Photo of Carla Ribeiro - CaRib Counselling & Psychotherapy, Registered Psychotherapist in M6E, ON
Carla Ribeiro - CaRib Counselling & Psychotherapy
Registered Psychotherapist, MEd, MA, RP, CCC
Verified Verified
15 Endorsed
Toronto, ON M6E
Waitlist for new clients
I offer counselling/ psychotherapy services that meet you where you are. If you are looking for support to face some of your life's challenges or to live a more satisfying life, I may be able to help.My work is guided by the following key principles: we all possess a natural tendency toward growth and healing; counselling/psychotherapy is a collaborative process, with the client directing the process; we are all so much more than the worst thing we have ever done.
I offer counselling/ psychotherapy services that meet you where you are. If you are looking for support to face some of your life's challenges or to live a more satisfying life, I may be able to help.My work is guided by the following key principles: we all possess a natural tendency toward growth and healing; counselling/psychotherapy is a collaborative process, with the client directing the process; we are all so much more than the worst thing we have ever done.
(647) 588-1505 View (647) 588-1505
Photo of Tobie Marven, Registered Psychotherapist in M6E, ON
Tobie Marven
Registered Psychotherapist, MSci, RP
Verified Verified
Toronto, ON M6E  (Online Only)
Are you having a hard time and looking for some support? I am a registered psychotherapist who supports folks struggling with mood and anxiety concerns, regulation of emotion, relationship issues and identity questions (especially gender and sexuality). People often come to me when they are struggling with anxiety, depressive or trauma symptoms are taking the driving seat in their relationships or decisions. Also people come to me when navigating gender and sexuality or other forms of discrimination to have an anti-oppressive place to explore these questions or having their authentic selves be seen and supported.
Are you having a hard time and looking for some support? I am a registered psychotherapist who supports folks struggling with mood and anxiety concerns, regulation of emotion, relationship issues and identity questions (especially gender and sexuality). People often come to me when they are struggling with anxiety, depressive or trauma symptoms are taking the driving seat in their relationships or decisions. Also people come to me when navigating gender and sexuality or other forms of discrimination to have an anti-oppressive place to explore these questions or having their authentic selves be seen and supported.
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Photo of Leslie Kirsh, Registered Psychotherapist in M6E, ON
Leslie Kirsh
Registered Psychotherapist, RP, MEd
Verified Verified
2 Endorsed
Toronto, ON M6E
I am a registered psychotherapist who has a particular interest in attachment and family therapy. I work with young people and their parents, adults and their parents, siblings of all ages, and individuals. The goal of family work is to help family members work through barriers in their relationships and ideally to reconnect and find safety together. In individual therapy I think systemically and help folks make connections between their mental health struggles and the world around them. I work with clients with depression, anxiety, experiences of trauma and the many other challenges that can cause distress.
I am a registered psychotherapist who has a particular interest in attachment and family therapy. I work with young people and their parents, adults and their parents, siblings of all ages, and individuals. The goal of family work is to help family members work through barriers in their relationships and ideally to reconnect and find safety together. In individual therapy I think systemically and help folks make connections between their mental health struggles and the world around them. I work with clients with depression, anxiety, experiences of trauma and the many other challenges that can cause distress.
(437) 800-1910 View (437) 800-1910
Photo of Melissa Emerson, Registered Psychotherapist in M6E, ON
Melissa Emerson
Registered Psychotherapist, RP, CTP Dpl
Verified Verified
Toronto, ON M6E
Think about what brought you here. Do you have relationship issues? Do you feel dissatisfied, lonely or lost? Maybe you feel angry or taken advantage of. Do you want someone to listen and understand you? Perhaps I can be that person for you.
Think about what brought you here. Do you have relationship issues? Do you feel dissatisfied, lonely or lost? Maybe you feel angry or taken advantage of. Do you want someone to listen and understand you? Perhaps I can be that person for you.
(647) 952-1821 View (647) 952-1821
Photo of Liam Skinner, Registered Psychotherapist in M6E, ON
Liam Skinner
Registered Psychotherapist, RP
Verified Verified
Toronto, ON M6E  (Online Only)
