Therapists in Markham, ON

Photo of Brad Young, MSW, RSW, Registered Social Worker
Brad Young
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Markham, ON L3P
Perhaps you’re here searching for growth or change in your life, your career, your relationships, or managing challenging situations. Together, I’m confident that we can thoroughly explore your motivation for growth and implement strategies to live your best life. My name is Brad Young, and I am a Master of Social Work (MSW) and a Registered Social Worker (RSW). I have been providing counseling within hospital and community settings in Toronto and Vancouver for 12 years in following areas: adult and youth mental health, developmental disabilities, medicine, maternity, oncology, intensive care unit (ICU), and palliative care.
Perhaps you’re here searching for growth or change in your life, your career, your relationships, or managing challenging situations. Together, I’m confident that we can thoroughly explore your motivation for growth and implement strategies to live your best life. My name is Brad Young, and I am a Master of Social Work (MSW) and a Registered Social Worker (RSW). I have been providing counseling within hospital and community settings in Toronto and Vancouver for 12 years in following areas: adult and youth mental health, developmental disabilities, medicine, maternity, oncology, intensive care unit (ICU), and palliative care.
(289) 302-8513 View (289) 302-8513
Photo of Dr. Karen Zhang, CPysch, PhD, Psychologist
Dr. Karen Zhang
Psychologist, CPysch, PhD
Verified Verified
1 Endorsed
Markham, ON L3R  (Online Only)
Hi, I'm Karen Zhang a registered psychologist focused on adults at MindFit, a leading psychology clinic (or as prefer to say, "mental health gym"). Just like a "typical" gym, MindFit was designed to be accessible and inviting to anyone looking to improve their emotional well-being. From day one, I will do everything I can ensure to ensure you feel heard, supported and valued. My approach is structured (with weekly handouts), evidence-based, and designed to help you develop practical and effective skills and strategies to not only cope, but thrive!
Hi, I'm Karen Zhang a registered psychologist focused on adults at MindFit, a leading psychology clinic (or as prefer to say, "mental health gym"). Just like a "typical" gym, MindFit was designed to be accessible and inviting to anyone looking to improve their emotional well-being. From day one, I will do everything I can ensure to ensure you feel heard, supported and valued. My approach is structured (with weekly handouts), evidence-based, and designed to help you develop practical and effective skills and strategies to not only cope, but thrive!
(289) 796-1081 View (289) 796-1081
Photo of Lloyd Chow, BA, MDiv, Registered Psychotherapist
Lloyd Chow
Registered Psychotherapist, BA, MDiv
Verified Verified
1 Endorsed
Markham, ON L3R
Are you struggling to maintain good relationships, well-being and peace of mind? Lloyd is patient, kindhearted and a creative out-the-box thinker. He is passionate about holistic care, and finding a healthy balance between the bio-psycho-social-spiritual areas of life. His sensible and personable approach is down to earth, and he enjoys helping others through the process of healing and wholeness. Lloyd’s areas of interest include vocational direction, managing stress, depression, anxiety, self-esteem, sexual issues, addictions, grief and mourning, relational dynamics and anger management.
Are you struggling to maintain good relationships, well-being and peace of mind? Lloyd is patient, kindhearted and a creative out-the-box thinker. He is passionate about holistic care, and finding a healthy balance between the bio-psycho-social-spiritual areas of life. His sensible and personable approach is down to earth, and he enjoys helping others through the process of healing and wholeness. Lloyd’s areas of interest include vocational direction, managing stress, depression, anxiety, self-esteem, sexual issues, addictions, grief and mourning, relational dynamics and anger management.
(365) 655-6280 View (365) 655-6280
Photo of Dr. Ayelet Lahat, PhD, CPsych, Psychologist
Dr. Ayelet Lahat
Psychologist, PhD, CPsych
Verified Verified
Markham, ON L6E
Dr. Ayelet Lahat is a clinical psychologist specializing in services for children and adolescents. Services provided include psychological assessment, consultation, and evidence-based therapy with children, adolescents, and their caregivers for a wide range of mental health concerns. Her approach to treatment is driven by curiosity and empathy, mainly using Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). She uses interventions that are developed collaboratively with clients and focus on a therapeutic relationship that fosters mental wellness.
