Therapists in Vancouver, BC

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Photo of Andressa Taverna, Counsellor in Vancouver, BC
Andressa Taverna
Counsellor, RTC
Verified Verified
2 Endorsed
Vancouver, BC V6C
Hi, I am Andressa Taverna. Being a trauma survivor has moulded me and impacted my life in many obvious and also many mysterious ways. Numbing out and dissociating has helped me bear the trauma, but burying it deep and pretending it didn’t exist never really worked. It was only when I started looking at it and inviting my demons to come forward, to speak up, to scream out their rage, that what I saw behind it was pain. Eventually, I saw that they were not demons after all, but my inner child.
Hi, I am Andressa Taverna. Being a trauma survivor has moulded me and impacted my life in many obvious and also many mysterious ways. Numbing out and dissociating has helped me bear the trauma, but burying it deep and pretending it didn’t exist never really worked. It was only when I started looking at it and inviting my demons to come forward, to speak up, to scream out their rage, that what I saw behind it was pain. Eventually, I saw that they were not demons after all, but my inner child.
(249) 504-0436 View (249) 504-0436
Photo of Cameron Wharram, Counsellor in Vancouver, BC
Cameron Wharram
Counsellor, MA, RCC
Verified Verified
1 Endorsed
Vancouver, BC V6C  (Online Only)
Are you tired of feeling like you’re stuck in your head? Does it seem like stress or anxiety are preventing you from living your most meaningful life? What has wrestling with your own mind cost you? My work focuses on helping you get unstuck, to help you stop living a life trapped inside of your own brain, and to start living more fully.
Are you tired of feeling like you’re stuck in your head? Does it seem like stress or anxiety are preventing you from living your most meaningful life? What has wrestling with your own mind cost you? My work focuses on helping you get unstuck, to help you stop living a life trapped inside of your own brain, and to start living more fully.
(778) 860-4528 View (778) 860-4528
Photo of Express with Caro, Counsellor in Vancouver, BC
Express with Caro
Counsellor, RTC, ExAT
Verified Verified
Vancouver, BC V5L  (Online Only)
Hi! Have you ever been curious about the intersection of Art and therapy? I’m here to help and offer a non-judgmental listening ear, and safe space to create and express. Connection, safety, and trust are the pillars of my practice, and I believe that YOU are truly the expert of your life. If you’re feeling creatively blocked, need support right now, want to explore and create more, are looking for something a little different than traditional therapy, or if you’re just curious – please feel free to reach out for a free 15 minute consultation call. LGBTQIA2S+, BIPOC, and SW positive.
Hi! Have you ever been curious about the intersection of Art and therapy? I’m here to help and offer a non-judgmental listening ear, and safe space to create and express. Connection, safety, and trust are the pillars of my practice, and I believe that YOU are truly the expert of your life. If you’re feeling creatively blocked, need support right now, want to explore and create more, are looking for something a little different than traditional therapy, or if you’re just curious – please feel free to reach out for a free 15 minute consultation call. LGBTQIA2S+, BIPOC, and SW positive.
(236) 302-4979 View (236) 302-4979
Photo of Jessica Miskiewicz, Pre-Licensed Professional in Vancouver, BC
Jessica Miskiewicz
Pre-Licensed Professional, MA cand
Verified Verified
1 Endorsed
Vancouver, BC V5Z
Your first session with me is complimentary - a way for me to say Welcome! I'm so glad you're here. I'm Jessica, a Graduate Intern Therapist providing affordable, flexible therapy options with The Sereda Psychotherapy Group. I am committed to supporting you step-by-step as we explore your goals, heal from the hurts, and grow into the life you want and deserve. Whether you're navigating life transitions, facing challenges in relationships, or seeking personal growth, I offer evidence-based therapeutic modalities tailored to best fit you. Together, we can unlock your inner strengths and create the positive change you're looking for.
Your first session with me is complimentary - a way for me to say Welcome! I'm so glad you're here. I'm Jessica, a Graduate Intern Therapist providing affordable, flexible therapy options with The Sereda Psychotherapy Group. I am committed to supporting you step-by-step as we explore your goals, heal from the hurts, and grow into the life you want and deserve. Whether you're navigating life transitions, facing challenges in relationships, or seeking personal growth, I offer evidence-based therapeutic modalities tailored to best fit you. Together, we can unlock your inner strengths and create the positive change you're looking for.
