Only in extreme emergencies. These include: my father's death, my mother's death, and my brother's death. I once called my T when I had left an abusive lover; she even talked to my mother at that time, advising her what to watch for and how to tell if I needed the hospital, etc. Also, if I am very far down in the pits of depression, so much so that my wife is very concerned, even to the point of asking me if I need to go to the hospital. Otherwise, I try to get through, by self care, distraction, etc.