A A
Verified Verified
Online Only
Not accepting new clients
One of my specialties and passions is helping individuals heal from narcissistic abuse. Narcissistic abuse is not treated by most therapists. Due to my education and personal experience I understand the emotional abuse inflicted by individuals with narcissistic traits or NPD. I provide a safe, non-judgmental environment where we can explore narcissistic abuse, boundaries, low self-esteem & life transitions.
One of my specialties and passions is helping individuals heal from narcissistic abuse. Narcissistic abuse is not treated by most therapists. Due to my education and personal experience I understand the emotional abuse inflicted by individuals with narcissistic traits or NPD. I provide a safe, non-judgmental environment where we can explore narcissistic abuse, boundaries, low self-esteem & life transitions.
(289) 677-9035 View (289) 677-9035
Photo of Candace Clarke, BSW, MSW, RSW, Registered Social Worker
Candace Clarke
Registered Social Worker, BSW, MSW, RSW
Verified Verified
St John's, NL A1C
I offer an authentic, non-judgmental, relational approach to therapy, and prioritize openness and collaboration in the therapeutic relationship. Acknowledging and appreciating the uniqueness of individual circumstances, I employ an individual approach to practice. I am a trauma informed, and strengths focused clinician, working from an anti-oppressive framework, who believes an effective therapeutic relationship is one of the greatest vehicles for change. Each individual is the expert of their own life, and therefore sessions are client focused and client paced.
I offer an authentic, non-judgmental, relational approach to therapy, and prioritize openness and collaboration in the therapeutic relationship. Acknowledging and appreciating the uniqueness of individual circumstances, I employ an individual approach to practice. I am a trauma informed, and strengths focused clinician, working from an anti-oppressive framework, who believes an effective therapeutic relationship is one of the greatest vehicles for change. Each individual is the expert of their own life, and therefore sessions are client focused and client paced.
(709) 700-3063 View (709) 700-3063
Photo of Amanda Dewar - Strength Counselling Services, MEd, RCC, CCC, RSW, RP, Counsellor
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Online Only
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(709) 300-1240 View (709) 300-1240
Photo of Christine Riggs, BA, BscOT, MACP, OT(R)NL, CCC, Counsellor
Christine Riggs
Counsellor, BA, BscOT, MACP, OT(R)NL, CCC
Verified Verified
1 Endorsed
St John's, NL A1C
I have been fortunate to work in community mental health and addictions for over 29 years. I have extensive clinical experience helping adults who struggle with anxiety, depression, stress, grief and loss, trauma, childhood dysfunction, emotional, physical and sexual abuse, addiction, emotion dysregulation and family/relationship challenges.
I have been fortunate to work in community mental health and addictions for over 29 years. I have extensive clinical experience helping adults who struggle with anxiety, depression, stress, grief and loss, trauma, childhood dysfunction, emotional, physical and sexual abuse, addiction, emotion dysregulation and family/relationship challenges.
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Photo of Kristen Hynes Brothers, MSW, RSW, Registered Social Worker
Kristen Hynes Brothers
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
St John's, NL A1C
I have been practicing social work for 15 years and am eternally grateful for the work I am able to do, and the relationships I have been able to form. I have worked in diverse practice areas which have provided me with the knowledge, skills and compassion needed to create meaningful, therapeutic relationships with people. I believe in the value of showing up as my genuine self in sessions with you. My approach is client-centered; I bring a variety of tools to the table, and I believe that you do as well, and our work together will be collaborative and goal-driven. I work with young people and adults, as well as couples.
I have been practicing social work for 15 years and am eternally grateful for the work I am able to do, and the relationships I have been able to form. I have worked in diverse practice areas which have provided me with the knowledge, skills and compassion needed to create meaningful, therapeutic relationships with people. I believe in the value of showing up as my genuine self in sessions with you. My approach is client-centered; I bring a variety of tools to the table, and I believe that you do as well, and our work together will be collaborative and goal-driven. I work with young people and adults, as well as couples.
