Sometimes, when the going gets really tough I press my STI shifter hard, just in the vain hope there's an extra gear I forgot about.
There never is.
If it get's really, really, tough I may even glance back and check the chain is really on the biggest sprocket and my STIs haven't malfunctioned.
It always is and no they haven't.
As a technique, for climbing quickly on a long climb (something I try to avoid), I will count 20 sat down and 20 honking..repeat until lungs and legs fail then sit down and spin.