(431) 305-0656 x11 View (431) 305-0656 x11
Photo of Elyse Eden, Pre-Licensed Professional in Vancouver, BC
Elyse Eden
Pre-Licensed Professional, MACP
Verified Verified
1 Endorsed
Vancouver, BC V6K
The human experience can sometimes provide challenges along the way and it's natural to feel a little stuck or disconnected at times. We might come across feelings of shame, unworthiness, overwhelm, loneliness, frustration with what life has thrown at us and we don’t know where to turn. Through genuine warmth, compassion & presence, I try to cultivate a soft landing place for my clients so they don’t have to struggle with life’s circumstances on their own. While my roots are in AEDP & IFS, I use a holistic, trauma-informed, collaborative approach where I welcome all diverse parts of my clients to be witnessed in the light with me.
The human experience can sometimes provide challenges along the way and it's natural to feel a little stuck or disconnected at times. We might come across feelings of shame, unworthiness, overwhelm, loneliness, frustration with what life has thrown at us and we don’t know where to turn. Through genuine warmth, compassion & presence, I try to cultivate a soft landing place for my clients so they don’t have to struggle with life’s circumstances on their own. While my roots are in AEDP & IFS, I use a holistic, trauma-informed, collaborative approach where I welcome all diverse parts of my clients to be witnessed in the light with me.
(587) 871-5625 View (587) 871-5625
Photo of Morgan McKusick, Counsellor in Vancouver, BC
Morgan McKusick
Counsellor, MA, RCC
Verified Verified
5 Endorsed
Vancouver, BC V6J
One of the greatest trials and rewards is to feel a sense of ease in your life and with who you are. If you’re here, it’s likely something is blocking you from this ease - trauma, anxiety, depression, or past relationships. While you may appear to have it all together, you know something is missing. Like many others, you might find it difficult to be vulnerable or lean on others, yet you face challenges in managing your emotions or experiences alone. Some days you may feel empty or numb, and at times worry, sadness or anger consume you for no apparent reason. You may feel alone and disconnected from others or who you once were.
One of the greatest trials and rewards is to feel a sense of ease in your life and with who you are. If you’re here, it’s likely something is blocking you from this ease - trauma, anxiety, depression, or past relationships. While you may appear to have it all together, you know something is missing. Like many others, you might find it difficult to be vulnerable or lean on others, yet you face challenges in managing your emotions or experiences alone. Some days you may feel empty or numb, and at times worry, sadness or anger consume you for no apparent reason. You may feel alone and disconnected from others or who you once were.
(778) 743-2326 View (778) 743-2326
Photo of Michelle Deshaw Counselling & Consulting, Counsellor in Vancouver, BC
Michelle Deshaw Counselling & Consulting
Counsellor, MEd, RCC
Verified Verified
Vancouver, BC V5T
Welcome. I have over 25 years experience working with children, teens, and adults dealing with generalized and social anxiety, mood, ocd, perfectionism, self-doubt, body image, sport psychology, relationship and parenting challenges, workplace conflict. My approach is focused on creating a warm, safe space for clients to be able to share and process their feelings. Working from an attachment lens, I use a combination of insight psychotherapy, cognitive behavioural therapy, and self-compassion techniques to help clients change unhelpful beliefs, thoughts, and feelings into new positive ways of being.
Welcome. I have over 25 years experience working with children, teens, and adults dealing with generalized and social anxiety, mood, ocd, perfectionism, self-doubt, body image, sport psychology, relationship and parenting challenges, workplace conflict. My approach is focused on creating a warm, safe space for clients to be able to share and process their feelings. Working from an attachment lens, I use a combination of insight psychotherapy, cognitive behavioural therapy, and self-compassion techniques to help clients change unhelpful beliefs, thoughts, and feelings into new positive ways of being.
(236) 705-5083 View (236) 705-5083
Photo of Tamaki Kano, Counsellor in Vancouver, BC
Tamaki Kano
Counsellor, RCC, CCC
Verified Verified
Vancouver, BC V5L  (Online Only)
I work from the deep belief that you have everything you need to heal and thrive. My role is to create a context (eg. ND-affirming, gender-affirming, anti-oppressive, decolonial, anti-imperial) in which you can connect with all that you are. This may involve figuring out "internal" conflict, development of trust and skills in yourself and others, and/or turning trauma into wisdom. Please check out my website for more!
