Therapists in St John's, NL

Photo of Jessica Cole, Counsellor in St John's, NL
Jessica Cole
Counsellor, BA, MEd, MPEd, CCC, ND
Verified Verified
1 Endorsed
St John's, NL A1A
Waitlist for new clients
Hello.. and Welcome! Reaching out for support can feel overwhelming and full of uncertainty, and here you are taking some initial steps. Life is full of twists, turns, and other challenges, and you do not have to face them alone.
Hello.. and Welcome! Reaching out for support can feel overwhelming and full of uncertainty, and here you are taking some initial steps. Life is full of twists, turns, and other challenges, and you do not have to face them alone.
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Photo of Jessica Ivany, Counsellor in St John's, NL
Jessica Ivany
Counsellor, BA, MA, CCC, nd
Verified Verified
1 Endorsed
St John's, NL A1A
I know reaching out for help can be scary, and I am here to alleviate that potential fear. As a therapist, my main priority is to provide you with a safe space that is welcoming while we work collaboratively on the issues you are experiencing. Therapy is different for each person and my therapeutic approach will provide a unique experience tailored to you and for you. In sessions we will explore your thought patterns, emotions and maladaptive behaviours and learn tools and techniques that will help you live a more meaningful, stable life.
I know reaching out for help can be scary, and I am here to alleviate that potential fear. As a therapist, my main priority is to provide you with a safe space that is welcoming while we work collaboratively on the issues you are experiencing. Therapy is different for each person and my therapeutic approach will provide a unique experience tailored to you and for you. In sessions we will explore your thought patterns, emotions and maladaptive behaviours and learn tools and techniques that will help you live a more meaningful, stable life.
(709) 907-6710 View (709) 907-6710
Photo of Cheryl Baker, Registered Social Worker in St John's, NL
Cheryl Baker
Registered Social Worker, BSW, MSW, RSW
Verified Verified
St John's, NL A1B  (Online Only)
Waitlist for new clients
I’m Cheryl, an actively registered social worker, and I have been providing direct therapeutic counselling services for nearly 15 years in the field of mental health and addictions. I have received a Master of Social Work degree from Wilfred Laurier University, Ontario and completed the Bachelor of Social Work program from Memorial University of Newfoundland. Through my social work career, I have been given so many opportunities to engage in advanced clinical therapy with individuals, couples, and families, of all ages, in various capacities. I bring a range of experiences, therapeutic skills, and education to each relationship.
I’m Cheryl, an actively registered social worker, and I have been providing direct therapeutic counselling services for nearly 15 years in the field of mental health and addictions. I have received a Master of Social Work degree from Wilfred Laurier University, Ontario and completed the Bachelor of Social Work program from Memorial University of Newfoundland. Through my social work career, I have been given so many opportunities to engage in advanced clinical therapy with individuals, couples, and families, of all ages, in various capacities. I bring a range of experiences, therapeutic skills, and education to each relationship.
(709) 910-0466 View (709) 910-0466
Photo of Nicole Furey, Registered Social Worker in St John's, NL
Nicole Furey
Registered Social Worker, BSW, MSW, RSW
Verified Verified
1 Endorsed
St John's, NL A1E
I am a registered social worker and my goal is to create a soft place for you to land. Together we can navigate your life stressors and complicated relationships, develop coping skills, regulate your emotions, and discover your strengths.
I am a registered social worker and my goal is to create a soft place for you to land. Together we can navigate your life stressors and complicated relationships, develop coping skills, regulate your emotions, and discover your strengths.
(709) 704-6596 View (709) 704-6596
Photo of Nathan Jenkins, Registered Psychotherapist (Qualifying) in St John's, NL
Nathan Jenkins
Registered Psychotherapist (Qualifying), RP-Qual
Verified Verified
1 Endorsed
St John's, NL A1B
In practice, I value using a person-centered, trauma informed approach to therapy with emphasis on fostering a sound therapeutic relationship with clients. I also believes in creating a safe and non-judgmental environment in collaboration with the client to navigate through their journey to healing. Using a multi-faceted approach to counselling I draw upon theories such as Solution-focused, Mindfulness techniques, Cognitive Behavioral Therapy (CBT) and Attachment-based approaches. My goal in counselling is to provide an empathetic and meaningful connection to build upon positive therapeutic outcomes.
