FAQS

515 College Road Suite 9

Greensboro, NC 27410

Detailed directions for parking, etc will be texted prior to your first appointment.

Telehealth sessions are held through a secure platform called Simple Practice. Before each session, you’ll receive a link to log in through the app or website—no special software needed.

If using insurance, it does require that your video is on during the session, although they don’t specify which parts must be visible or for how long.

It’s a convenient and flexible way to connect from the comfort of your own space while still receiving high-quality care. We are able to do EMDR/IFS in a telehealth setting.

Yes. Every Monday, Tuesday, Wednesday, and Friday.

The first session is $175, and a regular 53-minute session is $150. Payment (copayments, deductibles) are due at the time of the service.

This first session is focused on seeing if I will be a good fit for your needs, learning more about you, and answering any questions you have. I try to make this as stress-free as possible. This is what I do for a job, and I will be nervous for the first 5-10 minutes.

If in-person, I will start with showing you around the office. Once in our session, I first check to see if you have any questions about the paperwork/me/therapy. I do not ask you direct or triggering questions from information you put on the intake forms (you fill out digitally prior to our appointment). I try to make the first session conversational and at your pace. Some people start talking and have many things they want to share. Others prefer to be asked direct questions. I check your preference.

There is no such thing as being “all over the place” or “random.” You are free to share whatever feels relevant to you. If there is something I need to know to complete the biopsychosocial assessment (required by insurance), I will ask. Many of these answers I can find in the form you complete prior to the session (and I won’t waste your time asking again).

Some people want to learn more about EMDR, ART, etc. I try to concisely synthesize this information to answer any questions you have.

At the end of the session, I will say there is no pressure to make a decision now, but if you are interested in talking about scheduling, we can.

If you owe money for the session, you will receive a text from Ivy Pay (typically within 24 hours) to enter your credit card information. Please take care of this promptly.

IDK.

Ask me in-session if this is important to you, because without any context, there is really no way to properly answer this.

A Good Faith Estimate is a document that outlines the expected cost of therapy services, provided to clients who are not using insurance. It's part of a federal law designed to increase transparency in healthcare and help clients avoid surprise bills. In therapy, this estimate includes your session rate, how often you’re likely to meet, and a projected total for the year based on your treatment plan. It’s not a bill—just a helpful tool so you can make informed decisions about your care.

Though not required, all clients will receive this through Ivy Pay.

Yes, but only BCBS, Aetna, and Medcost.

I am a CPP provider for the state health plan and you will have no copay or out of pocket fee.

Insurance is tricky, to say the least. For example, though I take BCBS (which includes federal workers, Anthem, etc.), I am not able to take EPO plans or BCBS Medicaid or Medicare. Many of the Marketplace plans are EPO this year.

The absolute best thing you could do, prior to reaching out to me, would be to call the number on the back of your card. Tell them you are interested in seeing me for therapy and ask if I am in your network. It could be listed as April Fjeld or April Fjeld Counseling and Consultation PLLC. My NPI is 1871371377.

If you don’t understand what your policy covers, ask them. Do you have a deductible? Copay? What should you expect to pay out of pocket for the session?

There are so many variations to the plans, and we are not always given accurate information from the insurance company as the provider. I want you to make sure you understand any possible charges so you can make an informed decision about starting therapy/this isn’t a barrier. You are responsible for the charges insurance doesn’t cover, so please make sure you understand what that would be. It is awful to start therapy and then realize you have a huge deductible and can’t afford it.

It is also your responsibility to notify me immediately of any insurance changes when working together.

*Insurance companies decide how much they are going to pay me. For most companies, that is less than my advertised fee. I am not allowed to share those fees, but you should be able to see this on your EOB from the insurance company. I just want to clarify you are never asked to pay the difference between what the insurance company pays me and my full fee. By signing the contract and accepting insurance, I agreed to the reduced amount.

Being in education for 20 years prior to becoming a therapist, I thought I would fill my schedule with kids and focus on play therapy.

Nope.

I do have kids (I adore) who I see sprinkled into my schedule, but I no longer advertise that I work with kids.

A few reasons, one being the work is much harder and the pay can be less depending on how it’s billed (a family versus individual session, etc.). Adult conversation is easy. I am comfortable with kids, but their ability to communicate can vary tremendously. Many sessions I spend time crawling on the floor and playing games I don’t really like, and the sessions go by a lot slower.

But more so than that, it can be very challenging working with the parents. I am from the Ross Green mindset of “kids do well when they can.” I see the best in kids and that their challenges don’t exist in isolation, but rather they are impacted by systems (school, family). So awkward when a parent comes in and asks me to “fix” their child, but doesn’t want to be part of the conversation or solution.

