Therapists in Montréal, QC

View neighborhoods in Montréal
Photo of Patricia Ivan, Registered Psychotherapist in Montréal, QC
Patricia Ivan
Registered Psychotherapist, PhD
Verified Verified
Montréal, QC H4A
Waitlist for new clients
Patricia is an experienced individual and marital/family therapist. She is a sensitive and caring person with exceptional listening skills, depth of intellect and moral objectivity. Clients appreciate her ability to tap into their resources, and they frequently return at different stages of their lives. Patricia counsels people with a variety of psychological and interpersonal issues: work, life, relationship conflict or transitions, anxiety/depression, burnout, loss, separation, divorce, eating disorders, existential and spiritual crises. She is approachable and non-judgmental.
Patricia is an experienced individual and marital/family therapist. She is a sensitive and caring person with exceptional listening skills, depth of intellect and moral objectivity. Clients appreciate her ability to tap into their resources, and they frequently return at different stages of their lives. Patricia counsels people with a variety of psychological and interpersonal issues: work, life, relationship conflict or transitions, anxiety/depression, burnout, loss, separation, divorce, eating disorders, existential and spiritual crises. She is approachable and non-judgmental.
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Photo of Pierre Khoury, Registered Psychotherapist in Montréal, QC
Pierre Khoury
Registered Psychotherapist, MA
Verified Verified
Montréal, QC H2L  (Online Only)
I'm a licensed psychotherapist and teacher of psychology at University. I teach the following courses: interpersonal relationship, interviewing techniques, intervention models, and personality psychlogy. I am a member of OCCOQ (L'ordre des conseillers et conseillères d'orientation). I offer an hybrid approach between humanistic and cognitive behavioral models. I believe in adapting to whatever works best for YOU, as a unique individual, while prirotizing action and concreteness. You will find me to be non-judgemental, culturally sensitive, creative and especially interactive in my style of intervention.
I'm a licensed psychotherapist and teacher of psychology at University. I teach the following courses: interpersonal relationship, interviewing techniques, intervention models, and personality psychlogy. I am a member of OCCOQ (L'ordre des conseillers et conseillères d'orientation). I offer an hybrid approach between humanistic and cognitive behavioral models. I believe in adapting to whatever works best for YOU, as a unique individual, while prirotizing action and concreteness. You will find me to be non-judgemental, culturally sensitive, creative and especially interactive in my style of intervention.
(438) 817-0325 View (438) 817-0325
Photo of Richard Lipman, psychologue, Psychologist in Montréal, QC
Richard Lipman, psychologue
Psychologist, MEd, OPQ
Verified Verified
Montréal, QC H4A
Not accepting new clients
(English below)* Diplômé de l'Université McGill, j'ai également complété un programme de formation au Centre d'études et de recherches psychanalytiques. J'ai travaillé comme clinicien à l'Hôpital Reine-Élizabeth dans les départements de psychiatrie et de médecine familiale. J'offre la psychothérapie basée sur les principes psychodynamiques en intégrant des éléments d'autres orientations théoriques dans le but de fournir une approche adaptée à chaque individu.
(English below)* Diplômé de l'Université McGill, j'ai également complété un programme de formation au Centre d'études et de recherches psychanalytiques. J'ai travaillé comme clinicien à l'Hôpital Reine-Élizabeth dans les départements de psychiatrie et de médecine familiale. J'offre la psychothérapie basée sur les principes psychodynamiques en intégrant des éléments d'autres orientations théoriques dans le but de fournir une approche adaptée à chaque individu.
(514) 613-3117 View (514) 613-3117
Photo of Darcie Largan, Registered Social Worker in Montréal, QC
Darcie Largan
Registered Social Worker, MSW, PSW, CFT
Verified Verified
1 Endorsed
Montréal, QC H4C
I work with individuals, couples and families who are looking to make meaningful changes to their lives. I believe that you have the capacity to grow, to heal from whatever may be holding you back, and to connect with your happiest self.
I work with individuals, couples and families who are looking to make meaningful changes to their lives. I believe that you have the capacity to grow, to heal from whatever may be holding you back, and to connect with your happiest self.
(438) 834-7503 View (438) 834-7503
Photo of Dr. Marisa Mercuri, Psychologist in Montréal, QC
Dr. Marisa Mercuri
Psychologist, PhD
Verified Verified
Montréal, QC H3T
Not accepting new clients
I am a licensed clinical psychologist, working with adults of all ages and providing individual, couple, and family therapy. My areas of expertise include treatments for anxiety, depression, emotional regulation, and stress management, as well as interpersonal, sexual, and couple difficulties.