In practice, I value using a person-centered, trauma informed approach to therapy with emphasis on fostering a sound therapeutic relationship with clients. I also believes in creating a safe and non-judgmental environment in collaboration with the client to navigate through their journey to healing. Using a multi-faceted approach to counselling I draw upon theories such as Solution-focused, Mindfulness techniques, Cognitive Behavioral Therapy (CBT) and Attachment-based approaches. My goal in counselling is to provide an empathetic and meaningful connection to build upon positive therapeutic outcomes.
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Photo of Yvette Goodland, Registered Social Worker in St John's, NL
Yvette Goodland
Registered Social Worker, BA, BSW, MSW, RSW
Verified Verified
1 Endorsed
St John's, NL A1B  (Online Only)
Hello and thank you for considering me as your therapist. I am registered to practice in Newfoundland and Ontario. I offer online sessions only at this time. I enjoy supporting clients who are dealing with anxiety, depression, grief and trauma. Clients who are interested in gaining personal insight into their thoughts, feelings and behaviors are in a great position to learn new tools and skills that will help them in their journey to wellness. I especially enjoy working with women age 50+. It's a critical age where many women are asking themselves some very big questions. Lets explore them together.
Hello and thank you for considering me as your therapist. I am registered to practice in Newfoundland and Ontario. I offer online sessions only at this time. I enjoy supporting clients who are dealing with anxiety, depression, grief and trauma. Clients who are interested in gaining personal insight into their thoughts, feelings and behaviors are in a great position to learn new tools and skills that will help them in their journey to wellness. I especially enjoy working with women age 50+. It's a critical age where many women are asking themselves some very big questions. Lets explore them together.
(613) 408-0217 View (613) 408-0217
Photo of Deidre Keating, Counsellor in St John's, NL
Deidre Keating
Counsellor, MEd, CCC
Verified Verified
4 Endorsed
St John's, NL A1E
Hi! I am a counsellor with a deep passion and appreciation of all things involving the body. I enjoy supporting clients in developing and cultivating a more meaningful and connected relationship with their own body experience, whatever it may be. My areas of passion + focus include eating disorders, disordered eating, body image, body dysmorphia, dis/embodiment, body trust, body liberation, body neutrality, body acceptance, shame, sexuality, depression, anxiety, and anything else that the body experiences and holds. My work is rooted in self-compassion, as that is the foundation upon which all good and sustainable things are built.
Hi! I am a counsellor with a deep passion and appreciation of all things involving the body. I enjoy supporting clients in developing and cultivating a more meaningful and connected relationship with their own body experience, whatever it may be. My areas of passion + focus include eating disorders, disordered eating, body image, body dysmorphia, dis/embodiment, body trust, body liberation, body neutrality, body acceptance, shame, sexuality, depression, anxiety, and anything else that the body experiences and holds. My work is rooted in self-compassion, as that is the foundation upon which all good and sustainable things are built.
(709) 910-8669 View (709) 910-8669
Photo of Patti Broadfoot - Inner Sojourn, Registered Social Worker in St John's, NL
Patti Broadfoot - Inner Sojourn
Registered Social Worker, RSW, BSW
Verified Verified
1 Endorsed
St John's, NL A1A  (Online Only)
Are you feeling overwhelmed by grief, navigating through the complexities of loss, or grappling with the uncertainties of life transitions? Perhaps you're facing the profound challenges of serious illness, battling anxiety, or experiencing burnout from the pressures of daily life. Amid these struggles, you're seeking understanding, support, and guidance to navigate these difficult times. You're searching for a safe space to express your emotions, confront your fears, and rebuild a sense of hope and resilience. You want to heal, grow, and find meaning amidst the pain.
