My T has rung me up on occasion if I've sent her an email indicating things aren't good, rather than simply sending a reply. She's been good like that. I did feel 'left hanging' at times during a rough patch we went through, but I recognise I was being rather demanding and she had to hold the boundaries. If we had a bad session I'm not sure she'd 'check up' on me without me contacting her first.. though sometimes she's emailed or text with an article or a scheduling issue or something if she maybe hasn't heard from me, and I've wondered if she has used the opportunity to check in. It's typically down to me to reach out, but she has been 'there' more often than not