It very much depends on the therapist and the boundaries they set, some are ok with it and some aren't. Some charge and some don't.

T1 allowed email, text and phone out of session contact, would always reply, sometimes at length, and never charged.

T2 allowed emails but had difficulty with typing replies so always said they would be read but not replied to.

T3 allowed email, text and phone, usually gave a brief reply, preferring to discuss in next session.

Current T allows email which she will read but not promise to reply to, but insists on phone if in crisis.

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