Are you feeling overwhelmed by grief, navigating through the complexities of loss, or grappling with the uncertainties of life transitions? Perhaps you're facing the profound challenges of serious illness, battling anxiety, or experiencing burnout from the pressures of daily life. Amid these struggles, you're seeking understanding, support, and guidance to navigate these difficult times. You're searching for a safe space to express your emotions, confront your fears, and rebuild a sense of hope and resilience. You want to heal, grow, and find meaning amidst the pain.
(709) 701-0686 View (709) 701-0686
Photo of Melinda Aspell, Registered Social Worker in St John's, NL
Melinda Aspell
Registered Social Worker, MSW, RSW
Verified Verified
St John's, NL A1A  (Online Only)
What if you could wake up tomorrow and feel like YOU were in control; not anxiety, depression, anger, fear, procrastination, or whatever else is dominating your life right now? What if you could improve your relationships with your kids, your partner, your boss, your family, your friends? What if you could finally build up the courage to tell someone "no" and really mean it this time? What if you could stop asking yourself "what if" and start making things a realty? What if you emailed me right now to schedule a free consultation to learn more about how you can start building a life worth living?
What if you could wake up tomorrow and feel like YOU were in control; not anxiety, depression, anger, fear, procrastination, or whatever else is dominating your life right now? What if you could improve your relationships with your kids, your partner, your boss, your family, your friends? What if you could finally build up the courage to tell someone "no" and really mean it this time? What if you could stop asking yourself "what if" and start making things a realty? What if you emailed me right now to schedule a free consultation to learn more about how you can start building a life worth living?
(709) 703-0737 View (709) 703-0737
Photo of Heidi Pond, Counsellor in St John's, NL
Heidi Pond
Counsellor, MACP, BBA
Verified Verified
5 Endorsed
St John's, NL A1B  (Online Only)
My name is Heidi Pond and I’m a St. John’s-based Canadian Certified Counsellor (CCC). I fully recognize that life is not always easy, and I care deeply about helping you navigate life’s greatest challenges. Understanding that each client is unique, each session is tailored to your specific needs. I bring warmth and empathy to the counselling room, creating a space where you’re able to feel a sense of comfort.
My name is Heidi Pond and I’m a St. John’s-based Canadian Certified Counsellor (CCC). I fully recognize that life is not always easy, and I care deeply about helping you navigate life’s greatest challenges. Understanding that each client is unique, each session is tailored to your specific needs. I bring warmth and empathy to the counselling room, creating a space where you’re able to feel a sense of comfort.
(709) 200-0113 View (709) 200-0113
Photo of Kristen Hynes Brothers (Phd Scholar), Registered Social Worker in St John's, NL
Kristen Hynes Brothers (Phd Scholar)
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
St John's, NL A1C
Waitlist for new clients
I have been practicing social work for nearly 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 nearly 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 Kayla Baker, Registered Social Worker in St John's, NL
Kayla Baker
Registered Social Worker, MSW, RSW
Verified Verified
St John's, NL A1H
Are you feeling stuck or overwhelmed? Do you spend your time dwelling on the past, or worrying about the future? Are you experiencing difficulties that keep you from living the life you want to live? We all face hurdles that prevent us from living a more meaningful life and, as your therapist, I can help.
Are you feeling stuck or overwhelmed? Do you spend your time dwelling on the past, or worrying about the future? Are you experiencing difficulties that keep you from living the life you want to live? We all face hurdles that prevent us from living a more meaningful life and, as your therapist, I can help.
(709) 200-0069 View (709) 200-0069
Photo of Kelly George, Pre-Licensed Professional in St John's, NL
Kelly George
Pre-Licensed Professional, BA, RHN, RYT
Verified Verified
1 Endorsed
St John's, NL A1B  (Online Only)
