- Client-Centered Therapy
- CBT and DBT skills
- Mindfulness methods
About April
April Hitchcock-Fofana is a Michigan licensed social worker with 20 years of clinical experience. She lists concerns such as depression, anxiety, relationship issues, grief, self-esteem, addictions, trauma and abuse, ADHD, and several others that often overlap in people's lives.
She keeps sessions straightforward and practical. April uses client-centered work to listen and reflect what matters most to the person in front of her. She also draws on cognitive behavioral techniques to identify unhelpful thoughts and DBT skills to teach coping and emotion regulation strategies.
Clients can expect conversations that focus on what they want to change. April talks through patterns, habits, and reactions, and helps people try small, concrete steps between sessions. She names problems plainly, such as trouble sleeping, caregiver stress, or difficulty with intimacy, and works on manageable strategies to address them.
Her background includes two decades helping people with a wide range of concerns, including complex family dynamics, chronic illness, adoption and foster care questions, and aging or caregiver strain. She combines motivational interviewing with mindfulness practices when helping someone find motivation and calm in daily life.
April frames therapy as collaborative. She helps people weigh options, practice new skills, and notice small changes. People who are carrying guilt or shame about relationships, parenting, or past choices may find the direct, skills-based approach useful for making clearer day-to-day choices.
How her approaches translate to online work
April often combines client-centered therapy with cognitive behavioral therapy and DBT skills work. Client-centered therapy means the therapist listens closely and reflects back what matters to the client, which helps clarify goals and priorities. CBT focuses on identifying unhelpful thoughts and testing small behavioral changes to see what makes daily life easier. DBT brings concrete emotion regulation and distress-tolerance skills that are useful when feelings feel overwhelming.Finding the right mix of approaches is treated as a practical decision. April works collaboratively to decide which methods fit a person's goals and day-to-day needs. She checks in about what is helping and adjusts the plan as the work progresses.
The biography does not specify session formats, so confirm current online options before booking. Online work can make it easier to fit appointments around work, caregiving, or treatment for chronic illness. Some people prefer shorter check-ins by phone when bandwidth or energy is limited, while others choose video for a fuller conversation. The focus is on making therapeutic work usable in everyday life rather than on a particular delivery method.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Michigan
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with depression, anxiety, relationship challenges, grief, self-esteem, addictions, trauma and abuse, ADHD, and many related issues such as caregiver stress and chronic illness.
How would she approach feelings of guilt or shame?
She uses client-centered listening alongside CBT and DBT tools to name patterns, practice new responses, and develop coping skills for intense emotions.
How long has she practiced clinically?
She has 20 years of clinical experience working with adults on a broad range of emotional and practical concerns.
What credential does she hold and where is she based?
She is an LMSW, which stands for Licensed Master Social Worker, and practices in Michigan.
Does she offer sessions in other languages or internationally?
Sessions are offered in English and she is not accepting international clients.
What session formats are available?
Please confirm current session options before booking, as the biography does not list specific formats.
How does pricing work for her sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I need to do to begin working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.