However, when I reconnected with her a few months ago after 16 years apart, I noticed that her voicemail says, "Hi, this is Dr. ****....." and that is also how she answers her phone when I call her for our sessions. But I still call her by her first name any way. She's never told me not to. Maybe I should ask her what she prefers. She signs her emails with her initials or her first name.