I clicked all email options in the poll because that's how I have interacted with both of my therapists, and the frequency can be all over the place, depending on whether I see them regularly for sessions at a time, my own issues, momentary interests, our relationships - many things. Right now I don't see them for sessions and just had a big fall-out with one via email so most likely I won't contact him for a while, if ever. With the other T, it's a much more consistent, calmer, more rational keeping in touch, I write him something that occupies my mind about once a month, then we usually have a few back and forth emails, and then a break again. I plan to go back to having a bunch of regular sessions with him sometime later, to dig into a specific area that interests me, and I imagine then we will have more intense communication between meetings again. For a long time in the beginning, I worried a lot about the emails because it felt obsessive, but I had learned that I was acting out a negative, indeed obsessional pattern back then. Not so much now, so I feel comfortable with it for the most part.

I only text when something has immediate urgency, such as changing or canceling an appointment, and I get no response to email. No phone calls except full, scheduled sessions via phone with one T here and there.