My t only works 2 days a week and will return a call the next business day. So if I call on Wed, I won't hear back until the following Tues (she works Tues and Wed). Any emergency (crisis that can't be self managed until the next appt) should be a call to 911. So, in light of my own experience, I think a t getting back the same day is very reasonable. I'm sorry you are hurting and perhaps you and t should decide on a time frame for a response that's helpful for you and doable for him.