I work from the deep belief that you have everything you need to heal and thrive. My role is to create a context (eg. ND-affirming, gender-affirming, anti-oppressive, decolonial, anti-imperial) in which you can connect with all that you are. This may involve figuring out "internal" conflict, development of trust and skills in yourself and others, and/or turning trauma into wisdom. Please check out my website for more!
(778) 775-8565 View (778) 775-8565
Photo of Leah Stewart, Counsellor in Vancouver, BC
Leah Stewart
Counsellor, MEd, RCC
Verified Verified
3 Endorsed
Vancouver, BC V6K
My name is Leah Stewart and I am a Registered Clinical Counsellor who specializes in working with youth and adults affected by trauma, life stressors, grief/loss, relationship issues, anger issues, anxiety, depression and other mental health concerns. I received my Masters degree in Counselling from the University of Victoria and am a Registered Clinical Counsellor with the British Columbia Association of Clinical Counselling. I seek to provide a safe and non-judgmental space for my clients to explore life circumstances, emotions, thoughts and behaviours.
My name is Leah Stewart and I am a Registered Clinical Counsellor who specializes in working with youth and adults affected by trauma, life stressors, grief/loss, relationship issues, anger issues, anxiety, depression and other mental health concerns. I received my Masters degree in Counselling from the University of Victoria and am a Registered Clinical Counsellor with the British Columbia Association of Clinical Counselling. I seek to provide a safe and non-judgmental space for my clients to explore life circumstances, emotions, thoughts and behaviours.
(604) 243-1823 View (604) 243-1823
Photo of Karina Czyzewski, Registered Social Worker in Vancouver, BC
Karina Czyzewski
Registered Social Worker, MA, MSW, RCSW
Verified Verified
Vancouver, BC V5Y
I bring a critical analysis & social justice-orientation. I hope for your openness to somatic/body-based invitations & practice. You love stories, storytelling, narratives and imaginative practice. You want support with substance use recovery, psychedelic-assisted therapy, navigating chronic health & surgeries, grief & loss, IPV/GBV, psychotic disorders, etc. You are keen on working with someone knowledgeable in trauma & with lived experience. Maybe you are excited about a queer practitioner :)
I bring a critical analysis & social justice-orientation. I hope for your openness to somatic/body-based invitations & practice. You love stories, storytelling, narratives and imaginative practice. You want support with substance use recovery, psychedelic-assisted therapy, navigating chronic health & surgeries, grief & loss, IPV/GBV, psychotic disorders, etc. You are keen on working with someone knowledgeable in trauma & with lived experience. Maybe you are excited about a queer practitioner :)
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Photo of Debbie Friesen, Counsellor in Vancouver, BC
Debbie Friesen
Counsellor, RCC, MEd
Verified Verified
Vancouver, BC V5K
I offer counselling to parents of young kids who are breaking the cycle, LGBTQIA+ folks who are coming out “late,” people (especially men) who struggle with managing their anger, people navigating separation and divorce, and anyone who wants to deepen their resilience and stay engaged in their relationships even when things are hard. I know what this stuff like - I've lived through it myself, and I've supported clients through it - so I also know how hard it is to find a counsellor who really gets it.
I offer counselling to parents of young kids who are breaking the cycle, LGBTQIA+ folks who are coming out “late,” people (especially men) who struggle with managing their anger, people navigating separation and divorce, and anyone who wants to deepen their resilience and stay engaged in their relationships even when things are hard. I know what this stuff like - I've lived through it myself, and I've supported clients through it - so I also know how hard it is to find a counsellor who really gets it.
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Photo of Rochelle Kelava, Counsellor in Vancouver, BC
Rochelle Kelava
Counsellor, RPC-C
Verified Verified
3 Endorsed
Vancouver, BC V6B  (Online Only)
Whether you're struggling with anxiety or depression, navigating change, experiencing grief and loss, or coping with the general stress of life, I offer a warm and non-judgmental space to work through your challenges and identify the strengths that will carry you through. This is a space where you are free to be yourself – flaws and all. I believe you are the expert in your experience and I'm here to offer insights, share tools, and gently challenge you as you heal and grow.
