's slightly more complicated than that.
I still have a great deal of respect for Madame T and I would feel more comfortable about defying her if others agreed with me.

I said "no" because, as others have said, it isn't always possible to accommodate everyone.

I had a wheelchair bound person apply for a job I had posted once. She submitted two pages of needs she had with her resume. There was no way I could remodel my whole office building to suit her needs, so I chose someone else. I got sued. I won in the end, but it was crushing to me, not to mention expensive.

I disagree with the question, which implies Ts would use a one-size-fits-all approach and asks if they should modify this for special needs.

EVERY client is different. EVERY client needs different things. In effect, a T should be "making allowances" for everyone who walks in their door.