Dr. Ayelet Lahat is a clinical psychologist specializing in services for children and adolescents. Services provided include psychological assessment, consultation, and evidence-based therapy with children, adolescents, and their caregivers for a wide range of mental health concerns. Her approach to treatment is driven by curiosity and empathy, mainly using Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). She uses interventions that are developed collaboratively with clients and focus on a therapeutic relationship that fosters mental wellness.
(289) 210-9936 View (289) 210-9936
Photo of Jody Levac, DHA, CHE, RSW, Registered Social Worker
Jody Levac
Registered Social Worker, DHA, CHE, RSW
Verified Verified
Markham, ON L6E
Your mental well-being matters, and Jody Levac is here to help you on your transformative journey. Jody believes one of the key elements to healing is the strength of the psycho-therapeutic relationship. Jody brings compassion, 35 years of healthcare and system knowledge, and a desire to guide people to recovery and strength.
Your mental well-being matters, and Jody Levac is here to help you on your transformative journey. Jody believes one of the key elements to healing is the strength of the psycho-therapeutic relationship. Jody brings compassion, 35 years of healthcare and system knowledge, and a desire to guide people to recovery and strength.
(905) 201-9355 View (905) 201-9355
Photo of Janette Chu, Registered Psychotherapist (Qualifying)
Janette Chu
Registered Psychotherapist (Qualifying)
Verified Verified
1 Endorsed
Markham, ON L6C
Having been through my own healing journey, I understand that seeking help and talking to a stranger can be difficult and overwhelming. In our time together, our therapeutic relationship is my priority and I offer a calm, non-judgmental, and trauma-sensitive space for you to share your story while gently supporting you to reach your desired outcomes.
Having been through my own healing journey, I understand that seeking help and talking to a stranger can be difficult and overwhelming. In our time together, our therapeutic relationship is my priority and I offer a calm, non-judgmental, and trauma-sensitive space for you to share your story while gently supporting you to reach your desired outcomes.
(647) 643-5800 View (647) 643-5800
Photo of Daily Resiliance Strength-Confidence-Self Esteem Build The Best You, BA, MACP, Registered Psychotherapist (Qualifying)
Daily Resiliance Strength-Confidence-Self Esteem Build The Best You
Registered Psychotherapist (Qualifying), BA, MACP
Verified Verified
1 Endorsed
Markham, ON L6E  (Online Only)
Welcome and thank you for taking the time to learn about me. Seeking therapy and change takes courage! I believe that each of us are capable of becoming the person we aspire to be and to create the life we want. Life lessons and navigating through adversity is tough. However, with personal growth and learning the right skill set we can combat our struggles fearlessly. I have 20 years experience working with teens and young adults working through anxiety, ADHD, depression, stress, family conflict/divorce, life transitions/changes, and self-esteem.
Welcome and thank you for taking the time to learn about me. Seeking therapy and change takes courage! I believe that each of us are capable of becoming the person we aspire to be and to create the life we want. Life lessons and navigating through adversity is tough. However, with personal growth and learning the right skill set we can combat our struggles fearlessly. I have 20 years experience working with teens and young adults working through anxiety, ADHD, depression, stress, family conflict/divorce, life transitions/changes, and self-esteem.
(289) 802-6326 View (289) 802-6326
Photo of Evan Frith, Pre-Licensed Professional
Evan Frith
Pre-Licensed Professional
Verified Verified
Markham, ON L3P
Hi, I'm Evan, and I support individuals and couples who feel like life circumstances have left you stuck. Grief, anxiety, depression or perhaps even trauma have brought you to this point, the result of circumstances that range from a life of injustices to a specific event that has left you seeking support. You want to understand why you feel the way you do, and heal the pieces of you that hurt. For some, these truths have led to behaviors that don't reflect the real you, and you long for them to stop.
Hi, I'm Evan, and I support individuals and couples who feel like life circumstances have left you stuck. Grief, anxiety, depression or perhaps even trauma have brought you to this point, the result of circumstances that range from a life of injustices to a specific event that has left you seeking support. You want to understand why you feel the way you do, and heal the pieces of you that hurt. For some, these truths have led to behaviors that don't reflect the real you, and you long for them to stop.
