this thread caught my eye because setting new limits on this very thing (emailing, texting canceling sessions if receiving emails and texts and regular mailings) is exactly what a few treatment providers in my location are going through...my own therapist had limits right from the beginning so for me it isnt a major issue. but with others I know itis an issue.

short version here in my location treatment providers have to bill for taking time through emailing, texting, and what is now called snail mail. insurance plans require this billing to be under two categories... advocacy or therapeutic session. then you add in that insurance companies budget so much per person covered. (either number of sessions usually 52 therapy sessions per year, or number of credits per service per fiscal year by treatment providers)

heres how it works in my location...

say I get 52 therapy sessions on the insurance plans. thats enough sessions for a session once a week. my treatment provider has to bill insurance for any emails that I send her as equal to a therapy session. if I want to have 52 face to face therapy sessions then I cant send an email. if I send an email that subtracts one face to face therapy session because the email is billed to insurance as a therapy session.

therapists most times have to bill insurance for the time that they are face to face in a therapy session plus any time that they spend on things like reading emails, reading mail sent the regular way.

how I keep track of things is that I have a small note book when I have sent an email or letter through the mail or attended the session face to face. this way as the end of the fiscal year I know how many more sessions or emails I have available. for every email it knocks out a face to face session billing wise.

Im wondering if maybe this is why the therapist is saying if you send her an email she has to cancel your next session.

suggestion maybe you can ask her if she has to bill for her time reading and dealing with the issues in the email as if it was a face to face therapy session. then maybe you and she can come up with some sort of arrangement where you can send so many emails and have so many face to face sessions, maybe alternate one session then an email then a session then an email. this way billing wise it will even out.