I am a licensed clinical psychologist, working with adults of all ages and providing individual, couple, and family therapy. My areas of expertise include treatments for anxiety, depression, emotional regulation, and stress management, as well as interpersonal, sexual, and couple difficulties.
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Photo of Caitlin Parsons, Counsellor in Montréal, QC
Caitlin Parsons
Counsellor, MA, MHSc, CCC, SLP
Verified Verified
1 Endorsed
Montréal, QC H4A
Waitlist for new clients
I am a Canadian Certified Counsellor with an MA in Creative Arts Therapies. My approach is person-centred and collaborative, meaning we’ll work together to figure out what you need and what will be most helpful, from the beginning and throughout the counselling process. I aim to create a space where you can openly share your experiences, thoughts, and emotions, and find a sense of comfort and security as you face life’s challenges. In session, you can expect my full presence, openness, and genuineness.
I am a Canadian Certified Counsellor with an MA in Creative Arts Therapies. My approach is person-centred and collaborative, meaning we’ll work together to figure out what you need and what will be most helpful, from the beginning and throughout the counselling process. I aim to create a space where you can openly share your experiences, thoughts, and emotions, and find a sense of comfort and security as you face life’s challenges. In session, you can expect my full presence, openness, and genuineness.
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Photo of Shelley Schwartz, Psychologist in Montréal, QC
Shelley Schwartz
Psychologist, MEd
Verified Verified
Montréal, QC H4A
My job is to help my client realize his/her goals. Through our sessions we will discuss issues, behaviours, anxieties, stressors and coping mechanisms. A history and understanding family dynamics will help use to change patterns of behavior that are no longer necessary as they were in the past .
My job is to help my client realize his/her goals. Through our sessions we will discuss issues, behaviours, anxieties, stressors and coping mechanisms. A history and understanding family dynamics will help use to change patterns of behavior that are no longer necessary as they were in the past .
(438) 802-3065 x514895 View (438) 802-3065 x514895
Photo of Loraine Alvarado - Dramathérapeute Drama Terapeuta in Montréal, QC
Loraine Alvarado - Dramathérapeute Drama Terapeuta
MA, ND
Verified Verified
3 Endorsed
Montréal, QC H2R
Difficult times of transition or change can trigger insecurities, anxieties and reflections that isolate us and disconnect us from ourselves and the world. It's not always easy to find the words to talk about it. It's ok. Drama therapy goes beyond words. I can help you break through blockages, find meaning, reconnect with yourself, and awaken curiosity about new possibilities and transformation in your life.
Difficult times of transition or change can trigger insecurities, anxieties and reflections that isolate us and disconnect us from ourselves and the world. It's not always easy to find the words to talk about it. It's ok. Drama therapy goes beyond words. I can help you break through blockages, find meaning, reconnect with yourself, and awaken curiosity about new possibilities and transformation in your life.
(438) 794-1959 View (438) 794-1959
Photo of Mariah Blaine-Longo in Montréal, QC
Mariah Blaine-Longo
MTA, MA
Verified Verified
Montréal, QC H2K
Sometimes words are not enough. As a music therapist, I bring music-making and listening to the therapy room, facilitating individuals in expressing themselves creatively, developing new coping skills, and reconnecting with their authentic selves. Each session, whether it involves listening to music, improvisation on instruments, or engaging in songwriting, is tailored to the specific needs and strengths presented by my clients. I actively listen and provide support to participants, by playing my own music and through verbal reflections. No musical training is required to participate in music therapy.
Sometimes words are not enough. As a music therapist, I bring music-making and listening to the therapy room, facilitating individuals in expressing themselves creatively, developing new coping skills, and reconnecting with their authentic selves. Each session, whether it involves listening to music, improvisation on instruments, or engaging in songwriting, is tailored to the specific needs and strengths presented by my clients. I actively listen and provide support to participants, by playing my own music and through verbal reflections. No musical training is required to participate in music therapy.
(438) 701-2835 View (438) 701-2835
Photo of Fiona Smith, Registered Psychotherapist in Montréal, QC
Fiona Smith
Registered Psychotherapist, MA , ATPQ, ATR
Verified Verified
1 Endorsed
