I am okay with using the phone and do phone sessions if I am sick or if my T is sick. I also do a short check in with my T at the end of the week. She charges by the hour so I might talk for 1/4 or 1/2 an hour, etc... And then she just includes it on my bill. I do prefer to see her in person but appreciate and get a lot out of the phone sessions. My T does not use email with her clients or text them, so hearing her voice is nice.