I email about rescheduling appointments. Once in a blue moon T will email me about something, like here is female healer I thought you would really like to know about and give me a link. I don't usually email him about therapy concerns but just scheduling. Within the last couple of weeks I did email him about something big that was happening in my life and he emailed back a very brief note of support. That was good and helped me. That is about it for us. It works.