Appointment Times & Session Fees

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Appointment Times

The 2026 session schedule is:

  • Mon: 10am – 8pm
  • Tues: 10am – 8pm
  • Wed: 10am – 8pm
  • Thurs: 10am – 8pm
  • Fri: Closed

If you prefer to meet in person, limited appointments are available at my Vienna location.

Secure virtual sessions are also available for clients throughout Virginia.

2026 rates for all therapy typesSession Fees

Decision Point Therapy is a boutique therapy practice accepting private-pay only. Insurance is not accepted.

(Reimbursement possible in select cases.)
Individual Therapy Session
50 min
$225
  • Standard session length for clients in individual therapy
  • Also available for individual sessions that occur within couples therapy
Premarital Counseling Session
50 min
$225
  • For couples completing the structured Prepare-Enrich program
  • Premarital counseling sessions can be scheduled for longer, as needed
Couples Therapy Session
90 min
$330
  • Standard session length for ongoing couples therapy
Couples Therapy Extended Session
120 min
$430
  • Additional time for complex concerns or when more space is needed

Payment is required at the start of your therapy appointment. Acceptable forms include:

  • Cash
  • Credit card
  • Health Savings Account (HSA) card
  • Flexible Spending Account (FSA) card (HSA and FSA cards must have a major credit card emblem)

Please contact me before your appointment if you have questions about acceptable forms of payment.

Continue reading for information about using health insurance.

Session Cancellation Policy

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.

FAQs About Appointment Times & Fees

Do you accept health insurance?

No. I’m 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.

Do you accept HSA/FSA cards?

Yes. HSA/FSA cards may be used to pay for relationship therapy as it is considered a health expense.

Is the first session free?

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.

What are the benefits of private-pay therapy?

While paying out of pocket can feel like a barrier, it also allows for more flexibility and privacy.

Private-pay therapy means:

  • No mental health diagnosis is required
  • Sessions are focused entirely on your relationship
  • There are no limits imposed by insurance companies
  • Your information is not shared with a third party

This can be especially important for high-conflict couples or those navigating sensitive decisions about the future of their relationship.

Other questions?

See more FAQs about therapy below.  If your questions aren’t answered here, feel free to reach out!

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Appointment Hours

Mon - Thurs:
10:00am - 8:00pm
Both virtual & office sessions available

Telephone

(703) 249-9498

Address

Office Sessions:
243 Church St NW
Vienna, VA 22180

Reviews

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