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Photo of Jennifer Emanoilidis, HBSc, MSW, RSW, Registered Social Worker
Jennifer Emanoilidis
Registered Social Worker, HBSc, MSW, RSW
Verified Verified
Markham, ON L3P  (Online Only)
Waitlist for new clients
Life can be difficult, unpredictable, and overwhelming at times. Therapy can assist with reestablishing and developing skills and resources to better manage and cope when facing life's challenges. I would like to help you to realize your personal goals through open communication and the establishment of a respectful therapeutic relationship. I strive to work with individuals to take full advantage of their own internal coping strategies towards achieving balance and improved quality of life. I provide psycho-educational support and supportive counselling to adolescents, adults and their families.
Life can be difficult, unpredictable, and overwhelming at times. Therapy can assist with reestablishing and developing skills and resources to better manage and cope when facing life's challenges. I would like to help you to realize your personal goals through open communication and the establishment of a respectful therapeutic relationship. I strive to work with individuals to take full advantage of their own internal coping strategies towards achieving balance and improved quality of life. I provide psycho-educational support and supportive counselling to adolescents, adults and their families.
(289) 799-3521 View (289) 799-3521
Photo of Chelsea Ziwei Zhu, M Ed, RP, Registered Psychotherapist
Chelsea Ziwei Zhu
Registered Psychotherapist, M Ed, RP
Verified Verified
3 Endorsed
Markham, ON L3R
As a member of Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto. My main client groups are university students, adults, and couples with anxiety, depression, relationship issues, trauma, adjustment issues, and other mental health difficulties. Clients would be supported to break the problem-maintaining cycle, discover their unique strengths and resources, and get empowered to make positive changes.
As a member of Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto. My main client groups are university students, adults, and couples with anxiety, depression, relationship issues, trauma, adjustment issues, and other mental health difficulties. Clients would be supported to break the problem-maintaining cycle, discover their unique strengths and resources, and get empowered to make positive changes.
(289) 302-7375 View (289) 302-7375
Photo of Dr. Peter Gaskovski, PhD, CPsych, Psychologist
Dr. Peter Gaskovski
Psychologist, PhD, CPsych
Verified Verified
Markham, ON L3R  (Online Only)
Waitlist for new clients
The best way around our difficulties isn’t to go around them, but to see them with new understanding and to transform them. With over twenty years of experience as a Clinical Psychologist and Neuropsychologist, I will work to restore your hope by equipping you with the insight, compassion and skills to grow beyond the challenges you’re facing.
The best way around our difficulties isn’t to go around them, but to see them with new understanding and to transform them. With over twenty years of experience as a Clinical Psychologist and Neuropsychologist, I will work to restore your hope by equipping you with the insight, compassion and skills to grow beyond the challenges you’re facing.
(289) 536-4237 View (289) 536-4237
Photo of Luisa Chang, RP, Registered Psychotherapist
Luisa Chang
Registered Psychotherapist, RP
Verified Verified
Markham, ON L3R
Luisa本着每个人都有权利与能力提升其生活品质的信念,运用认知行为,叙事,焦点問題解決,心理動力,溝通分析及正念等相關理論,提供以客户為中心整體處遇服務處理的個案涵括:憂慮症,焦慮症,創傷後遺症,夫妻關係,親子關係,子女情緒行為困擾等。除培訓不同功能的義務工作團體外,所設計帶領的親職教育團體尤受坊間家长们的欢迎。
Luisa本着每个人都有权利与能力提升其生活品质的信念,运用认知行为,叙事,焦点問題解決,心理動力,溝通分析及正念等相關理論,提供以客户為中心整體處遇服務處理的個案涵括:憂慮症,焦慮症,創傷後遺症,夫妻關係,親子關係,子女情緒行為困擾等。除培訓不同功能的義務工作團體外,所設計帶領的親職教育團體尤受坊間家长们的欢迎。
(289) 807-2361 View (289) 807-2361
Photo of Elena Maris, MSc, RP, RN, Registered Psychotherapist
Elena Maris
Registered Psychotherapist, MSc, RP, RN
Verified Verified
1 Endorsed
Markham, ON L3T  (Online Only)
Life handed me lemons. Can I "make lemonade "? ​Yes, you can. You have what it takes! As a therapist I'm of the belief that we have the internal resources to be able to generate positivity and resilience to bring us through tough times. I am here to guide.
Life handed me lemons. Can I "make lemonade "? ​Yes, you can. You have what it takes! As a therapist I'm of the belief that we have the internal resources to be able to generate positivity and resilience to bring us through tough times. I am here to guide.