Montréal, QC H4A  (Online Only)
Are you anxious, depressed, or struggling to really feel connected to yourself? Do your emotions feel too intense? Are old patterns or past experiences holding you back or negatively influencing how you deal with situations in the present? In therapy, you can have a space to express yourself and to gain clarity on your thoughts and emotions. Together we can explore aspects of your reality that are harder to define and that go beyond what you already know and can explain about yourself. This can lead you to that exciting place where new insights and self-awareness emerge, and change can happen in your life.
Are you anxious, depressed, or struggling to really feel connected to yourself? Do your emotions feel too intense? Are old patterns or past experiences holding you back or negatively influencing how you deal with situations in the present? In therapy, you can have a space to express yourself and to gain clarity on your thoughts and emotions. Together we can explore aspects of your reality that are harder to define and that go beyond what you already know and can explain about yourself. This can lead you to that exciting place where new insights and self-awareness emerge, and change can happen in your life.
(438) 230-0319 View (438) 230-0319
Photo of Benedicte Ronfard, Psychologist in Montréal, QC
Benedicte Ronfard
Psychologist, PhD
Verified Verified
2 Endorsed
Montréal, QC H3N
Has life become a chore to you? Does your internal dialogue generate anxiety and stop you from achieving that which you want? Is anger and frustration creating trouble in your relationships? Have you lost pleasure in most activities? I work with people who struggle with anxiety, depression and interpersonal relationships, as well as people who face difficult life challenges, find themselves at a standstill or struggle to find meaning in their life.
Has life become a chore to you? Does your internal dialogue generate anxiety and stop you from achieving that which you want? Is anger and frustration creating trouble in your relationships? Have you lost pleasure in most activities? I work with people who struggle with anxiety, depression and interpersonal relationships, as well as people who face difficult life challenges, find themselves at a standstill or struggle to find meaning in their life.
(514) 613-5670 View (514) 613-5670
Photo of Kierla Ireland, Psychologist in Montréal, QC
Kierla Ireland
Psychologist, PhD, OPQ
Verified Verified
2 Endorsed
Montréal, QC H2T
Waitlist for new clients
So you’ve decided to seek more awareness of your problems and make concrete changes. That takes guts! Do any of the following difficulties resonate with you? - You struggle with self-doubt and feel like you're not good enough, even though you've achieved a lot; - You're not able to perform at the level you know you're capable of; - You're feeling creatively blocked; - You're terrified of failing. If so, we might be a good fit. Working with me, you will build awareness and skills to better understand your 'mental game': how to manage your focus to optimize performance, whether it's in sports, music, work, or something else.
So you’ve decided to seek more awareness of your problems and make concrete changes. That takes guts! Do any of the following difficulties resonate with you? - You struggle with self-doubt and feel like you're not good enough, even though you've achieved a lot; - You're not able to perform at the level you know you're capable of; - You're feeling creatively blocked; - You're terrified of failing. If so, we might be a good fit. Working with me, you will build awareness and skills to better understand your 'mental game': how to manage your focus to optimize performance, whether it's in sports, music, work, or something else.
(438) 701-4184 View (438) 701-4184
Photo of Barbara S Levine, Psychologist in Montréal, QC
Barbara S Levine
Psychologist
Verified Verified
Montréal, QC H2T
Waitlist for new clients
My approach can be described as strength-based and client-centered. I believe that the client must feel empowered, supported and dignified at all times. Clients who have had complicated lives, will often have trouble envisioning positive outcomes to their life story. This can impede and prevent growth and self- fulfillment. My job is to help clients to identify obstacles, work through impeding emotions, and arm them with new strategies. The effort should be collaborative. With my guidance, clients can shed their "negative narrative" and thus feel a sense of renewed hope. The future should seem one of possibility.
My approach can be described as strength-based and client-centered. I believe that the client must feel empowered, supported and dignified at all times. Clients who have had complicated lives, will often have trouble envisioning positive outcomes to their life story. This can impede and prevent growth and self- fulfillment. My job is to help clients to identify obstacles, work through impeding emotions, and arm them with new strategies. The effort should be collaborative. With my guidance, clients can shed their "negative narrative" and thus feel a sense of renewed hope. The future should seem one of possibility.
