I took "my" way for a long time and handwrote letters to my T and mailed them to her office. I could imagine her reading them but we didn't discuss them. It was a nice helpful support for me for 5-6 years; I could imagine her response anyway I wanted and she may/may not have read what I wrote, I didn't feel I burdened her, whereas if I'd been asked to email her, I might have feared doing it "too much"; I've never thought of a hand-written letter as "spam" :-) I eventually grew to understand that therapy is a dialog and that there are two people working together, not just me "taking" or giving or anything else in a vacuum.