I find out of session contact very useful. My T is very good about responding in the way I need her to. It's direct and concise. She doesn't try to resolve anything; just provides support. We do have clear boundaries with out of session contact. Text is for scheduling. Calling is for emergencies. Email is for support, reassurance, and check-ins.

I can see though how email can be easily misinterpreted. So can texts. That's why boundaries are vitally important. And if too much miscommunication happens, there should be limited to no out of session contact.