We never discussed it in the beginning. I never realized out of session contact was a possibility other than for appointment related issues. When we first started discussing the really painful things she reiterated many times to call to call or email her if I needed to. Initially I called her quite a bit. She lives alone so I knew it was safe to call. Then there were a couple of times I called her and she had company over so she answered the phone but told me that she had people there and so she would call me back. After that I started emailing her. She still tells me to contact her if need be. She figured out that email works best for me. If I need to talk to her on the phone I will ask her if she could call me when it is a good time. As far as texting goes, she has mentioned many times how much she hates texting which I find funny because she emails me from her phone but hates texting. I am not sure what the difference is but I a cool with it as I know she checks he email frequently from her phone.]

She did mention this week if I ever get an email that makes me upset or think she is upset to please talk to her about it. She recently had a client who thought T was upset in a reply email. She was absolutely not upset. There have been a couple of times something upset me but I was able to figure out what she meant without coming out and saying I was upset.