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Originally Posted by ruh roh
There is no way for anyone here to know how your therapist will respond. They all vary when it comes to this sort of thing. I have had bad experiences with past therapists around this topic, so when it is serious, I keep it to myself. But that's me. My current therapist has never said what her policy is, but her voicemail states to go to the hospital, so I have come to some peace and acceptance that I travel alone when it comes to this issue. (I do share when I'm down, however, just not if I have plans or means.)
Others will have different experiences, though, so if it's a concern and your therapist hasn't said, you might want to just come out and ask.
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I think the "go to the hospital/ER/call 911" thing if it's an emergency is fairly standard in T voicemail messages--at least, both my T and MC have it on theirs, and I think it's on the practice's voicemail too. I think they don't want a client to count on them getting the voicemail in time (especially if it's on the office phone, like in the middle of the night). The two times I've called a T's cell late at night (once T, once MC), one of the first things they each was "Is this an emergency?" or "Do you need to go to the ER?" I think that must be standard protocol for them, too. (Though I initially interpreted the "is this an emergency" to be "Why are you calling me at midnight if it's not an emergency?" but later I realized that he was just checking.)
So I don't think the presence of that on the voicemail means anything about how the T would be if you hurt yourself in a way that would require the hospital. Though whether a T could visit you or not would probably depend on hospital policy (and in the case of a p-doc, whether they had privileges at that hospital).