I can text, email, or call. She has a pretty absolute boundary about not doing therapy via email and after almost 10 years - I know this very well - so I understand why I get only very brief responses to emails. I used to send followups to sessions because it would take me a little time to process what we'd talked about. I don't email her very often anymore, I've gradually over time learned to journal instead. Texting is pretty much just for scheduling issues. I can also call for scheduling or if I need to clarify something from a session or check in about something and she'll do a brief phone call at no charge. I don't call very often outside of for scheduling because that option I definitely do not want to even come close to abusing, as every time I have called her to talk briefly it has been extremely helpful. I'm pretty hyper-aware of not becoming a pest to her between sessions so I guess I just naturally self-limit how much I contact her and I trust that she would tell me if it was becoming a problem.