Many times I have email my T asking, but not explicitly asking for a response. Usually, none followed. I've often thought...If someone I was treating sent me this...I would have responded.

i think the same with my work T - email me if you feel stressed and I will come down and see you he said - so I did when I finally managed to break the "it's just because I'm weak and stupid that this is upsetting me - get over it" self talk and emailed him he emailed me back and said try deep breathing and all I did was email back and say - thanks I think a lot of us are good at hiding our feelings for fear (hate that word) of being redused help or being hurt - (same thing) so T's can't see how we really feel because we hide it well.

Maybe I just don't get how making people beg for a reply is beneficial. Not sure how it factors into getting the patient to think you care or building trust.
I think they are just taking us literally - we dont ask for a reply so we dont get one - there's that asking thing again! (have to learn how to do that....well I would if I needed anything - BUT I DONT OK! LOL)

Maybe if I had zillions of patients contacting me at all hours of the day.... maybe I'd understand it better.