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Photo of Hannah Sparkes, BSW, MSW, RSW, Registered Social Worker
Hannah Sparkes
Registered Social Worker, BSW, MSW, RSW
Verified Verified
1 Endorsed
St John's, NL A1C
Hello ! I’m Hannah Sparkes with Spark Your Growth. Seeking support can be hard so I appreciate you taking time to view my profile and see if I am a suitable fit for you! I work with clients to help heal trauma, develop self-confidence, cope with life’s stressors, build stronger relationships, regulate anxiety and stress, overcome addiction and achieve a life you want to live, amongst other things. Given that each person is unique, I understand there is no one-size fits all when it comes to therapy. I use a combination of talk and somatic therapies to create an approach that will meet each individual's needs and interests.
Hello ! I’m Hannah Sparkes with Spark Your Growth. Seeking support can be hard so I appreciate you taking time to view my profile and see if I am a suitable fit for you! I work with clients to help heal trauma, develop self-confidence, cope with life’s stressors, build stronger relationships, regulate anxiety and stress, overcome addiction and achieve a life you want to live, amongst other things. Given that each person is unique, I understand there is no one-size fits all when it comes to therapy. I use a combination of talk and somatic therapies to create an approach that will meet each individual's needs and interests.
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Photo of Carla Condon Barton, MSW, RSW, MSc, Registered Social Worker
Carla Condon Barton
Registered Social Worker, MSW, RSW, MSc
Verified Verified
2 Endorsed
Online Only
As a Social Worker Psychotherapist I work relationally with individuals, and those in partnership with others (including couples and poly dynamics). I am drawn to themes of: shame, sexuality, neurodiversities, grief, and impediments to connection; both to oneself and others. I am queer/bisexual and genderfluid, but you don't have to be, and a person who lives with a long-term invisible chronic illness. I am based in NL but got my start as a therapist Ontario and am registered to provide therapy in 3 provinces (including Nova Scotia). My work is informed by my experiences of working in community mental health and harm reduction.
As a Social Worker Psychotherapist I work relationally with individuals, and those in partnership with others (including couples and poly dynamics). I am drawn to themes of: shame, sexuality, neurodiversities, grief, and impediments to connection; both to oneself and others. I am queer/bisexual and genderfluid, but you don't have to be, and a person who lives with a long-term invisible chronic illness. I am based in NL but got my start as a therapist Ontario and am registered to provide therapy in 3 provinces (including Nova Scotia). My work is informed by my experiences of working in community mental health and harm reduction.
(709) 400-6694 View (709) 400-6694
Photo of Michelle Power - Power Counselling and Wellness, BSW, MSW, RSW, Registered Social Worker
Power Counselling and Wellness
Registered Social Worker, BSW, MSW, RSW
Verified Verified
1 Endorsed
St John's, NL A1C
Sometimes navigating the complexities of life can get a little tricky to manage and we can get lost along the way. Therapy can assist you in finding the way back to yourself and can offer you a safe place to talk. Power Counselling and Wellness provides professional counselling and education to individuals and families of all ages. Through warm, confidential, and non-judgmental therapy, Power Counselling and Wellness provides services to people with a wide range of wellness and mental health concerns.
Sometimes navigating the complexities of life can get a little tricky to manage and we can get lost along the way. Therapy can assist you in finding the way back to yourself and can offer you a safe place to talk. Power Counselling and Wellness provides professional counselling and education to individuals and families of all ages. Through warm, confidential, and non-judgmental therapy, Power Counselling and Wellness provides services to people with a wide range of wellness and mental health concerns.
(709) 704-2597 View (709) 704-2597
Photo of Jennifer Hogan - ADHD Solutions - ADHD Coaching, MScOT, BA
ADHD Solutions - ADHD Coaching
MScOT, BA
Verified Verified
Online Only
I am an ADHD Coach with over 10 years of previous experience as an Occupational Therapist. As someone with ADHD myself, I can appreciate the challenges of living with ADHD. My focus is working with adults with ADHD. Utilizing a strengths-based approach, I utilize effective strategies to help you overcome difficulties experienced at home, school, and/or the workplace.
