April Rohr · Fees & FAQ
Fees & FAQ
Fees
$225 per 55-minute session.
I keep a small number of reduced-fee spots, from $175, for people for whom the full fee isn't workable. Ask about this on our first call; it's a normal question.
First session: $175 — 55 minutes by video, booked and paid online.
The 15-minute phone consultation is free.
Insurance
I work out-of-network. Each month I send you a superbill — an itemized receipt with the codes your insurer needs — which you can submit for reimbursement. Many PPO plans cover part of out-of-network therapy; it's worth calling your insurer and asking:
- Do I have out-of-network outpatient mental health benefits?
- What is my deductible, and how much of it have I met?
- What percentage of a session do you reimburse after the deductible?
Cancellation policy
Sessions cancelled with at least 24 hours' notice are not charged. Sessions cancelled with less notice, or missed, are charged at the full session fee.
Good Faith Estimate
Under the No Surprises Act, if you are not using insurance, or are using out-of-network benefits, you have the right to receive a Good Faith Estimate of the expected cost of your care. You can ask for one at any time, and you'll receive one automatically when you book. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For more information, visit www.cms.gov/nosurprises.
Frequently asked questions
What if I don't know what to say?
Most people don't, at first. There's no right way to do this and no wrong thing to bring up. Plenty of first sessions start with 'I'm not sure why I'm here,' which, as it happens, is a perfectly good place to begin.
What happens on the free call?
Fifteen minutes by phone. You can tell me a little about what's going on, ask anything you'd like about how I work, and we'll see together whether it makes sense to meet. There's no obligation either way.
How often will we meet?
Most people meet weekly. Psychoanalysis means three or more sessions a week; we'd talk about that together if it's of interest.
How long does therapy last?
It's open-ended but not indefinite. We review how it's going together, and you're always free to decide what you want from it. Many people stay a year or more because the changes tend to deepen with time.
In person or telehealth?
Both. I see people in person at 26 Court Street in Brooklyn Heights and by video anywhere in New York State. In-person times are arranged on our first call. Direct-booked first sessions are by telehealth; we can move to the office after that if you'd like.
Is psychoanalytic therapy evidence-based?
Yes. A widely cited 2010 review by Jonathan Shedler found that psychodynamic therapy produces benefits as large as other evidence-based treatments, and that those benefits tend to last and keep growing after therapy ends. (Full answer and citations on the Approach page.)
Should a man see a male therapist?
Some men prefer to, and that preference deserves respect. Many of the men I work with find it useful to examine their patterns with a woman, because so much of how they learned to keep distance happened in relationships with women. We can talk about what it brings up on the first call.
I'm sober. Is this a replacement for my program?
No. Many people I see stay connected to their recovery communities. This is a different kind of work, aimed at what a program isn't designed to reach.
Who do you not see?
I see individual adults 21 and older. I don't offer couples therapy or court-mandated treatment, and if you're in the middle of active use that needs stabilizing, a structured program is the right first step; I'm glad to help you find one.
Is what we discuss confidential?
Yes, with the limits every licensed therapist works under — mainly situations involving serious risk of harm to you or someone else, or the abuse of a child. I'll go over these with you before we begin.
What if I'm in crisis?
I'm not able to provide emergency care. If you're in crisis, call or text 988, or go to the nearest emergency room.