For me, I think it was okay because usually I did not want a response, although I sometimes got one. There was one time when I asked for reassurance and she wrote back, and then a couple of times she just responded on her own. Plus I did not email often - maybe once a month or every couple of months and once I sent the one email, that was usually it (all I needed) until the appointment. Finally, it seemed like any reaching out to her was seen as a positive because she thought I needed to accept assistance because I prefer to do things on my own. I do not know if this helps you, just describing my situation.