Some parents struggle with the idea that their child has confidentiality, meaning if the parent is not part of the session, they are not privy to what was said.

Divorced parents can add another layer of complexity.

Parents can also be impatient. They expect me to work miracles for the child at home & school, in relationships with their siblings, but expect me to guess that these are area of concerns and something the child will bring up on their own. Huh?

I say all of this to say I do enjoy the work I do with younger clients and their families, but I am picky about the type of client I can work with. I am passionate about working with neurodivergent kiddos. I can very much relate to the gifted anxious/ADHD babe.

I enjoy doing EMDR with kid clients when they struggle with things like fear of sleeping in their own room, etc. It’s pretty incredible to see how quickly they can overcome years of challenges.

I have much experience with the IEP process. If you are questioning if something is off about your child, I have a strong depth of knowledge of developmental milestones & expectations, academic standards, etc. I can do some informal assessments and advise you of what options you have moving forward.

Homeschooling a special needs babe myself, I am a wealth of knowledge if you need support with alternative interventions.

I understand my direct tone could be a turn off, and I wish you the absolute best if it was. I just have to be real to not waste either of our time and protect my peace. If you are still interested in seeing if I would be a good fit, please email me some details about your situation and what you are looking for, and then we can go from there.

Another reason I don’t work with kids- parents always want a free phone consultation before starting, it will often turn into an hour, and it may or may not turn into scheduling a session. Unless there is a challenge in sending an email, please contact that way and do not leave a voice mail. I won’t call back. I am just being honest.

Short answer: no.

Longer answer: I prefer to work at the individual level, because when we heal trauma, we navigate the world in a different way. I mentioned on my site wanting to work upstream. Heal your trauma and your relationships will often improve (without spending weeks trying to fix everything).

If I am working with a client who needs their partner or parent to join a session to support a therapy goal, this can be discussed. It would be for a session or two and not a weekly expectation.

Yes, if you are using insurance. This information becomes part of your record.

You do not have to have a diagnosis if you are paying privately.

Some people who have insurance choose not to use their insurance but rather pay cash for services. This allows their information to remain private. Please let me know if we need to discuss these options or if you have questions about diagnoses.

You are welcome to pay cash for copays and payments at the time of the service.

I accept credit card payments through Ivy Pay. It is a HIPAA compliant service. After our first visit, you will receive a text message asking you to upload your card. I never see this number.

I will then run your card (typically within 24 hours of your appointment) for sessions that follow. This won’t require any further efforts on your part. You will receive a text confirmation.

That depends. Most clients start off weekly (twice a week if in crisis).

It is preferred that as a new client we meet at least twice per month as a minimum. If you can only meet sporadically (once per month, etc.) and are wanting to address trauma, I am not going to be the right fit for you.

As things improve, you may go from meeting weekly to every other week. I have just a few people on once-a-month schedules.

If you are working with another therapist on a regular basis and are just coming to me for trauma work (like ART), I am more flexible with scheduling. I have a client or two that may do a few sessions of trauma work, then take a month off of that, then come back for more.

I have also had clients working with other therapists who only need to come for 1-5 sessions to address a specific issue.

I have also worked with teachers during breaks/summer, but we meet less often during the busy of the school year.

If you have any questions prior to scheduling our first session, send an email or text.

Living life neurodivergent.

Trauma (mostly complex trauma, childhood trauma).

People who are asking the question “Who am I?” A lot of times coinciding with a big change in their life.

The word “homework” has a bit of an ick factor for me but is #2,749 on the list of things for me to reprocess & let go of, so here we are. I probably won’t use the word homework, but do I think you should do stuff between sessions? 100%.

You get out what you put in. Imagine going to a personal trainer once a week for an hour and thinking that will magically transform your body into your ideal image. It’s a start, but if you spend the rest of the week eating poorly, not sleeping, and not exercising, what results do you really expect to see?  

 If you want to come to therapy once a week and that is all you are willing to do for yourself.. it’s a start, but far from a miracle or a magic wand. I’m willing to meet you where you are, with kindness and grace, but I want to be clear about what you should expect. To get the most out of therapy you have to make changes and “do the work.”

I can lead the horse to the water… I can provide you specific between session ideas to support you… but there has to be effort on your part if you want things to be different. Also, this needs to be part of the conversation during your session and not something that comes up after the timer goes off, my next person is waiting in the lobby, and you ask, “what should I be working on before our next session?”  

My goal over the next few months is to begin adding resources on my website you can use to help you between sessions. Look for more to come later in 2025.

Please email or text 24 hours prior to your appointment to not be charged the cancellation fee. Monday appointments should try to let me know by Friday (except for unexpected illness). For something scheduled, I would appreciate if you could let me know as soon as you know (versus waiting until the day before). This will allow for someone else the chance to fill the appointment time.