Whether you're struggling with anxiety or depression, navigating change, experiencing grief and loss, or coping with the general stress of life, I offer a warm and non-judgmental space to work through your challenges and identify the strengths that will carry you through. This is a space where you are free to be yourself – flaws and all. I believe you are the expert in your experience and I'm here to offer insights, share tools, and gently challenge you as you heal and grow.
(819) 412-0845 View (819) 412-0845
Photo of Caroline Elworthy, Registered Social Worker in Vancouver, BC
Caroline Elworthy
Registered Social Worker, BA, MSW, RSW
Verified Verified
Vancouver, BC V5N  (Online Only)
I am a Registered Social Worker committed to providing compassionate and adaptable mental health support for children, youth and families. Drawing on my background in social work, I view the challenges we face as intertwined with our environments, systems and social injustices. My primary goal is to cultivate a safe and authentic therapeutic relationship with those I support as I believe true healing can only begin in a space of safety. My approach is client centered, rooted in anti-oppressive principles and culturally sensitive. I empower my clients through meaningful support, transparent collaboration and empathy.
I am a Registered Social Worker committed to providing compassionate and adaptable mental health support for children, youth and families. Drawing on my background in social work, I view the challenges we face as intertwined with our environments, systems and social injustices. My primary goal is to cultivate a safe and authentic therapeutic relationship with those I support as I believe true healing can only begin in a space of safety. My approach is client centered, rooted in anti-oppressive principles and culturally sensitive. I empower my clients through meaningful support, transparent collaboration and empathy.
(289) 212-2375 View (289) 212-2375
Photo of Simon Thomson, Counsellor in Vancouver, BC
Simon Thomson
Counsellor, BSc, PMP, RTC
Verified Verified
Vancouver, BC V6J  (Online Only)
Feeling stuck in a cycle of challenges while others progress? You're not alone. I understand your frustration and want to help you gain insight into your struggle. While this journey may appear daunting, together, we can navigate it. Establishing a secure therapeutic connection is at the core of my practice. I am committed to providing a safe and supportive space for your self-discovery. My approach draws from the proven Internal Family Systems Model (IFS).
Feeling stuck in a cycle of challenges while others progress? You're not alone. I understand your frustration and want to help you gain insight into your struggle. While this journey may appear daunting, together, we can navigate it. Establishing a secure therapeutic connection is at the core of my practice. I am committed to providing a safe and supportive space for your self-discovery. My approach draws from the proven Internal Family Systems Model (IFS).
(587) 605-4481 View (587) 605-4481
Photo of Adrianna Faliszewski, Counsellor in Vancouver, BC
Adrianna Faliszewski
Counsellor, CCC, MA
Verified Verified
2 Endorsed
Vancouver, BC V5K
As a queer and trans therapist, my experience allows me to attend to many ways of being that are not always understood. I am ideally suited to those who walk along one or more of these paths, including queerness, transness, neurodivergence, ethical non-monogamy, kink- and power exchange-based relationships, and parenting in structures outside of the hetero nuclear family.
As a queer and trans therapist, my experience allows me to attend to many ways of being that are not always understood. I am ideally suited to those who walk along one or more of these paths, including queerness, transness, neurodivergence, ethical non-monogamy, kink- and power exchange-based relationships, and parenting in structures outside of the hetero nuclear family.
(343) 453-5917 View (343) 453-5917
Photo of Cassandra Evans, Counsellor in Vancouver, BC
Cassandra Evans
Counsellor, MCP, AT, RCC, BCATR, RCAT
Verified Verified
1 Endorsed
Vancouver, BC V6A
At Nirivia Counselling our goal is to help people develop a greater understanding of their issues and increase positive supports to create change. We have a deep respect for our clients and the therapeutic relationship, we work collaboratively through both talk and arts-based creative techniques to create insight and promote healing.
At Nirivia Counselling our goal is to help people develop a greater understanding of their issues and increase positive supports to create change. We have a deep respect for our clients and the therapeutic relationship, we work collaboratively through both talk and arts-based creative techniques to create insight and promote healing.
(604) 337-0628 View (604) 337-0628
Photo of Yuka Oshimi, Counsellor in Vancouver, BC
Yuka Oshimi
Counsellor, MC, RCC
Verified Verified
1 Endorsed
Vancouver, BC V6C
