Let me tell you something about cancellation policies that most couples therapists won’t: your policy isn’t just an administrative detail. It’s one of the first ways you model healthy boundaries for your clients.
I’ve been doing this work for seventeen years, and I’ve learned that couples are always watching how you hold boundaries. They’re taking notes. If you waive your cancellation fee because someone’s having a rough week, you’re accidentally teaching them that boundaries bend under emotional pressure. That’s exactly the opposite of what most struggling couples need to learn.
Here’s what works: Keep it clean and consistent. Whatever your standard policy is, apply it uniformly. No exceptions based on who the couple is, what crisis they’re facing, or how much you like them. If your policy is 24-hour notice, that’s your policy. Period.
I typically charge my full session rate for cancellations within 24 hours. Yes, even for emergencies. I know that sounds harsh, but think about it this way: you blocked that time for them. You turned away other clients. The work of therapy happens whether they show up or not, because you’ve prepared for their session and held space for their healing.
Communicate your policy clearly before the first session. Put it in writing. Make sure both partners understand it. This isn’t coldness, it’s actually a form of care. It tells the couple that you’re a professional with structure, and structure feels safe to people whose own relationship might feel chaotic.
I’ve noticed something interesting over the years: the couples who initially push back against my cancellation policy are often the ones who most need to learn about respecting boundaries. They’ll test you early. How you respond sets the tone for everything that follows.
Now, life happens. People get sick, kids have emergencies, cars break down. I’m not a robot. But when I do offer flexibility, I do it the same way for everyone. Maybe I’ll reschedule within the same week without a fee if I have availability. Maybe I’ll offer a shorter session if they can make it late. But whatever accommodation I make, it’s based on my standard practices, not on emotional manipulation or guilt.
The couples who thrive in therapy are usually the ones who can respect structure from day one. They understand that showing up consistently, paying on time, and honoring the cancellation policy are all part of the work. It’s practice for showing up in their relationship.
Your cancellation policy is actually your first intervention with every couple. Make it count.
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Figs is a licensed marriage and family therapist with 16+ years of experience working with couples. He’s the co-founder of Empathi, host of the “Come Here to Me” podcast, and author of an upcoming book on relationships and the systems that shape how we love.
Read more: What to Expect in Your First Couples Therapy Session
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