I email my T more frequently than I should probably. I email him when I'm crying and I can't stop because it seems to help calm me down. I've also emailed him after a session if I feel something else needs to be said. By his own admission, he's not very good with email though, and even knowing that, I still get my feelings hurt when he doesn't respond. He promised to respond if I ask for something specific and he does. Recently I sent him an email that basically said I'm having a rough day today and could use a kind word from you and his response was that he cared for me and he would be there for me. When I'm feeling low, I go back and reread his response.

We've also had voice or video chat a couple of times when he's been on vacation. I'm going through some tough things lately with an abusive relationship and I think he believes I need the extra support.

When I email him I either address him by his first name (he's a PsyD) or don't use any salutation at all.