I am sure that I could call or text, but I only email. Depending on how I'm feeling, I may email just one time between session, or 5 (I'm on fortnightly sessions): for me, without the email option, we would make zero progress in session. I can't talk about negative things with any ease, so to be able to write them out and email is a big help. At the same time, I feel like this option also helps me avoid actually talking in person, which is not a good thing. But I think the benefits outweigh this at the moment. I think I would go mad between session if I didn't have this option.

It really does sound like you T cares a lot about you! I think it is great that they persist if you don't answer, shows her commitment to helping you through the toughest times