Mutiple cancellations can result in losing your weekly spot.

Currently, it looks like:

Monday (in-person) 12-8

Tuesday (in-person) 2-8

Wednesday (in-person) 12-8

Thursday (virtual only) 6-8 (I may possibly add someone to an earlier time, but that is an exception).

Friday (in-person) 12-8.

Virtual appointments can take place on in-person days. Also, I may flex my schedule outside of these times based on client needs. I sometimes have weekend availability, etc.

The easiest way to schedule appointments is for you to use the Simple Practice app (or website).

https://aprilfjeld.clientsecure.me

Follow that link above to see available appointments & the schedule. The schedule through this link is open 2 weeks ahead of time.

The next best way to communicate is through text (preferred) or email. 336-742-5189 or april@aprilfjeld.com.

It is okay to ask about scheduling during your session, but please don’t wait until the very end. If I have back-to-back sessions that day my brain cannot quickly process this information, as I am needing to look at the work calendar, the life calendar, last minute texts from kids reminding me of that thing they never mentioned, etc.

If you have a regular weekly spot and you know you have something coming up that will prevent you from coming, please just give me as much advanced notice as possible (a minimum of 24 hours to avoid cancellation fees).

Email or text would be the appropriate way to contact me. For example, if you need to change an appointment time and aren’t comfortable doing this on the app.

I do have some neurodivergent clients who like to share something with me prior to the session. I am okay with that, but only if you are okay with the fact I may not respond.

I am much more excited to receive a meme than a 12 paragraph email rehashing the session with questions for me to answer. I am not answering them in my free time. We will do that in your next session where I also may be reading this for the first time. I am not being rude, I have to protect my time, so I show up as my best version of self for each of my clients and have time & space outside of sessions to tend to my other responsibilities.

I cannot believe I worked a job and paid money as a 7th grader to have my own phone line and the thought of making a call now… I really can’t think of a good reason for us to talk on the phone.

If you need to have a full-on conversation, please ask to schedule a session. This includes parents who want to discuss their kid’s progress outside of the session time.

So basically think- if your message is going to make me laugh. Cool. It should take less than 42 seconds of my time, or it isn’t as funny anymore.

If you are saying super nice words about how our session impacted you…ahh you got me, words of affirmation are for sure my love language, but note it would get creepy if this was a regular occurrence.

If you are asking questions that require more than 10 words for me to appropriately respond- first, ask yourself if this can wait for our session.

In all seriousness, if you are experiencing a mental health crisis, this is a different circumstance. I will answer the phone if I am not in session and see your call, but as we will discuss when developing a safety plan, I am not the best support for you in those moments. My phone is always on do not disturb. I will share with you more accessible resources and services so that you can quickly get the help you need.

If you’re experiencing a crisis, please follow the safety plan we’ve created together (if applicable). You can also call or text 988 to reach the Suicide & Crisis Lifeline, or connect with a trusted friend, family member, or support person.

If you are in immediate danger or need urgent help, you may want to call 911 or go to your nearest emergency room. While I care deeply about your well-being, I do not have the capacity to monitor phone or messaging lines 24/7.

53 minutes.

Most of my day I schedule sessions back-to-back, and I need the time to use the restroom, reset from a telehealth to an in-person visit, or vice versa. I am trying to better incorporate movement between sessions to release some of the somatic build up as I go versus storing it. This could look like using the vibration plate, stretching, etc.

I have a Loop Timer I am loving that will count down our time, change colors, and visually flash the clue the session has ended (the sound is turned off). This has been helpful.

I love doing longer sessions of 90 mins plus, but those are not covered by insurance. If you are interested, please reach out.

Benefits- there are really too many to list here. I’d say living a life with more peace and purpose top the list for me. Being more present and engaged as a mom and stopping cycles so my kids don’t carry our family burdens are priceless. Feel free to ask me more.

When I found out that having an ACE score (adverse childhood experiences) of 6 or more on a scale of 0-10 is correlated to dying 20 years sooner, it was a big wake up call. I am hoping that by doing this work I am negating the effects of trauma so I can live a long, abundant life with the people I love.

Risks- I am going to be honest; this work can blow up your life. If you are the only one in your circle healing or you are breaking intergenerational cycles, buckle up. This will be the hardest, most beautiful thing you will ever do.

You will start loving yourself in a way no one else ever has. You will begin to protect your time, energy, and peace in ways you can’t even imagine right now. There will be some wake up calls in which you see things a new way, and this can be hard. You will grieve when you come to terms with the fact that your parent/partner/friends/career will never be able to meet your needs, so you learn how to let go of the fantasy and accept reality.

It is such a beautiful mess. I mostly think it is worth it, but these seasons of pruning sure feel hard. Thankfully you won’t have to do it alone.