I am an ADHD Coach with over 10 years of previous experience as an Occupational Therapist. As someone with ADHD myself, I can appreciate the challenges of living with ADHD. My focus is working with adults with ADHD. Utilizing a strengths-based approach, I utilize effective strategies to help you overcome difficulties experienced at home, school, and/or the workplace.
(709) 910-6820 View (709) 910-6820
Photo of Joel Foster, MEd, CCC, ND, Counsellor
Joel Foster
Counsellor, MEd, CCC, ND
Verified Verified
St John's, NL A1C
Joel is passionate about ensuring people feel safe and that their stories are being heard during the therapeutic process. He focuses on techniques that put clients and their unique experiences first. Grounded in Humanistic therapy, his approach is eclectic and includes Cognitive-Behavioural, Existential, Strengths-Based, and Mindfulness-based methods. While Joel continuously expands his knowledge and practice, some of his areas of focus include anxiety, depression, sleep, existential angst and dread, grief and loss, issues in academics, and career uncertainty. He works with adolescents and adults in his practice.
Joel is passionate about ensuring people feel safe and that their stories are being heard during the therapeutic process. He focuses on techniques that put clients and their unique experiences first. Grounded in Humanistic therapy, his approach is eclectic and includes Cognitive-Behavioural, Existential, Strengths-Based, and Mindfulness-based methods. While Joel continuously expands his knowledge and practice, some of his areas of focus include anxiety, depression, sleep, existential angst and dread, grief and loss, issues in academics, and career uncertainty. He works with adolescents and adults in his practice.
(709) 301-3690 View (709) 301-3690
Photo of Nancy Galway - Dara Counselling and Wellness, MSW, RSW, Registered Social Worker
Dara Counselling and Wellness
Registered Social Worker, MSW, RSW
Verified Verified
St John's, NL A1C
Trauma occurs many ways – abuse, accidents, divorce, death and it can suck the life right out of you. Maybe you’ve had sleepless nights and restless mornings and it does not feel worth it to get out of bed. Maybe you've thought of harming yourself or possibly had suicidal thoughts. Trauma can affect all parts of your life; your relationships, your ability to work, your ability to feel safe and happy. Sometimes you feel like all is well and that you have dealt with it. You feel fine and 6 months later it feels like it just happened, It is possible to get your life back. Reach out, I can help.
Trauma occurs many ways – abuse, accidents, divorce, death and it can suck the life right out of you. Maybe you’ve had sleepless nights and restless mornings and it does not feel worth it to get out of bed. Maybe you've thought of harming yourself or possibly had suicidal thoughts. Trauma can affect all parts of your life; your relationships, your ability to work, your ability to feel safe and happy. Sometimes you feel like all is well and that you have dealt with it. You feel fine and 6 months later it feels like it just happened, It is possible to get your life back. Reach out, I can help.
(709) 400-9899 View (709) 400-9899
Photo of Meghan Calder, Registered Social Worker
Meghan Calder
Registered Social Worker
Verified Verified
St John's, NL A1C
It is my priority to provide a non-judgmental environment that gives space to explore your own inner wisdom, unique experiences and strength. I believe in the power of a meaningful therapeutic relationship and using approaches that are suited to your individual needs and goals.
It is my priority to provide a non-judgmental environment that gives space to explore your own inner wisdom, unique experiences and strength. I believe in the power of a meaningful therapeutic relationship and using approaches that are suited to your individual needs and goals.
(709) 701-9122 View (709) 701-9122
Photo of Michael Plummer, MACP, CCC, Counsellor
Michael Plummer
Counsellor, MACP, CCC
Verified Verified
1 Endorsed
St John's, NL A1C
It can be very difficult to find a therapist who you might feel can be helpful to you. I like to think of therapy as first and most importantly a relationship. Some might have a sense that things are not as they might hope. We live in a time of loneliness, confusion, separation, conflict and it seems our cultural framework that is meant to hold all of this together is failing. At the heart of what is missing for so many is a place of love and belonging. Or perhaps you’ve lost sight of a sense of meaning in your life? Maybe you’ve received recently some deeply troubling news about your own health or the recent loss of a loved one?