Sometimes life can be challenging to navigate due to stress, depression, anxiety, overwhelm, and the impact of trauma and grief. I offer therapy services to individuals and families and welcome the opportunity to support you on your journey. I am committed to fostering a caring, non-judgmental space that draws on your strengths and meets you where you are. Through a collaborative approach, we can work together to identify the barriers that may be limiting your growth and potential. By deepening your understanding of your experience, I can support you to integrate the changes you would like to see in your life and relationships.
Sometimes life can be challenging to navigate due to stress, depression, anxiety, overwhelm, and the impact of trauma and grief. I offer therapy services to individuals and families and welcome the opportunity to support you on your journey. I am committed to fostering a caring, non-judgmental space that draws on your strengths and meets you where you are. Through a collaborative approach, we can work together to identify the barriers that may be limiting your growth and potential. By deepening your understanding of your experience, I can support you to integrate the changes you would like to see in your life and relationships.
(647) 560-1271 View (647) 560-1271
Photo of Elif Otag, Registered Psychotherapist (Qualifying) in M6E, ON
Elif Otag
Registered Psychotherapist (Qualifying), BA, MACP, RP(Q)
Verified Verified
7 Endorsed
Toronto, ON M6E
As a dedicated therapist, I am passionate about providing compassionate and effective mental health support to those who are facing challenges such as Trauma, PTSD, Anxiety, Depression, & Stress. I believe in creating a safe and non-judgmental space where clients can explore their emotions, thoughts, and experiences. With a client-centered approach, I work collaboratively with each individual to develop personalized treatment plans that address their unique needs and goals. My therapeutic interventions are evidence-based and tailored to promote healing
As a dedicated therapist, I am passionate about providing compassionate and effective mental health support to those who are facing challenges such as Trauma, PTSD, Anxiety, Depression, & Stress. I believe in creating a safe and non-judgmental space where clients can explore their emotions, thoughts, and experiences. With a client-centered approach, I work collaboratively with each individual to develop personalized treatment plans that address their unique needs and goals. My therapeutic interventions are evidence-based and tailored to promote healing
(647) 371-0376 View (647) 371-0376
Photo of Patrick Davis, Registered Psychotherapist in M6E, ON
Patrick Davis
Registered Psychotherapist
Verified Verified
8 Endorsed
Toronto, ON M6E
Most of my clients are men (20's-40's) who are intelligent, self-reflective, and successful, but who still somehow feel that something’s missing, or that they haven’t "grown up" in some key way. They are often experiencing some combination of anxiety, shame, low self-esteem, career issues, or relationship problems. I try to create a non-judgmental space for them to feel seen, heard and understood. It’s important for men to share their struggles, fears and shames with other caring and supportive men. This goes against a lot of our cultural conditioning but it helps us to feel that we’re not alone and that we’re actually okay.
Most of my clients are men (20's-40's) who are intelligent, self-reflective, and successful, but who still somehow feel that something’s missing, or that they haven’t "grown up" in some key way. They are often experiencing some combination of anxiety, shame, low self-esteem, career issues, or relationship problems. I try to create a non-judgmental space for them to feel seen, heard and understood. It’s important for men to share their struggles, fears and shames with other caring and supportive men. This goes against a lot of our cultural conditioning but it helps us to feel that we’re not alone and that we’re actually okay.
(437) 747-0965 View (437) 747-0965
Photo of Anne Secord, Registered Psychotherapist in M6E, ON
Anne Secord
Registered Psychotherapist, BSW, MEd, RSW, RP
Verified Verified
1 Endorsed
Toronto, ON M6E
I work with adults, youth and children. I provide a comprehensive counselling approach for individuals (including kids) struggling with anxiety and stress. I use Mindfulness based strategies, CBT and help you develop effective "tools" to help you cope more confidently with stress, worries and fears. I also work with symptoms of depression, couple relationship problems, work-life balance struggles and parenting difficulties.
I work with adults, youth and children. I provide a comprehensive counselling approach for individuals (including kids) struggling with anxiety and stress. I use Mindfulness based strategies, CBT and help you develop effective "tools" to help you cope more confidently with stress, worries and fears. I also work with symptoms of depression, couple relationship problems, work-life balance struggles and parenting difficulties.
(855) 463-2712 View (855) 463-2712
Photo of Marni Bleeman, Occupational Therapist in M6E, ON
Marni Bleeman
Occupational Therapist, OT Reg, (Ont)
