Part of this is me thinking if I was a therapist, what would I do to help a client who really needed it. I think I would end up an un orthodox therapist. I am not saying I would break boundaries that would harm a patient. I am saying I would go the extra mile and do whatever I felt would help the patient.

One time my t dropped off a letter personally in my mailbox. I am always writing him letters and we had a painful session. Now I dont see this as breaking the boundaries in any way shape or form. My last t would home visit me etc. But a lot of ts would not do this or even think to do it. Sometimes I think a therapist needs to think outside of the box if their client is really hurting. To go the extra mile while still keeping boundaries.

He could have just waited til the next session but he decided to do what would help me. And it did.

I would say my own issues are extreme and am talking from that point of reference. Obviously if therapy done the usual way works for you then that is awesome. But in some cases people may need more which may stretch boundaries but not break them.

This all depends on what is most helpful for the client and what the therapist is comfortable with of course. Its not about creating unhealthy dependence but on doing whatever is in the best interest of the client.