depends on the therapist and the organization they work for. generally if they do not accept calls after hours, it is expected that you will go to the hospital if it is a true crisis. if it is not a true crisis, you are expected to sit with the feelings and wait for a call back. I'm not sure what the policy is for the therapists who do no contact outside of sessions at all. I personally don't believe in that. But generally therapist's are understanding enough that they know therapy sometimes spills into real life and you need some extra support. Again, it is up to the therapist how/when/how often contact is made.