I don't think necessarily so. My T does not respond to email (I asked) unless it's emergency or scheduling issues. He's available by phone in an emergency. We've managed to work through a couple of ruptures using the 1 session per week I have. That means I have to "sit" with emotions that come up until the next session, but when I bring them up that's when we work on them.

I don't think the shrink meant that something has to be dealt with the very instant that it comes up, but has to recognized and dealt with.

Could you elaborate what you mean?