(514) 613-5427 View (514) 613-5427
Photo of Athena Scotes, Registered Psychotherapist in Montréal, QC
Athena Scotes
Registered Psychotherapist, MA
Verified Verified
Montréal, QC H4A  (Online Only)
For 20 years I have worked with adults facing difficult life stressors including relationship difficulties, separation, divorce, trauma, substance abuse, grief issues. I work with clients in an empathic way which fosters self-awareness and positive change. I integrate resilience principles and insight oriented/interpersonal strategies with cognitive-behavioral therapy, to promote coping skills and build self esteem. My specialties include depression, anxiety, trauma, relationship difficulties and grief.
For 20 years I have worked with adults facing difficult life stressors including relationship difficulties, separation, divorce, trauma, substance abuse, grief issues. I work with clients in an empathic way which fosters self-awareness and positive change. I integrate resilience principles and insight oriented/interpersonal strategies with cognitive-behavioral therapy, to promote coping skills and build self esteem. My specialties include depression, anxiety, trauma, relationship difficulties and grief.
(438) 700-2656 View (438) 700-2656
Photo of Positive Kids Inc, Registered Psychotherapist in Montréal, QC
Positive Kids Inc
Registered Psychotherapist, MA, PsyD(c, RP
Verified Verified
Montréal, QC H4A
Does your child struggle with ADHD, Behavioral issues, Anger Management, Motivation, Decision Making, Focusing, Shyness, Anxiety or any type of Social-Emotional issue? Positive Kids is a revolutionary concept created by experts in the field of Emotional Intelligence. It is a private and affordable supplement to your child's academic curriculum that focuses on building and developing social and emotional skills.Our program results in children who are competent in the following areas: Self Control, Self-Awareness, Social Awareness, Relationship Skills and Responsible Decision making. These children ultimately become independent, confident, inquisitive, enthusiastic, responsible and compassionate adults in later years.
Does your child struggle with ADHD, Behavioral issues, Anger Management, Motivation, Decision Making, Focusing, Shyness, Anxiety or any type of Social-Emotional issue? Positive Kids is a revolutionary concept created by experts in the field of Emotional Intelligence. It is a private and affordable supplement to your child's academic curriculum that focuses on building and developing social and emotional skills.Our program results in children who are competent in the following areas: Self Control, Self-Awareness, Social Awareness, Relationship Skills and Responsible Decision making. These children ultimately become independent, confident, inquisitive, enthusiastic, responsible and compassionate adults in later years.
(438) 834-8174 View (438) 834-8174
Photo of Montreal Mental Wellness Clinic, Psychologist in Montréal, QC
Montreal Mental Wellness Clinic
Psychologist, PhD, OPQ, Prof, McGill
Verified Verified
Montréal, QC H3X
Are you overwhelmed by anxiety and depression? Are you struggling to manage your emotions and symptoms? Maybe your struggle is impacting your relationships, and taking away your hope and objectives. You may know that you are not alone in your suffering. If you allow me, I will be here to help you. My goal is to help you transcend difficult life experiences, symptoms of depression and anxiety, and regain a sense of ease, peace, emotional balance. I work with individuals and groups in-clinic and on-line (via Skype) with a cognitive-behavioral, mindful, accepting, non-judgmental, and compassionate approach.
Are you overwhelmed by anxiety and depression? Are you struggling to manage your emotions and symptoms? Maybe your struggle is impacting your relationships, and taking away your hope and objectives. You may know that you are not alone in your suffering. If you allow me, I will be here to help you. My goal is to help you transcend difficult life experiences, symptoms of depression and anxiety, and regain a sense of ease, peace, emotional balance. I work with individuals and groups in-clinic and on-line (via Skype) with a cognitive-behavioral, mindful, accepting, non-judgmental, and compassionate approach.
(438) 700-2220 View (438) 700-2220
Photo of Shadi Asadollahi, Counsellor in Montréal, QC
Shadi Asadollahi
Counsellor, MA, CCC, co
Verified Verified
Montréal, QC H4A
If you are suffering from psychological, emotional or interpersonal issues and feel too confused or overwhelmed to make any changes, I can help you. We work as a team to help you resolve your issues. I believe in the uniqueness of individuals and their experiences and provide a non-judgmental, empathic and supportive environment to assist my clients. I offer you new sets of skills and help you to explore new perspectives, not only to overcome your problems but also to increase your resilience and create more meaning and happiness in your life.