(365) 661-4463 View (365) 661-4463
Photo of Louis Law, RP(Q), Registered Psychotherapist (Qualifying)
Louis Law
Registered Psychotherapist (Qualifying), RP(Q)
Verified Verified
1 Endorsed
Markham, ON L3R
Being a second generation Chinese Canadian, I am dedicated to empowering individuals and families through culturally sensitive therapy. Being born into the vibrant cultural tapestry of Toronto, I developed a deep appreciation for the intersection of cultural identity and mental health. Through a collaborative and non-judgmental therapeutic approach, I help clients navigate challenges, develop coping skills, and cultivate resilience to lead more fulfilling lives.. I aim to provide relief from distress for clients and a deeper understanding of themselves, hoping for lasting emotional resilience and fulfillment.
Being a second generation Chinese Canadian, I am dedicated to empowering individuals and families through culturally sensitive therapy. Being born into the vibrant cultural tapestry of Toronto, I developed a deep appreciation for the intersection of cultural identity and mental health. Through a collaborative and non-judgmental therapeutic approach, I help clients navigate challenges, develop coping skills, and cultivate resilience to lead more fulfilling lives.. I aim to provide relief from distress for clients and a deeper understanding of themselves, hoping for lasting emotional resilience and fulfillment.
(647) 643-5800 View (647) 643-5800
Photo of Ting Jiang, MSW, RSW, EMDR, Registered Social Worker
Ting Jiang
Registered Social Worker, MSW, RSW, EMDR
Verified Verified
1 Endorsed
Markham, ON L3P
My approach contains a safe, compassionate, and non-judgemental space for clients to share their thoughts and feelings. My style of therapy offers guidance and assistance for clients to explore and unpack their insights.
My approach contains a safe, compassionate, and non-judgemental space for clients to share their thoughts and feelings. My style of therapy offers guidance and assistance for clients to explore and unpack their insights.
(289) 273-2589 View (289) 273-2589
Photo of Kristina Jagassar, BSc, MDiv, RP, Registered Psychotherapist
Kristina Jagassar
Registered Psychotherapist, BSc, MDiv, RP
Verified Verified
1 Endorsed
Markham, ON L3P
"Seeking positive change? it's all in the process." I am Kristina and I have over a decade of experience working with diverse individuals, children/youth and families who have experienced trauma, anxious feelings, family and relationship conflict, bullying, crisis, life transitions and the daily stress of life. I support individuals through depression, various forms of anxiety in a client-centered approach. Sessions are not just talk therapy but a holistic service wherein supporting goals such as coping strategies, moving you forward, living a balanced life and resilience are the focus to empower positive change.
"Seeking positive change? it's all in the process." I am Kristina and I have over a decade of experience working with diverse individuals, children/youth and families who have experienced trauma, anxious feelings, family and relationship conflict, bullying, crisis, life transitions and the daily stress of life. I support individuals through depression, various forms of anxiety in a client-centered approach. Sessions are not just talk therapy but a holistic service wherein supporting goals such as coping strategies, moving you forward, living a balanced life and resilience are the focus to empower positive change.
(289) 768-8744 View (289) 768-8744
Photo of Lauren McCallum, RP, Registered Psychotherapist
Lauren McCallum
Registered Psychotherapist, RP
Verified Verified
Markham, ON L3R  (Online Only)
Are you tired of striving for perfection, only to feel empty and unsure of your worth? You're stuck in a cycle of self-doubt, replaying mistakes and seeking validation from others. What if you could break free from this cycle and develop a sense of self-worth that's not dependent on others' opinions? Imagine feeling confident, taking risks, setting boundaries, and pursuing your passions without fear of failure. It's time to stop seeking validation and start embracing your own worth. You deserve to feel good about yourself, say no to others, and take bold steps towards your dreams.
Are you tired of striving for perfection, only to feel empty and unsure of your worth? You're stuck in a cycle of self-doubt, replaying mistakes and seeking validation from others. What if you could break free from this cycle and develop a sense of self-worth that's not dependent on others' opinions? Imagine feeling confident, taking risks, setting boundaries, and pursuing your passions without fear of failure. It's time to stop seeking validation and start embracing your own worth. You deserve to feel good about yourself, say no to others, and take bold steps towards your dreams.
