My T tells me that only I know when I'm a threat to myself or others. That's when to use the crisis center. That she trusts me to use it if needed. I've said some pretty messed up things, but she doesn't seem concerned so I'm not. However, if I'm not thinking properly how would I know that I wasn't safe to myself or others? I guess T trusts my husband to be my logic. I kinda feel that my size and sex play a role in it. When my husband (6'4", 330 lbs) says anything that can remotely be taken as worrisome it's a huge deal.