If you are suffering from psychological, emotional or interpersonal issues and feel too confused or overwhelmed to make any changes, I can help you. We work as a team to help you resolve your issues. I believe in the uniqueness of individuals and their experiences and provide a non-judgmental, empathic and supportive environment to assist my clients. I offer you new sets of skills and help you to explore new perspectives, not only to overcome your problems but also to increase your resilience and create more meaning and happiness in your life.
(514) 700-3561 View (514) 700-3561
Photo of Shyam Anandampillai, Registered Psychotherapist in Montréal, QC
Shyam Anandampillai
Registered Psychotherapist, MSc(A), MA
Verified Verified
2 Endorsed
Montréal, QC H2X  (Online Only)
I believe that psychotherapy in essence is a collaborative process that aims to increase psychological well-being and reduce emotional pain, loneliness and languishing which are ever present in today's world. At the heart of this process, is the positive healing relationship that develops between an individual, a couple or a family, and the therapist. I offer clients a non-judgemental, empathic and queer affirmative space where they learn to identify and tolerate their emotions, articulate appropriately their needs to significant people in their life and work on breaking away from toxic negative cycles.
I believe that psychotherapy in essence is a collaborative process that aims to increase psychological well-being and reduce emotional pain, loneliness and languishing which are ever present in today's world. At the heart of this process, is the positive healing relationship that develops between an individual, a couple or a family, and the therapist. I offer clients a non-judgemental, empathic and queer affirmative space where they learn to identify and tolerate their emotions, articulate appropriately their needs to significant people in their life and work on breaking away from toxic negative cycles.
(438) 255-0905 View (438) 255-0905
Photo of Mario Migliara, Clinical Social Work/Therapist in Montréal, QC
Mario Migliara
Clinical Social Work/Therapist, MSW, BSW, BPsy, LCSW
Verified Verified
2 Endorsed
Montréal, QC H4A
We can all be negatively affected by life's challenges, overwhelming experiences, and hurtful events. For many, we reach a point where we cannot navigate alone, or in the same old ways. Needing help from others is in our nature as humans. Supportive counselling provides a confidential therapeutic space that is just yours. Together, we can move through the things that are blocked, painful, or frustrating - in ways that offer healing, grace and dignity.
We can all be negatively affected by life's challenges, overwhelming experiences, and hurtful events. For many, we reach a point where we cannot navigate alone, or in the same old ways. Needing help from others is in our nature as humans. Supportive counselling provides a confidential therapeutic space that is just yours. Together, we can move through the things that are blocked, painful, or frustrating - in ways that offer healing, grace and dignity.
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Photo of Alexandra Maduro, Registered Psychotherapist in Montréal, QC
Alexandra Maduro
Registered Psychotherapist, MSc, MA, co
Verified Verified
1 Endorsed
Montréal, QC H3A  (Online Only)
I work with adults of all ages navigating challenging experiences, including life transitions and life-altering events, academic or work-related stress and burnout, interpersonal difficulties, anxiety, mood disorders, and enduring effects of acute, chronic, and complex trauma. The therapeutic interventions I use are evidence-based, predominantly drawing from Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT).
I work with adults of all ages navigating challenging experiences, including life transitions and life-altering events, academic or work-related stress and burnout, interpersonal difficulties, anxiety, mood disorders, and enduring effects of acute, chronic, and complex trauma. The therapeutic interventions I use are evidence-based, predominantly drawing from Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT).
(438) 796-4549 View (438) 796-4549

See more therapy options for Montréal

How does your Counsellor compare?

Number of Counsellors in Montréal, QC

500+

Average cost per session

$150

Counsellors in Montréal, QC who prioritize treating:

92% Anxiety
83% Relationship Issues
83% Self Esteem
82% Depression
74% Stress
63% Life Transitions
62% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

56% SunLife
43% Other
43% Canada Life | Great-West Life

How Counsellors in Montréal, QC see their clients

62% In Person and Online
38% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Montréal?

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.