You are the expert of your life. Your past, pain, and struggles are valid and you deserve care. You can share your struggles, you don't have to do this alone. I am here to support you while you build confidence, gain fresh insights, and learn new ways to tap into your inner truth and wisdom. Within yourself there lies a resilience and inner strength, an ability to heal and grow. When given the right opportunity and environment, you can begin to thrive in your life. I work with children, youth, and adults experiencing anxiety, navigating an ADHD or autism diagnosis, depression, grief, low self esteem and challenging life experiences.
You are the expert of your life. Your past, pain, and struggles are valid and you deserve care. You can share your struggles, you don't have to do this alone. I am here to support you while you build confidence, gain fresh insights, and learn new ways to tap into your inner truth and wisdom. Within yourself there lies a resilience and inner strength, an ability to heal and grow. When given the right opportunity and environment, you can begin to thrive in your life. I work with children, youth, and adults experiencing anxiety, navigating an ADHD or autism diagnosis, depression, grief, low self esteem and challenging life experiences.
(249) 504-0411 View (249) 504-0411
Photo of Jennifer Harrison, Counsellor in Vancouver, BC
Jennifer Harrison
Counsellor, RTC
Verified Verified
5 Endorsed
Vancouver, BC V6J
I work with individuals and couples who are struggling to communicate, and are wanting more connection, openness and intimacy in their relationships. I understand how our lives can be chaotic and how we can feel alone in that. My goal is to help you understand the root of your struggles and develop new strategies to help you find your way out of negative behaviors and thought patterns.
I work with individuals and couples who are struggling to communicate, and are wanting more connection, openness and intimacy in their relationships. I understand how our lives can be chaotic and how we can feel alone in that. My goal is to help you understand the root of your struggles and develop new strategies to help you find your way out of negative behaviors and thought patterns.
(778) 761-2472 View (778) 761-2472
Photo of Aiden Sisler Therapy + Wellness, Counsellor in Vancouver, BC
Aiden Sisler Therapy + Wellness
Counsellor, PhD, MEd, RTC
Verified Verified
4 Endorsed
Vancouver, BC V6Z
Waitlist for new clients
Seeking relief from challenges, whether the day-to-day grind to longstanding wounds and big changes can be overwhelming to navigate. Reaching out and deciding to invest in yourself can be really hard yet, ultimately, incredibly rewarding. As a Registered Therapeutic Counsellor, I accompany you in your journey towards wellness and whatever else you seek. I've been assisting people dealing with a range of issues from depression and loss to an overall sense of unease and 'stuckness' for over 10 years. Many clients find great hope, meaning, and lasting well-being to be found through our affirming counselling work together.
Seeking relief from challenges, whether the day-to-day grind to longstanding wounds and big changes can be overwhelming to navigate. Reaching out and deciding to invest in yourself can be really hard yet, ultimately, incredibly rewarding. As a Registered Therapeutic Counsellor, I accompany you in your journey towards wellness and whatever else you seek. I've been assisting people dealing with a range of issues from depression and loss to an overall sense of unease and 'stuckness' for over 10 years. Many clients find great hope, meaning, and lasting well-being to be found through our affirming counselling work together.
(604) 670-3831 View (604) 670-3831
Photo of Anna Goren, Counsellor in Vancouver, BC
Anna Goren
Counsellor, MC, CPF, RCC, CCC
Verified Verified
4 Endorsed
Vancouver, BC V6J
Reaching out can take a lot of courage and I congratulate you for exploring this possibility today. I welcome, respect, and believe in ALL people, regardless of marginalization or elevation and I invite ALL concerns regardless the size or scope.
Reaching out can take a lot of courage and I congratulate you for exploring this possibility today. I welcome, respect, and believe in ALL people, regardless of marginalization or elevation and I invite ALL concerns regardless the size or scope.
(604) 330-1461 View (604) 330-1461

See more therapy options for Vancouver

How does your Counsellor compare?

Number of Counsellors in Vancouver, BC

2,000+

Average cost per session

$150

Counsellors in Vancouver, BC who prioritize treating:

92% Anxiety
84% Depression
80% Self Esteem
79% Relationship Issues
77% Stress
72% Trauma and PTSD
70% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

54% SunLife
48% Pacific Blue Cross
44% Green Shield Canada

How Counsellors in Vancouver, BC see their clients

67% In Person and Online
33% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Vancouver?

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.