Practitioner record · Checked 9 Oct 2026

April Pomerlyan has been in practice 10 years and is licensed in North Carolina. April lists stress, Anxiety, trauma and abuse and grief among 51 subjects on the BetterHelp roster.

Everything below is either quoted from April's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.

10years in practice
51subjects listed
11approaches listed

01 · Who April works with

April works with stress, Anxiety, trauma and abuse and grief

April lists 16 specialisms and 35 further focus areas. Specialisms are the subjects April chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • Trauma and abuse
  • Grief
  • Depression
  • ADHD
  • Addictions
  • Relationship issues
  • Family conflicts
  • Intimacy-related issues
  • Parenting issues
  • Anger management
  • Self esteem
  • Career difficulties
  • Bipolar disorder
  • Coping with life changes
  • Compassion fatigue
Also experienced with
  • Adoption and foster care
  • Attachment issues
  • Autism and Asperger Syndrome
  • Body image
  • Caregiver issues and stress
  • Chronic pain, illness, and disability
  • Co-morbidity
  • Disruptive Mood Dysregulation Disorder (DMDD)
  • Dissociation
  • Drug and alcohol addiction
  • Family of origin issues
  • Fertility issues
  • Forgiveness
  • Guilt and shame
  • Hoarding
  • Immigration issues
  • Life purpose
  • Midlife crisis
  • Mood disorders
  • Multicultural concerns
  • Obsessions, compulsions, and OCD
  • Panic disorder and panic attacks
  • Phobias
  • Postpartum depression
  • Post-traumatic stress
  • Pregnancy and childbirth
  • Seasonal Affective Disorder (SAD)
  • Self-harm
  • Sexual assault and abuse
  • Social anxiety and phobia
  • Traumatic brain injury
  • Trichotillomania
  • Women's issues
  • Workplace issues
  • Young adult issues

02 · In April's own words

What April says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Welcome! I’m April, a Licensed Clinical Mental Health Counselor in North Carolina. Congratulations on taking the first step towards reaching your goals. Don’t discount the decision you’ve made to search for help, because many people never do so. I see counseling as a partnership between the therapist and the client; I have the mental health expertise while you’re the expert of you! For this reason I'll spend our earliest contacts getting to know you better.

Choosing a therapist is a very personal decision and therefore, I want to give you information so you can choose for yourself if you’d like to work with me. I would describe my counseling style as warm, but professional. I love to use strength-based approaches as much as possible, also incorporating your values into our work. I find myself using an integrative approach, incorporating different theoretical frameworks and techniques that I will tailor to fit your needs. Two approaches I use most often are Person-Centered Therapy and Cognitive Behavioral Therapy (CBT). Person-Centered counseling uses a lot of reflection to help you process your thoughts and feelings, which is often the first step towards solving your problems. CBT helps us examine your thought patterns and whether they are helpful or harmful. If a particular thought is harmful that could trigger issues like a depressed mood, for example. We’ll work together to replace the harmful thoughts with more helpful ones. There are many other approaches to potentially integrate into our sessions, and I’d be happy to explain anything I believe may benefit you.

I once read a quote online (source unknown) that rings true for me: “A counselor isn’t someone you pay to pretend they care about you. A counselor is someone you pay to teach you how to care for yourself.”

April Pomerlyan, on the BetterHelp listing · read 9 Oct 2026

03 · How April works

The 10 approaches April lists, in plain English

These are the clinical methods April lists. The descriptions are Maker Therapy's, not April's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how April runs a session.

Attachment-Based Therapy
Reads present-day relationship difficulty through the lens of how safety and closeness were learned early on. The therapeutic relationship itself is treated as part of the work, because it is where the pattern tends to show up first.
Client-Centred TherapyPerson-centred · Rogerian
The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.
Cognitive Behavioural TherapyCBT
Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.
Dialectical Behaviour TherapyDBT
A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.
Emotionally Focused TherapyEFT
Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.
Mindfulness-Based TherapyMBCT
Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.
Motivational InterviewingMI
A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.
Narrative Therapy
Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.
Solution-Focused Brief TherapySFBT
Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.
Trauma-Focused TherapyTF-CBT · trauma-informed
CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

Also listed

  • Existential Therapy

04 · What happens next

From this page to a first session

April practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of April's own practice, and not a promise about how quickly anything happens.

  1. A questionnaire, not a booking form

    BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking April at this point.

  2. Naming April specifically

    BetterHelp matches algorithmically by default, so asking for April is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to April.

  3. If the caseload is full

    You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

  4. The first conversation

    A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

  5. If the fit is wrong

    Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking April

Built from what April actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not April's - April has not seen them and is under no obligation to answer any of them.

  • “You list both Cognitive Behavioural Therapy and Attachment-Based Therapy. Which do you lean on with someone like me?”

    Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

  • “How do you decide when someone is ready to work on a traumatic memory itself?”

    Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

  • “How do you handle the gap between sessions if something comes up?”

    On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential
LCMHC
Licensed in
North Carolina
Licence
NC LCMHC 11996
Licence number
11996
Licence expires
30 Jun 2027
NPI
1679931612
Years in practice
10
Gender
Female
Languages
English
International clients
Not accepted
Listed since
15 May 2026

07 · Provenance

Where every line on this page came from

April's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met April. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

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