I struggle with this as well, and I tend not to call unless I feel I have no other option -- ie it really is an emergency at least inside my head. Once, after my T met with me and my husband, he told me at the next session that he really wished that I had called him during the week between visits to discuss the meeting with my husband. T said he was DYING to talk to me too and had a hard time waiting until our appointment to discuss it. I was like, really??? I was DYING to talk to you, but felt stupid and needy. I asked him why he didn't just call me, but he said that he doesn't call clients in those circumstances because the contact would be about meeting his need to talk about it and not mine. I've told him several times since then that I would love it if he would call ME, but he never does.