Verified Verified
Toronto, ON M6E  (Online Only)
I have over 20 years of experience working in mental health supporting people with depression and anxiety. I help individuals develop skills to become more assertive, build self-esteem and manage emotions such as anxiety, low mood, anger, and cope with the ups and downs of loss.
I have over 20 years of experience working in mental health supporting people with depression and anxiety. I help individuals develop skills to become more assertive, build self-esteem and manage emotions such as anxiety, low mood, anger, and cope with the ups and downs of loss.
(647) 931-8039 View (647) 931-8039
Photo of Silva Redigonda, Registered Psychotherapist in M6E, ON
Silva Redigonda
Registered Psychotherapist, MAMS, RP, RMFT
Verified Verified
Toronto, ON M6E  (Online Only)
It is my belief that for healing and growth to occur for someone seeking help, acceptance without judgement is crucial, recognizing and acknowledging the woundedness and unmet needs within the client. This perspective encompasses and acknowledges the entire person with whom I am working, including the physical, intellectual, emotional, interpersonal and spiritual well being of the client. No one seeking help is turned away due to the condition from which they are suffering. My goal for each client is to provide a safe, trusting space so that healing and growth can be experienced.
It is my belief that for healing and growth to occur for someone seeking help, acceptance without judgement is crucial, recognizing and acknowledging the woundedness and unmet needs within the client. This perspective encompasses and acknowledges the entire person with whom I am working, including the physical, intellectual, emotional, interpersonal and spiritual well being of the client. No one seeking help is turned away due to the condition from which they are suffering. My goal for each client is to provide a safe, trusting space so that healing and growth can be experienced.
(844) 332-2202 View (844) 332-2202
Photo of Keritha Andrews, Registered Psychotherapist in M6E, ON
Keritha Andrews
Registered Psychotherapist
Verified Verified
3 Endorsed
York, ON M6E  (Online Only)
Welcome to my virtual practice- Ease Psychotherapy Services. Are you feeling anxious that it's impacting your ability to function everyday? Are you feeling a sense of loss that has impacted your self-esteem, sense of self-worth and confidence? Are you suffering from depression? Perhaps you are having relationship issues. I am here to support and guide you as you embark on you healing journey towards self- discovery, while gaining insight into the factors that have been maintaining your presenting problems. My ideal client is someone who is ready for changes would come to therapy knowing what they want to get out of the treatment.
Welcome to my virtual practice- Ease Psychotherapy Services. Are you feeling anxious that it's impacting your ability to function everyday? Are you feeling a sense of loss that has impacted your self-esteem, sense of self-worth and confidence? Are you suffering from depression? Perhaps you are having relationship issues. I am here to support and guide you as you embark on you healing journey towards self- discovery, while gaining insight into the factors that have been maintaining your presenting problems. My ideal client is someone who is ready for changes would come to therapy knowing what they want to get out of the treatment.
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Photo of Naomi De Gasperis, Registered Psychotherapist in M6E, ON
Naomi De Gasperis
Registered Psychotherapist
Verified Verified
Toronto, ON M6E  (Online Only)
Waitlist for new clients
In my work, I'm committed to honoring my clients with compassion, presence and integrity. My sessions often include parts work (IFS), mindfulness-based approaches, Gestalt, and encouraging the use of awareness as a powerful and curative ally. When we become aware of our patterns and limiting beliefs we can then willingly, courageously choose differently and embrace another way of being. My hope is that I may be of service and provide guidance as this process ushers you to a place of healing and transformation.
In my work, I'm committed to honoring my clients with compassion, presence and integrity. My sessions often include parts work (IFS), mindfulness-based approaches, Gestalt, and encouraging the use of awareness as a powerful and curative ally. When we become aware of our patterns and limiting beliefs we can then willingly, courageously choose differently and embrace another way of being. My hope is that I may be of service and provide guidance as this process ushers you to a place of healing and transformation.
(289) 274-7296 View (289) 274-7296
Photo of Jenny Gauntlett, Registered Psychotherapist in M6E, ON
Jenny Gauntlett
Registered Psychotherapist, RP
Verified Verified
3 Endorsed
Toronto, ON M6E  (Online Only)
