Flip it around. If you missed an appointment, would you want them pissed off you wasted their time? Would you want them to yell at you? Most likely you would have had a good reason and would want them to understand. It’s most likely the same for them.

Ironically, these are the sorts of questions you should be asking a therapist. More general advice is to only allow yourself to stress about things in your control. There's a lot of shittiness in the world, and stressing over it is poison to your mental well-being. Focus on what you can change and let go of anything beyond that. It helps me to try giving people the benefit of the doubt, e.g. imagine a scenario where your therapist ghosting you is justifiable - maybe a close family member of theirs was in an accident - and choose to believe that. While it may not always be correct, this is a much better way to live for your part.

It's pretty unprofessional for a therapist to fully blow off a first session with no communication.

That being said, I'd honestly suggest that when you do start with her, you tell her how her absence made you feel (in a respectful way). Therapy works best if you come to the sessions being honest about your own flaws that you want to improve. It sounds to me like you don't like feeling the way this incident made you feel. If she is a good therapist, she will not be offended and instead help to provide you strategies to manage the negative emotions you are feeling.

Lots of advice here, some of it good, some of it questionable.

Two things I’ll amplify from other comments: there’s a reason your therapist missed. It’s could be anything from messing up in their calendar app to a pet or a family member being injured it passing unexpectedly. This falls into the “shit happens” category. You’re allowed to be angry, upset, disappointed, or any combination - your time was wasted. There are generally two outcomes - 1) the miss was unintentional or unavoidable or 2) the therapist is unreliable. Until you find out that it’s case 2, recognize that a couple of wasted hours - in the course of your life- is small potatoes (perspective).

Another is the concept of “agency”. There are things you can affect in your life, in your relationships, and in the world. There are things you cannot. Nobody can force you to allow yourself to ignore the latter. They will always get under your skin. However, if you find yourself dwelling on those items, try and take a step back and identify things in your life you control or which you can alter/adjust. Finding those areas where you have agency allows you to impart your will, to be a positive force in your life trajectory.

I won’t even begin to tell you this is easy. It is a process and a way of interacting. Here’s an example - recognize your disappointment with your therapist but take the initiative to reschedule. Taking it a step further, the day before your next meeting, confirm the appointment. It can be a text or email - simple, low contact. If you don’t get a response, escalate near the end if the work day (or first thing the morning of the appointment) with a call. These are things you can do to manage your therapist and your collective schedules. Most professionals (I am one fwiw) will not be offended in the least with good (but not excessive) communication. If they are, or if the therapist still flakes out on you - well, we’re back to case (2) above and you’re on the troublesome path of finding a new / another therapist. BUT - you’ve done all you can in your power to make this a success. Recognize your initiative as a positive, personal attribute you will continue to leverage in your life.

I wish you the best!

I think you should bring this up with your therapist. Do it politely, but don’t ignore it. If your therapist refuses to treat you in response to your braining it up politely, then you’re better off with no therapy than with this person.

Shit happens. Even for therapists

I am on the anxiety spectrum and have had anger management issues, panic attacks, and the whole business.

My coping strategy has evolved into something like this. I have done a fair amount of body surfing in my day. For this, there is an ideal type of wave you want to ride. Big enough to carry you, but not so big that it'll bash you about. (My general rule of thumb is that I don't trust a wave that's taller than I am!)

So inevitably, you will encounter a big angry wave that wants to pummel you once in awhile. You can't stop it. The best you can do is take a deep breath, dive straight into it, and let it wash over your head. Not a pleasant experience as you still get knocked about, but you know it will inevitably pass and you just keep your body loose and let it do its thing.

I think of something like a panic attack in the same way. People who say don't stress over things are unhelpful. You can't control that. But you can ride it out in a loose, detached sort of way. Let that wave consume you as it must but rest assured it will pass over your head eventually. And when I say stay loose, I mean literally. If you feeling your muscles clenching or your breathing getting fast, focus on those first before working on the detached, stoic mental state.

I hope this helps you a bit? I learned this all the hard way.

Get a job in retail. You'll be amazed at how fast you learn to not give a hoot about anything.

I think it’s worthwhile to understand that it has nothing to do with you and that it is more a reflection on their professionalism and dedication to their work. That being said things happen and be compassionate to them while not letting people walk all over you.

Stay strong. It’s not about thick skin it’s about empathy I feel.

You're allowed to be annoyed by it. That's an annoying thing to have happen. But yelling at her won't fix the situation, and as you've already noted, is only going to make things worse. Feeling angry is OK. Taking it out on someone else is not.

