It's not about money for my T. She made it really clear to me several times as fees have fluctuated at the clinics we've been, and when she entered private practice. I'm now seeing her on a reduced fee, and she still treats me the same way as she always has.

My T doesn't respond to text but sometimes responds to email. I can ask her for a scheduled, brief call if I need. It's not something I pay for and any clients who need it get the same.