Oh yes, I have. Especially in the midst of the most difficult of my trauma work, I screamed/yelled right in her ear (phone therapy) more than once. I screamed about my struggles, sometimes in pain and sometimes in anger. And I have been shrill with her at least once that comes to mind.

She's handled it graciously, therapeutically.

I do not know if I would have done that if we met face to face, or if I would have felt more constrained, that's hard to guess with certainty.