1. Crisis (death in the family, etc.) This is a complete crisis, and I called my T on Labor Day for this, while he was still on vacation.
   
2. Emergency (suicidal ideation; intrusive thoughts) I don't think that ideation or intrusive thoughts are an emergency, unless you are going to act on them. And like my T says-- if it gets that bad, he can't do anything about that over the phone, so just get to the hospital.
   
3. Urgency (panic, unrelenting ocd, drunk husband, etc.)This is definitely urgency. I think that suicidal ideation and intrusive thoughts are also urgency. I have called my T for these (even drunk husband, lol) because it has helped to connect with him at times of urgency. However, I have also managed these things myself many times.
   
4. Advice that can't wait till next session Do you mean advice that you want to give your T? LOL.. I only ask this because one time I actually did call to give him advice on how to be a more effective therapist in our sessions, hahahaha. I was in a somewhat hypomanic stage, and I spoke to him with a strong agenda, giving him advice on how to make our therapy more effective.
   
5. Medication consult that can't wait but isn't urgentThe only example I can think of here is when I was breaking out a little bit from my Lamictal and I was 75 percent sure it wasn't the rash that they talk about... but the other 25 percent of me needed to know in order to be safe. My pdoc was away so I called his covering doc to find out.
   
6. You can't wait to tell T your amazing insight I do this by email because my amazing insights tend to take up 30823098123 pages.
   
7. You can't wait to tell T what a jerk he/she is I have done this over the phone, by email, and in person.
   
8. You realize in the middle of the night that T is the most important person in your life I have called his cell phone at 2am to wake him up to tell him this exact thing. JUST KIDDING.
   
9. You watched an episode of the dog whisperer and you realize that it's just like therapy Well I haven't seen this, but when I find a part from a book that relates to my therapy that I won't remember to tell him about, or can't wait, I will email him about it.
   
10. You need to make a schedule change so you don't have to see the client who comes after you. Obviously I don't have to worry about this one because my T doesn't have any other clients.