I reach out when I feel like I need to.. Whether that is for suicidal thoughts, unexpected things coming up, etc. That being said, its generally in the form of email, and he has control of when and if he responds or even reads it. So, I don't feel so bad about emailing. My T, though, said he would let me know if my reaching got to be too much. I guess what he was trying to get at is, is reach out when you feel it is needed.. and we will talk about it if it gets out of control. Generally, he thanks me for keeping him in the loop when I email him and tell him that I feel myself going down, so I get that reassurance that it is ok.