It can be very difficult to find a therapist who you might feel can be helpful to you. I like to think of therapy as first and most importantly a relationship. Some might have a sense that things are not as they might hope. We live in a time of loneliness, confusion, separation, conflict and it seems our cultural framework that is meant to hold all of this together is failing. At the heart of what is missing for so many is a place of love and belonging. Or perhaps you’ve lost sight of a sense of meaning in your life? Maybe you’ve received recently some deeply troubling news about your own health or the recent loss of a loved one?
(709) 300-2095 View (709) 300-2095
Photo of Tracy Lee Fowler, MSW, BSW,  BA, RSW, Registered Social Worker
Tracy Lee Fowler
Registered Social Worker, MSW, BSW, BA, RSW
Verified Verified
1 Endorsed
St John's, NL A1C
Tracy is passionate about her work in mental health and addictions. Tracy strives to build solid relationships with clients so they can see their strengths and reach their full potential. Tracy has over 15 years’ experience working front lines in Mental health and Addictions, specializing and with great passion in the field of Addictions counselling. Tracy has proven effectiveness in building rapport quite rapidly, helping clients achieve their life goals. Currently, she has a new found passion for DBT treatment and working with clients to identify solutions to build resilience and ultimately to create a life worth living.
Tracy is passionate about her work in mental health and addictions. Tracy strives to build solid relationships with clients so they can see their strengths and reach their full potential. Tracy has over 15 years’ experience working front lines in Mental health and Addictions, specializing and with great passion in the field of Addictions counselling. Tracy has proven effectiveness in building rapport quite rapidly, helping clients achieve their life goals. Currently, she has a new found passion for DBT treatment and working with clients to identify solutions to build resilience and ultimately to create a life worth living.
(709) 500-2858 View (709) 500-2858
Photo of Amy Johnston, MSW, RSW, Registered Social Worker
Amy Johnston
Registered Social Worker, MSW, RSW
Verified Verified
St John's, NL A1C
· INNER · WORLD · EXPL꩜RATI꩜NS. Psychotherapy · Hypnotherapy · Nature Based · Workshops · Retreats · Psychedelic Integration ·
· INNER · WORLD · EXPL꩜RATI꩜NS. Psychotherapy · Hypnotherapy · Nature Based · Workshops · Retreats · Psychedelic Integration ·
(343) 308-1675 View (343) 308-1675
Photo of Brittany Flood - Lucid Counselling, BSc, GradD, MA, Counsellor
Lucid Counselling
Counsellor, BSc, GradD, MA
Verified Verified
St John's, NL A1C
Clients that are most likely to flourish under my care are those struggling with emotional regulation, negative self-image, depressed mood especially due to feeling lost or purposeless, anxiety, chronic pain, those going through a major life event or crisis, those seeking 2slgbtqia+ guidance, or those who simply wish to deepen their fulfillment in life. My ability to adapt my approach to the client’s needs or personality has been identified as one of my biggest strengths.
Clients that are most likely to flourish under my care are those struggling with emotional regulation, negative self-image, depressed mood especially due to feeling lost or purposeless, anxiety, chronic pain, those going through a major life event or crisis, those seeking 2slgbtqia+ guidance, or those who simply wish to deepen their fulfillment in life. My ability to adapt my approach to the client’s needs or personality has been identified as one of my biggest strengths.
(709) 701-8683 View (709) 701-8683
Photo of Nikki Healey, MSW, RSW, Registered Social Worker
Nikki Healey
Registered Social Worker, MSW, RSW
Verified Verified
Online Only
I am a compassionate, client-centered therapist with a deep respect for the healing process. I believe that when you have the courage to allow yourself to embrace hope and believe that healing and recovery is possible, you are taking the first monumental step on your path towards living an authentically empowered life. I am committed to creating a therapeutic space where empathy and collaboration are the cornerstones of supporting you in building on your unique strengths and safely navigating you through your growth journey.
I am a compassionate, client-centered therapist with a deep respect for the healing process. I believe that when you have the courage to allow yourself to embrace hope and believe that healing and recovery is possible, you are taking the first monumental step on your path towards living an authentically empowered life. I am committed to creating a therapeutic space where empathy and collaboration are the cornerstones of supporting you in building on your unique strengths and safely navigating you through your growth journey.