I am a relational psychotherapist. I would describe my way of working as integrative which means that I draw from all my trainings to work out how best I can help you. I am trauma informed and am also influenced by psychodynamic, person centred, self-psychology and humanistic theories. I enjoy working with a wide variety of clients with a wide range of presenting issues although I have a particular interest in working with women with ADHD.
I am a relational psychotherapist. I would describe my way of working as integrative which means that I draw from all my trainings to work out how best I can help you. I am trauma informed and am also influenced by psychodynamic, person centred, self-psychology and humanistic theories. I enjoy working with a wide variety of clients with a wide range of presenting issues although I have a particular interest in working with women with ADHD.
(647) 691-0783 View (647) 691-0783
Photo of Marlee Rubel, Registered Psychotherapist in M6E, ON
Marlee Rubel
Registered Psychotherapist, MEd, RP
Verified Verified
4 Endorsed
Toronto, ON M6E  (Online Only)
I work with adults and couples to help them move towards a state of continued growth, compassion, and self-awareness in a way that is collaborative, strengths-based, and empowering. I believe in creating a client-therapist relationship that fosters authenticity, support, and space for both acceptance, and for change. This can begin in our very first session. Together, we can begin to tease apart the adaptive approaches to dealing with and moving through life you've grown accustomed to, and begin to decipher which of these patterns are serving you, and which you may be interested in moving beyond.
I work with adults and couples to help them move towards a state of continued growth, compassion, and self-awareness in a way that is collaborative, strengths-based, and empowering. I believe in creating a client-therapist relationship that fosters authenticity, support, and space for both acceptance, and for change. This can begin in our very first session. Together, we can begin to tease apart the adaptive approaches to dealing with and moving through life you've grown accustomed to, and begin to decipher which of these patterns are serving you, and which you may be interested in moving beyond.
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Photo of Nadia Y. Saad, Registered Social Worker in M6E, ON
Nadia Y. Saad
Registered Social Worker, MSW, RSW
Verified Verified
4 Endorsed
Toronto, ON M6E
Thank you for stopping by! I am a qwoc-identified, trauma-trained psychotherapist who combines elements of somatic experiencing, internal family systems, mindfulness, meditation and narrative therapy in my work with clients. I support individuals, couples and families around difficulties with mental and emotional health, trauma, identity, relationships, systemic barriers, substance use, self-harm, disability, and many other life experiences. My politics are rooted in decolonization and AOP.
Thank you for stopping by! I am a qwoc-identified, trauma-trained psychotherapist who combines elements of somatic experiencing, internal family systems, mindfulness, meditation and narrative therapy in my work with clients. I support individuals, couples and families around difficulties with mental and emotional health, trauma, identity, relationships, systemic barriers, substance use, self-harm, disability, and many other life experiences. My politics are rooted in decolonization and AOP.
(855) 969-4915 View (855) 969-4915
Photo of Jesse Schwartz, Registered Social Worker in M6E, ON
Jesse Schwartz
Registered Social Worker, RSW
Verified Verified
Toronto, ON M6E  (Online Only)
I'm a Queer Social Worker with 6 years of experience in community-based and clinical settings addressing complex mental health concerns. Guided by anti-oppressive and trauma-informed approaches, I harness a sense of curiosity to build an open and transparent relationship with my clients. I draw on Mindfulness, Cognitive Behavioural, Emotion Focused, and Narrative Therapy techniques to ensure that my clients find a voice that is truly their own. I have extensive experience supporting clients with depression, anxiety, relationship conflict, gender/sexual identities, sexual desire/pleasure, and sexual violence histories.
I'm a Queer Social Worker with 6 years of experience in community-based and clinical settings addressing complex mental health concerns. Guided by anti-oppressive and trauma-informed approaches, I harness a sense of curiosity to build an open and transparent relationship with my clients. I draw on Mindfulness, Cognitive Behavioural, Emotion Focused, and Narrative Therapy techniques to ensure that my clients find a voice that is truly their own. I have extensive experience supporting clients with depression, anxiety, relationship conflict, gender/sexual identities, sexual desire/pleasure, and sexual violence histories.
(647) 273-2720 View (647) 273-2720
Photo of Rebecca Oliveira in M6E, ON
Rebecca Oliveira
BScN, RN
Verified Verified
1 Endorsed
Toronto, ON M6E  (Online Only)
