The short version
I ask for 48 hours' notice to cancel or reschedule a session. Late cancellations and no-shows are charged the full session fee. Genuine emergencies happen, and I use clinical judgment in those cases — but in general, the time I hold for you is yours, and it can't be reallocated last-minute. A card on file is required at intake.
Full policy
- Cancellation window: 48 hours' notice required to cancel or reschedule without fee.
- Late cancellations (less than 48 hours): Full session fee charged to card on file — $220 for an ongoing session, $275 for the initial intake session.
- No-shows: Full session fee charged to card on file.
- Late arrival: Sessions end at the originally scheduled time, and the full fee applies. Arrival 15+ minutes late without communication is treated as a no-show.
- Payment method: A card on file is required at intake, and cancellation or no-show fees are charged automatically.
Exceptions for genuine emergencies
I reserve discretion for genuine emergencies. These include medical emergencies (your own or those of an immediate family member), a death in the family, natural disasters or severe weather events (including hurricanes — relevant in Florida), and mandatory work-related crises defined narrowly. Routine scheduling conflicts and ordinary work obligations are not exceptions.
Exceptions are a matter of clinical and human judgment, not an entitlement. I don't publish a list of guaranteed exception categories because doing so invites them to be invoked. If something genuinely outside your control happens, reach out as soon as you reasonably can and we'll talk through it.
If you have insurance
Insurance does not reimburse for missed sessions. Insurance clients are responsible for the full late-cancellation or no-show fee out of pocket, charged directly to the card on file.
When missed sessions become a pattern
Three or more late cancellations or no-shows within a six-month period triggers a clinical conversation about fit and engagement. This isn't a punishment — it's a treatment-relevant pattern that's worth understanding together. Possible outcomes from that conversation include:
- Discussion of what's making attendance difficult and whether the work needs to be re-scoped
- Modified cadence — for example, shifting from weekly to biweekly sessions
- A pause in treatment
- A referral to a different setting or clinician if the pattern indicates the fit isn't right
Why I have this policy
Therapy works best when both people treat the time as serious. When I hold a session slot for you, that time isn't available to other clients who might need it. A clear cancellation policy isn't about being rigid — it's about taking the therapeutic relationship and your work seriously enough to set real terms around it. Most clients tell me they appreciate the clarity. It's part of what makes this feel like real clinical work rather than a casual appointment.