(647) 693-9758 View (647) 693-9758
Photo of Sj Thiessen, MSW, RSW, Registered Social Worker
Sj Thiessen
Registered Social Worker, MSW, RSW
Verified Verified
St John's, NL A1C
Are you looking to explore new possibilities for addressing challenges in your life? Are you eager to talk to someone who isn’t going to put you in a box? Do you want to work collaboratively toward your goals and experiment with new ideas? Through conversation I will invite you to to find growth, change, meaning, and connection. Using an invitational and collaborative approach we can work together to strategize, experiment, and address the challenges you’re facing.
Are you looking to explore new possibilities for addressing challenges in your life? Are you eager to talk to someone who isn’t going to put you in a box? Do you want to work collaboratively toward your goals and experiment with new ideas? Through conversation I will invite you to to find growth, change, meaning, and connection. Using an invitational and collaborative approach we can work together to strategize, experiment, and address the challenges you’re facing.
(647) 931-4106 View (647) 931-4106
Photo of Lisa J. Hoffe, MGS, MEd, CCC, ND, Counsellor
Lisa J. Hoffe
Counsellor, MGS, MEd, CCC, ND
Verified Verified
1 Endorsed
St John's, NL A1C
Giving some prior thought about your expectations for counselling is helpful, especially the roles for helper and client and their working alliance, and your goals for the process. It's important to choose a counsellor that best fits you. I see my role as 'on your team', yet not the manager or coach. You are the expert on you. I prefer a ‘level playing field’, so I endeavour to keep things open and transparent as possible. Since I think you already possess skills and strategies to tackle challenges ahead, our work together is about uncovering strengths, strategies and making a game plan together so 'wins' are truly yours.
Giving some prior thought about your expectations for counselling is helpful, especially the roles for helper and client and their working alliance, and your goals for the process. It's important to choose a counsellor that best fits you. I see my role as 'on your team', yet not the manager or coach. You are the expert on you. I prefer a ‘level playing field’, so I endeavour to keep things open and transparent as possible. Since I think you already possess skills and strategies to tackle challenges ahead, our work together is about uncovering strengths, strategies and making a game plan together so 'wins' are truly yours.
(709) 739-7979 View (709) 739-7979
Photo of Emma Chafe, MCAT, CCC, RMT, Counsellor
Emma Chafe
Counsellor, MCAT, CCC, RMT
Verified Verified
St John's, NL A1C
If you're feeling lost, exhausted, overwhelmed, trapped in a limiting pattern, or if you're dealing with an experience that you know, or are coming to realize, has been a trauma for you - there is a way to move forward. I help folks develop the insight and skills to act from choice rather than from habit, defense, or survival. Life can be uniquely challenging when you have experiences that are atypical, however that difference shows up. The right support for your mental health is going to be just as unique. I work with people to find a balance that enables them to be in choice and invest themselves towards their goals. ​ ​
If you're feeling lost, exhausted, overwhelmed, trapped in a limiting pattern, or if you're dealing with an experience that you know, or are coming to realize, has been a trauma for you - there is a way to move forward. I help folks develop the insight and skills to act from choice rather than from habit, defense, or survival. Life can be uniquely challenging when you have experiences that are atypical, however that difference shows up. The right support for your mental health is going to be just as unique. I work with people to find a balance that enables them to be in choice and invest themselves towards their goals. ​ ​
(709) 700-3774 View (709) 700-3774
1

See more therapy options for A1C

How does your Counsellor compare?

Number of Counsellors in A1C

30+

Average cost per session

$150

Counsellors in A1C who prioritize treating:

95% Anxiety
92% Depression
87% Relationship Issues
87% Stress
82% Self Esteem
74% Grief
74% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

57% Blue Cross
50% SunLife
43% Other

How Counsellors in A1C see their clients

75% In Person and Online
25% Online Only

Gender breakdown

79% Female
11% Male
10% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in A1C?

Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.