Maybe. I've never had much trouble distinguishing when I'm in an emergent state. For me, an emergency is either when I'm experiencing constant recurring flashbacks, or more commonly, when I'm hearing voices and am actively suicidal. That's pretty cut and dried. Pretty much anything else can be managed until business hours. But obviously that will vary from person to person. It helps to really have a talk with your T about what warrants after hours contact. Some T's will say call no matter what the reason; others have different boundaries about that.