Thats the way my therapist agency works anyway. one flat rate of $150.00 per hour they spend on each case, it doesnt matter if its 50 minutes of my being in the office with her, or 50 minutes on the phone, 50 minutes it takes her to read through things I give her.. for every 50 minutes she spends on my issues she has to charge.

I can email her a hundred times (believe me with DID you can send out 100 emails in an hour LMAO, been there done that) or write unlimited number of letters to her and she would still have to keep track of how much time she spent on them and for each hour she spends on them she has to charge per hour for it.

I prefer to do my therapy time with my therapist as an in person session not by emails and letters. saves sitting here wondering .. did she get my email yet.. wonder if she read it yet... why doesnt she write me back... why doesnt she call me back... all kinds of things like that. in person therapy works better for me.