My significant other and I have been going through some COVID relationship stresses and she’s requested we do couples therapy sessions. However, I don’t want anything to risk my plans to apply for a 3rd class medical and begin private pilot training once the pandemic is over and I’ve saved enough. She plans to be the main “patient” and therefore will be reimbursed through insurance. Having read through other posts, there has to be a diagnosis for insurance to reimburse. This being the case, I had a few questions: What “diagnosis” is this typically and will it be attributed to my medical record even if my insurance isn’t reimbursing? What are the reporting requirements when going through a 3rd class for these types of sessions? Related to above, will I have to fully disclose notes of these visits to an AME/the FAA? Trying to decide whether paying cash is preferable to insurance route. Thanks in advance. Really appreciate what you all do.