
The 2026 session schedule with Dr. April is:
Payment is required at the start of your therapy appointment. Acceptable forms include:
Please contact Dr. April before your appointment if you have questions about acceptable forms of payment. Continue reading for information about using health insurance.
You are required to use your online scheduling portal to cancel your therapy session, or to notify Dr. April by phone or email at least 24 hours in advance of a cancelled or rescheduled session.
For couples therapy, either partner can request a schedule change.
Late cancellations (those with less than 24 hour notification) and no-shows (cancellations with no notification) will be charged for a full session per the practice policy.
Please note that you are responsible for coming to your therapy session on time at your scheduled appointment time. If you are late to a given session, as a courtesy to all clients your session will still end on time. This avoids overlap with the next client’s session.
Your session may be cancelled and considered a late cancellation if you arrive more than 15 minutes late for your scheduled appointment.
I am not an in-network provider with any health insurance companies.
Credit, debit, FSA, and HSA cards are accepted for payment.
In most cases, couples therapy is not covered by insurance companies because it is not considered “medically necessary treatment.”
However, some clients use their out-of-network mental health provider benefits to work with me and seek partial reimbursement. This depends on your specific plan’s mental health benefits and if you or your partner have a qualifying mental health diagnosis.
Click below to find out more about my insurance policy at Decision Point Therapy.
Insurance companies are designed to cover treatment for diagnosed mental health conditions.
Because couples therapy focuses on relationship dynamics – not a single diagnosed individual – it often does not meet the criteria for reimbursement.
In some cases, one partner may qualify for individual therapy under their insurance plan, but this is different from couples therapy.
Yes. HSA/FSA cards may be used to pay for relationship therapy as it is considered a health expense.
No, the first session is billed the same as all subsequent sessions.
However, you may contact me for a free phone consultation prior to the first session to help determine if therapy with me is a good fit.
While paying out of pocket can feel like a barrier, it also allows for more flexibility and privacy.
Private-pay therapy means:
This can be especially important for high-conflict couples or those navigating sensitive decisions about the future of their relationship.
Cost is an important factor, and it’s okay to consider it carefully.
During the consultation, we can discuss fees, options, and what type of support makes the most sense for your situation.
See more FAQs about therapy below. If your questions aren’t answered here, feel free to reach out!