Can you take that emotion and do something else with it? Make a piece of art, play a shoot 'em up game, listen to an angry song, etc?

Rub the skin area often and frequently, it'll grow thicker with time

For those of you who have experienced something similar, how doesn’t it bother you?

Get smarter. Back when I was younger, I'd often go on a date only to meet a ghost. Took me 2 times to learn to call the girl 30 minutes before the date to confirm if it was still up. No answer? I'm not getting out.

Your case was a professional appointment. I don't suppose your therapist said she wouldn't be available today? If she didn't, that's her fault. When you manage to meet her face to face, calmly state that it made her look unprofessional (if she gets upset at that, well, she's not a good professional, imo)

In the meantime, just remember that whatever gets you worked up will be thrown into your face, either by life, internet randos or something else. Feeling angry is addicting, but it's pointless most of the time.

I think you might be having the wrong takeaway, or at least an unhelpful one.

The emotions you felt were normal to feel. And I totally understand not wanting to feel that way. But the path forward is learning how to process your emotions in a healthy way (note: this does not mean the same thing as "learn to stuff away your emotions").

Anger is often a reaction to feeling wronged or misunderstood, it can be helpful once you have calmed down from the initial spurt of anger, to sit with it and try to think about what exactly the reason is you are angry. If this situation had happened to me, my anger would probably have been rooted in feeling rejected/abandoned (this is something I have a particular issue with, so that makes sense). For you, it might be the same, or something entirely different. Figuring out why you felt angry is the first step to being able to process what you're feeling. You can then try to turn whatever your findings are into a plan for the future, should a similar situation happen again, or if applicable, prevent/reduce the likelihood of it happening again.

In a way, making this exact post you've made is actually you trying to take measures to prevent yourself feeling this way in the future. It's kind of meta, but helpful.

Others have mentioned that you might broach this topic with your therapist, and I agree. Keep it to how it made you feel, don't say anything about your therapist. "I felt let down when you missed our appointment. I felt ever more helpless because I had no notice. Do you think it would be possible to have some notice in the future, if you must miss or reschedule a session?" that kind of thing. Others also touched on what to do if this is a routine thing for the therapist, and I'll leave that to them.

I read most of the other comments and I didn't see this sentiment but: genuinely, give yourself props for noticing an issue, and seeking a way to fix it. And, give yourself props for seeking therapy. You are doing the right thing. Today wasn't your fault and you haven't "failed" at the first step. You deserve to feel proud of yourself. Keep going.

I know how you feel. I was ghosted by my therapist for months and so I just politely told him I am no longer in need of his services and went about my day.

I still haven't found a new one because everyone else is even worse.

This fucking system blows.

There's a good chance that it's weather-related, so I wouldn't take it personally.

I don't know how it is where you are, but here in the PNW everything is basically an ice-skating rink, and no one is driving anywhere.

It's been my experience that people telling you to get thicker skin are abusing you.

Have you tried any of the remote options like betterhelp or similar? I have a buddy who is employed through one of these platforms, the flexibility for both client and therapist seems really great. It’s not at all a case of having sub-par professionals on these sites, if that’s a concern.

If you simply prefer in-person, that’s understandable too. Just know that the options are out there, location shouldn’t limit someone’s therapy options in 2024.

I legit thought you wanted thiccer skin from the headline.

I stopped giving a shit when I was high on weed for 6 years. The bad shroom trip where I came to the conclusion that nothing matters (but it doesn't need to matter) might have contributed too.

But really, you just have to recognize the things that you have control over and learn to let go of the things you don't.

Your therapist is a human, and life happens.

I don't think of it as developing a thicker skin, but after some weeks of practising metta meditation, I noticed that I found it easier not to take personally the actions of others. This is also known as loving-kindness meditation. It sounds very strange and yet it seems to help.

I used to think similarly and wonder how not to let these things bother me. Then that changed to letting them bother me, but for shorter periods of time. Now I tend to think of it as letting them bother me, but then not feeling bad about letting them bother me, which allows me to let go of those feelings sooner.

It's not a quick fix, but it might help you very much over the rest of your life. Even basic mindfulness meditation, such as breath meditation, might suffice to start.

Good luck.

Are you in the US? Are you insured? You need to find another therapist. Since the pandemic, many insurance companies have improved services in this area. For example, mine eliminated copays and doubled the number of allowed visits. They also brought on a bunch of additional therapists.