Your therapist has a 15 minute window following the start time of session to deem it a "no show" session. This means that you may be liable to pay the full amount of the session out of pocket (equal to your regular private pay session fee or to the reimbursable amount the insurance claim would have covered). We certainly understand that this happens occasionally, but if it happens as a pattern, or if it happens three or more times in a six month period, it does warrant a further conversation between client and therapist regarding the therapeutic relationship overall and how things are going.