I am currently a Master's level MA in Counselling Psychology practicum student qualified to practice under the clinical supervision of an approved practicum supervisor. During my practicum I will be offering pro bono mental health counselling. I inherently believe in an individual's strength to overcome obstacles and create a life that aligns with their unique values. Through empathetic engagement and validating your experiences, I aim to provide you with a safe, non-judgmental space to share your challenges. Together we can learn new skills and strategies to help you reach your goals and foster emotional resiliency.
I am currently a Master's level MA in Counselling Psychology practicum student qualified to practice under the clinical supervision of an approved practicum supervisor. During my practicum I will be offering pro bono mental health counselling. I inherently believe in an individual's strength to overcome obstacles and create a life that aligns with their unique values. Through empathetic engagement and validating your experiences, I aim to provide you with a safe, non-judgmental space to share your challenges. Together we can learn new skills and strategies to help you reach your goals and foster emotional resiliency.
(709) 704-2577 View (709) 704-2577
Photo of Denise V Hackett, Counsellor in St John's, NL
Denise V Hackett
Counsellor, BPE, MEd, CCC, ND
Verified Verified
St John's, NL A1B
Each client has a story that has brought them to counseling. As individualized as client issues are; whether grief, trauma, conflict or any situation I believe people need and want to be heard. Discovering insight; an understanding and awareness of the situation is the foundation to moving forward in some capacity. Counselling provides the space and attentive listening to begin this process and to set goals to living one’s best life.
Each client has a story that has brought them to counseling. As individualized as client issues are; whether grief, trauma, conflict or any situation I believe people need and want to be heard. Discovering insight; an understanding and awareness of the situation is the foundation to moving forward in some capacity. Counselling provides the space and attentive listening to begin this process and to set goals to living one’s best life.
(709) 701-9164 View (709) 701-9164
Photo of Joanne McHugh, Counsellor in St John's, NL
Joanne McHugh
Counsellor, MEd, CCC
Verified Verified
1 Endorsed
St John's, NL A1A
I enjoy working with themes that occur over the life span, such as: Freedom from the self-doubt or anxiety that holds you back; Relational patterns that block your ability to connect with yourself and others; Fear of change, death, living a whole life; Looking for healthy ways of growing and processing unhealed trauma and pain; Developing your intuition and listening to your inner voice; Learning how to identify your thoughts, feelings and sensations.
I enjoy working with themes that occur over the life span, such as: Freedom from the self-doubt or anxiety that holds you back; Relational patterns that block your ability to connect with yourself and others; Fear of change, death, living a whole life; Looking for healthy ways of growing and processing unhealed trauma and pain; Developing your intuition and listening to your inner voice; Learning how to identify your thoughts, feelings and sensations.
(709) 400-6265 View (709) 400-6265
Photo of Ashley Curnew, Registered Social Worker in St John's, NL
Ashley Curnew
Registered Social Worker, MSW, RSW
Verified Verified
St John's, NL A1A
Hi, I'm Ashley (she/her) and I'm a clinical social worker and therapist, offering virtual and in-person counselling sessions for adults and couples. One of the most difficult decisions can be reaching out for supports - this underlying anxiety and stress for potential clients helps inform and shape my practice whereby my focus is working to create a warm, welcoming and calm space for individuals and couples to share their experiences, challenges and hopes in a safe space.
Hi, I'm Ashley (she/her) and I'm a clinical social worker and therapist, offering virtual and in-person counselling sessions for adults and couples. One of the most difficult decisions can be reaching out for supports - this underlying anxiety and stress for potential clients helps inform and shape my practice whereby my focus is working to create a warm, welcoming and calm space for individuals and couples to share their experiences, challenges and hopes in a safe space.
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Photo of Cassie Guye, Registered Social Worker in St John's, NL
Cassie Guye
Registered Social Worker, MSW
Verified Verified
St John's, NL A1E
