A 23-year-old architecture student, April spends much of her first session with Paul avoiding what it is she came to talk about. She discusses her recent break-up with a fellow student named Kyle,

April arrives at her session, furious. Her iPhone has died in the middle of a call and she asks Paul if she can use his phone. He resists, suggesting it's not the best use of her time and presses April for why she's so angry.

April calls Paul, asking to come to his office immediately. She was on her way to school to turn in a project — the architectural model for a World Trade Center memorial — and has been having trouble sleeping. "Between my anxiety and my lymphoma," she says, "it's just never a good time." She describes her exhaustion as the feeling of poison in her veins, like she wants to slit her wrists to get it out.

April's health continues to be a concern for Paul, as she seems more concerned about her autistic brother's condition than her own.

Paul fixates on a comment April uttered about a close friend of his to explore her independent streak.

When April reveals something about one of her closest friends, Paul questions her ability to rely on other people.

Paul is told some news by April which prompts him to ask her about her anger issues.