(289) 985-0494 View (289) 985-0494
Photo of Shyne Ladak, Registered Psychotherapist
Shyne Ladak
Registered Psychotherapist
Verified Verified
2 Endorsed
Markham, ON L6B
Whether it’s your first time in therapy or you’ve done it before we will start where you feel comfortable. Whether you're just beginning therapy or continuing on your journey, it is important to me that you find someone you can trust. I offer a place where all of you is welcome and will be met with acceptance. Imagine the relief of having managed to name what is wrong and then to feel supported and understood. We will work together to help you release these patterns so you don't repeat the same scenarios. Let's get you to a place where you have found meaning in what you do and you just feel good.
Whether it’s your first time in therapy or you’ve done it before we will start where you feel comfortable. Whether you're just beginning therapy or continuing on your journey, it is important to me that you find someone you can trust. I offer a place where all of you is welcome and will be met with acceptance. Imagine the relief of having managed to name what is wrong and then to feel supported and understood. We will work together to help you release these patterns so you don't repeat the same scenarios. Let's get you to a place where you have found meaning in what you do and you just feel good.
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Photo of Lesley Jinxia Li, MSW, RSW, Registered Social Worker
Lesley Jinxia Li
Registered Social Worker, MSW, RSW
Verified Verified
Markham, ON L3R
When should I seek psychotherapy? Answers vary among each person. You do not have to feel sick to seek psychotherapy. If you are struggling with relationships, feel that you could use help to achieve your goals, or feel stuck in an emotion such as anxiety or depression, you may benefit from seeing a therapist. I am excited to be an ally on your journey of self-exploration and personal growth. I am a psychotherapist in Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto.
When should I seek psychotherapy? Answers vary among each person. You do not have to feel sick to seek psychotherapy. If you are struggling with relationships, feel that you could use help to achieve your goals, or feel stuck in an emotion such as anxiety or depression, you may benefit from seeing a therapist. I am excited to be an ally on your journey of self-exploration and personal growth. I am a psychotherapist in Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto.
(289) 536-3974 View (289) 536-3974
Photo of Kristina Virro - Kristina Virro | Psychotherapy & EMDR, MSc , MA, RP, Registered Psychotherapist
Kristina Virro | Psychotherapy & EMDR
Registered Psychotherapist, MSc , MA, RP
Verified Verified
Markham, ON L3R
As a psychotherapist, I believe that each individual's journey is unique, and so should be the approach to healing and growth. I focus on fostering deep, authentic connections in therapy and creating a safe space where you can explore your thoughts and feelings without judgment. In addition to providing traditional talk therapy, I integrate Eye Movement Desensitization and Reprocessing (EMDR) into my work, a highly researched, evidence-based approach that the World Health Organization has deemed the top treatment for trauma.
As a psychotherapist, I believe that each individual's journey is unique, and so should be the approach to healing and growth. I focus on fostering deep, authentic connections in therapy and creating a safe space where you can explore your thoughts and feelings without judgment. In addition to providing traditional talk therapy, I integrate Eye Movement Desensitization and Reprocessing (EMDR) into my work, a highly researched, evidence-based approach that the World Health Organization has deemed the top treatment for trauma.
(289) 724-4954 x4 View (289) 724-4954 x4
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How does your Counsellor compare?

Number of Counsellors in Markham, ON

500+

Average cost per session

$160

Counsellors in Markham, ON who prioritize treating:

95% Anxiety
91% Depression
85% Relationship Issues
84% Self Esteem
79% Stress
70% Coping Skills
68% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

82% SunLife
76% Manulife
75% Green Shield Canada

How Counsellors in Markham, ON see their clients

61% In Person and Online
39% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Markham?

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.