It can be difficult to live the life you want when your emotions feel overwhelming, and there are effective therapeutic services that can help. I am a registered social worker who has been practicing in the field of mental health and addictions since 2017. I offer services for a variety of conditions, including anxiety, depression, mood changes, trauma responses, and more. I strive to be intentional, transparent and effective in the services I offer. I am passionate about helping individuals cultivate insight and resiliency in the face of trauma, life changes, mental illness, substance misuse, and systemic barriers.
It can be difficult to live the life you want when your emotions feel overwhelming, and there are effective therapeutic services that can help. I am a registered social worker who has been practicing in the field of mental health and addictions since 2017. I offer services for a variety of conditions, including anxiety, depression, mood changes, trauma responses, and more. I strive to be intentional, transparent and effective in the services I offer. I am passionate about helping individuals cultivate insight and resiliency in the face of trauma, life changes, mental illness, substance misuse, and systemic barriers.
(709) 400-2393 View (709) 400-2393
Photo of Brad Yetman, Counsellor in St John's, NL
Brad Yetman
Counsellor, MEd, CCC
Verified Verified
St John's, NL A1B
I have experience working alongside adults, teens, and groups, and experience supporting people who have generalized anxiety, social anxiety, depression, and dealing with life stressors. I have further experience working with substance use, harm, and the impact that it has on people’s everyday lives. Lastly, I have an extensive background in the world of sports, especially hockey, and I am passionate about working with athletes, coaches, and teams, to help maximize their preparation, performance, and mental health in sport. I can help groups learn more about mental health and/or mental skills through presentations.
I have experience working alongside adults, teens, and groups, and experience supporting people who have generalized anxiety, social anxiety, depression, and dealing with life stressors. I have further experience working with substance use, harm, and the impact that it has on people’s everyday lives. Lastly, I have an extensive background in the world of sports, especially hockey, and I am passionate about working with athletes, coaches, and teams, to help maximize their preparation, performance, and mental health in sport. I can help groups learn more about mental health and/or mental skills through presentations.
(709) 703-8506 View (709) 703-8506
Photo of Louisa Iannaci, Registered Psychotherapist in St John's, NL
Louisa Iannaci
Registered Psychotherapist, RP, RSSW, MA
Verified Verified
2 Endorsed
St John's, NL A1B
I am a Registered Psychotherapist with more than ten years of experience supporting individuals with their mental wellness. I believe that clients are the experts of their own lives and at times become stuck with internal conflict, ways of being, or are in situations that are not conducive to growth. I believe that everyone is on their own spiritual journey and that for some, participating in therapy can encourage deeper understanding and help to unearth meaning in their life. I enjoy helping clients work to identify the source of thoughts, feelings and concerns with the goal of arriving at a place of understanding and acceptance.
I am a Registered Psychotherapist with more than ten years of experience supporting individuals with their mental wellness. I believe that clients are the experts of their own lives and at times become stuck with internal conflict, ways of being, or are in situations that are not conducive to growth. I believe that everyone is on their own spiritual journey and that for some, participating in therapy can encourage deeper understanding and help to unearth meaning in their life. I enjoy helping clients work to identify the source of thoughts, feelings and concerns with the goal of arriving at a place of understanding and acceptance.
(709) 500-2758 View (709) 500-2758
Photo of Michael Plummer, Counsellor in St John's, NL
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

See more therapy options for St John's

How does your Counsellor compare?

Number of Counsellors in St John's, NL

100+

Average cost per session

$140

Counsellors in St John's, NL who prioritize treating:

90% Anxiety
83% Stress
81% Depression
79% Coping Skills
73% Relationship Issues
73% Self Esteem
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

65% Canada Life | Great-West Life
63% Blue Cross
62% SunLife

How Counsellors in St John's, NL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

86% Female
11% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in St John's?

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.