Well, yeah I crisis is different than emergency. When my son was admitted to psychiatric hospital it was a crisis. Other than that I have never called him in crisis, or emergency. He has said to call him if I need to and he always calls me back. Twice he complained about the phone calls and then I freaked out and asked him why he gave me all the damned phone numbers then.....

I think he wants me to try to manage things on my own if possible; well, duh, yeah.

So....what about the word urgency? Where does it fit on the continuum? Is it like this?

1. Crisis (death in the family, etc.)
2. Emergency (suicidal ideation; intrusive thoughts)
3. Urgency (panic, unrelenting ocd, drunk husband, etc.)
4. Advice that can't wait till next session
5. Medication consult that can't wait but isn't urgent
6. You can't wait to tell T your amazing insight
7. You can't wait to tell T what a jerk he/she is
8. You realize in the middle of the night that T is the most important person in your life
9. You watched an episode of the dog whisperer and you realize that it's just like therapy
10. You need to make a schedule change so you don't have to see the client who comes after you.