I don't have my T's email address (nor has she offered it when I've round-about asked for it). We text or talk on the phone.

Texts are primarily scheduling, but she'll also do brief check-ins that way. Typically she moves really quickly to talking on the phone because there's so much lost in a text message. She's never charged me extra for out-of-session contact, but I have paid her when we had a session-length phone call in place of a regular session (I just included it in the check the following week, with a note to myself in the memo line... she never commented so I assume it was okay).

I don't seek out very much out of session contact, but I appreciate that she is available and encourages it. A previous T had no direct phone number, no voicemail, no texting... I could only call during office hours and talk to the receptionist, the T wouldn't call me back either. It felt too distant for me. That T's opinion was if I "needed" to talk to her mid-week, I should go to the ER because I needed a higher level of care. Maybe I'm too broken for such segregated therapy.