I have an arrangement with one of my therapists where I email her before every session with issues/concerns/thoughts etc. She replies only briefly with something like "thank you for your email, I am looking forward to talking to you tomorrow." Then we go over the content of the email in session. It works very well for me, and essentially the email is really part of the session...so I just pay for the session.

Once in awhile I have needed extra contact between sessions. In that case I have emailed her and she has responded. I felt a little guilty about it, but she was always reassuring that it was fine. Recently though I have needed much more contact because of a traumatic event. I have also asked her to communicate with a medical provider for me. I also felt guilty or concerned about the amount of time I was taking. And so I did offer to pay her. She has reassured me that what I have asked for is reasonable and that she will let me know if it takes enough time that she needs to charge.

Respecting professional boundaries is really important to me, just as I expect them to respect mine. Even though I like my therapist a lot, I know that I do not need for her to be a friend. I need for her to be a professional. I don't think that I am responsible for her feelings, but I do think I should respect and pay for her time.

So if I were you, I would absolutely share your concerns and offer to pay. Even just asking will make you feel better, and I believe it will make her respect you more because you are respecting her professionally.