Little background...been going to T for over 15 years. We worked hard...3,4 or 5 days a week. For last 2 years have been going once a month to just catch anything before it becomes an issue. Last year he had a pacemarker inserted. He says everything is fine. The only difference pre & post is he tires more quickly. He was very, very physically active. I noticed that difference. Heck life can kick Ts in the rear too😭 . The last 3 months I've had some major distressful events. One we knew was coming & he had said we should talk & make some preparations. We didn't. It happened..a death.. & it hit me harder than I anticipated & earlier than was thought by years. Been fighting old coping methods & when I told him it had happened, he sat quietly & took copious notes. Usually we talk & he may make a note or two during session & then writes it up afterwards. After laying everything out, he just said he was so sorry for my loss, grabbed his calendar & scheduled me for next month. He said he was sure I'd get thru this as I had so many other things. Had a car accident on the way home....totally my fault, not paying attention, very minor... but it suddenly hit me ... has he forgotten the hospitalizations, the meds, the work it took to get thru last time? Not doing that again. Then I thought perhaps it's his way of saying he hasn't got the energy to work thru this with me. His greatest help the last years is just mirroring back my thought processes to let me know when they are getting a little squirrelly. He can recognize my brand of squirrelly very quickly!Thought of getting another T but he/she would need to be brought up to speed before they could start to contribute. I don't have the time or desire or energy to do that.Any suggestions?

Perhaps he has seen growth/change in you since that previous time and feels you are in a better place to handle this than before. I know my coping ability has definitely improved over time and adjusting to my new ability to handle things was hard to trust, even for me. I still ran scared of how in the past I couldn't handle things and feared I'd have the same difficulty, but what I discovered (and what my T recognized about me even before I recognized it and trusted it) was that I really was in a different place than before. You can certainly set an earlier appointment if you feel it is needed. Just pick up the phone and set it up, but you might also find your anxiety about how you might fall apart again this time is perhaps worse that what you will actually experience.

[Walking Man]

My dad had heart problems, and I have a chronic condition. Your T may just be tired. If he had a stroke there could be other issues. When my dad had atrial fibrillation he felt terrible. Sometimes it's all I can do to get through the day. You could ask him.