Are you struggling with any of the following: mood swings, managing big emotions and feelings, cultivating and maintaining meaningful/safe relationships, intense premenstrual symptoms, burnout, stress and/or anxiety? If you are tired of struggling alone, please know that you are not alone, there is hope and there is help. There are skills and strategies that you can learn and practice that can help you feel better, and you can be supported along the way.
Are you struggling with any of the following: mood swings, managing big emotions and feelings, cultivating and maintaining meaningful/safe relationships, intense premenstrual symptoms, burnout, stress and/or anxiety? If you are tired of struggling alone, please know that you are not alone, there is hope and there is help. There are skills and strategies that you can learn and practice that can help you feel better, and you can be supported along the way.
(647) 493-1862 View (647) 493-1862
Photo of Natalia Berlin, Registered Psychotherapist (Qualifying) in M6E, ON
Natalia Berlin
Registered Psychotherapist (Qualifying), GITDip, CRPO, CAPT, MA
Verified Verified
9 Endorsed
Toronto, ON M6E
Hello, and welcome. I want to acknowledge that it takes a lot of courage to begin therapy, taking time to process and discover patterns in ourselves that may be blocking us from acting in a way that feels authentic. My practice revolves around the notion that the only way to change is by becoming more of yourself. As we navigate what this means for you, we build awareness together as I stand as witness, partner, and co-creator in your journey towards greater self-expression. I offer a compassionate, safe space for you to explore, feel and express yourself. You are not alone.
Hello, and welcome. I want to acknowledge that it takes a lot of courage to begin therapy, taking time to process and discover patterns in ourselves that may be blocking us from acting in a way that feels authentic. My practice revolves around the notion that the only way to change is by becoming more of yourself. As we navigate what this means for you, we build awareness together as I stand as witness, partner, and co-creator in your journey towards greater self-expression. I offer a compassionate, safe space for you to explore, feel and express yourself. You are not alone.
(437) 291-8046 View (437) 291-8046
Photo of Sumi Lim - Anxiety Therapist, Registered Psychotherapist in M6E, ON
Sumi Lim - Anxiety Therapist
Registered Psychotherapist
Verified Verified
1 Endorsed
Toronto, ON M6E  (Online Only)
You’re feeling overwhelmed and you’re not sure what’s wrong. You're having a hard time feeling settled and you feel stuck. You can't shake the feeling that something is missing. It must feel hard to admit that you’re not looking forward to anything. I know how unsettling that must feel. Using compassion and a non-judgmental approach, I help clients slow down and explore the discomfort. I know it's easy to ignore this feeling but you know this is causing you anxiety and seeping into all parts of your life. I can help.
You’re feeling overwhelmed and you’re not sure what’s wrong. You're having a hard time feeling settled and you feel stuck. You can't shake the feeling that something is missing. It must feel hard to admit that you’re not looking forward to anything. I know how unsettling that must feel. Using compassion and a non-judgmental approach, I help clients slow down and explore the discomfort. I know it's easy to ignore this feeling but you know this is causing you anxiety and seeping into all parts of your life. I can help.
(437) 747-5290 View (437) 747-5290
Photo of Natasha Tutt, Registered Social Worker in M6E, ON
Natasha Tutt
Registered Social Worker, MSW, RSW
Verified Verified
Toronto, ON M6E  (Online Only)
The animal-human bond is a special connection. Our relationships with pets bring peace, love, and challenges. Whether you're newly faced with a terminal diagnosis of a pet, managing caregiver stress, preparing for euthanasia, or grieving the death of a pet, this space is created specifically for you. Together we will work through the challenges that arise as we care for and grieve our animal companions.
The animal-human bond is a special connection. Our relationships with pets bring peace, love, and challenges. Whether you're newly faced with a terminal diagnosis of a pet, managing caregiver stress, preparing for euthanasia, or grieving the death of a pet, this space is created specifically for you. Together we will work through the challenges that arise as we care for and grieve our animal companions.
(437) 747-7124 View (437) 747-7124

See more therapy options for M6E

How does your Counsellor compare?

Number of Counsellors in M6E

40+

Average cost per session

$155

Counsellors in M6E who prioritize treating:

95% Anxiety
91% Depression
86% Stress
84% Relationship Issues
81% Self Esteem
77% Trauma and PTSD
77% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

54% Manulife
46% Green Shield Canada
46% Blue Cross

How Counsellors in M6E see their clients

55% Online Only
45% In Person and Online

Gender breakdown

87% Female
7% Male
6% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in M6E?

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.