I wait until the appointment unless it overwhelms my mental health and I'm feeling alone with a huge problem. I've only had one of those I think. I did have a second one, I had to euthanize my pet, but my T was away that week, out of town and I had to, by default, deal with myself/the problem using my own resources and they were pretty adequate, I can't imagine what another, outside person could have done to help (the feelings were as one would "expect" them to be and took a "normal" course). Mostly I talk about things that relate to therapy though, rather than my day-to-day, current, life.