Therapists in Vancouver, BC

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Photo of Rotem Regev, PhD, RPsych, Psychologist
Rotem Regev
Psychologist, PhD, RPsych
Verified Verified
1 Endorsed
Vancouver, BC V5N
Are you overwhelmed by your emotions? Finding it tricky to manage your stress? is it time to build your self-esteem? Interested in exploring your identity? Are you adjusting to a life transition? Experiencing grief and loss? Are you feeling unheard in your relationship? Unseen by your partner? Perhaps you are seeking to increase your emotional connection with a partner?
Are you overwhelmed by your emotions? Finding it tricky to manage your stress? is it time to build your self-esteem? Interested in exploring your identity? Are you adjusting to a life transition? Experiencing grief and loss? Are you feeling unheard in your relationship? Unseen by your partner? Perhaps you are seeking to increase your emotional connection with a partner?
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Photo of Michal Regev, PhD, RPsych, RMFT, Psychologist
Michal Regev
Psychologist, PhD, RPsych, RMFT
Verified Verified
Vancouver, BC V6M
If you are ready to break-free from difficult feelings and/or frustrating patterns, I can help. I am a Registered Psychologist and a Registered Marriage and Family Therapist and I have been practicing since 1995 and have helped hundereds of clients achieve their goals and regain their sense of well-being. My areas of specialty include: marital/relationship counselling, mood disorders during preganacy and postpartum, loss and grief, infertility, pre-marital counselling, depression and anxiety. Please visit my website to learn more about me at www.drregev.com
If you are ready to break-free from difficult feelings and/or frustrating patterns, I can help. I am a Registered Psychologist and a Registered Marriage and Family Therapist and I have been practicing since 1995 and have helped hundereds of clients achieve their goals and regain their sense of well-being. My areas of specialty include: marital/relationship counselling, mood disorders during preganacy and postpartum, loss and grief, infertility, pre-marital counselling, depression and anxiety. Please visit my website to learn more about me at www.drregev.com
(604) 800-5323 View (604) 800-5323
Photo of Lindsay Gail Brown, MA, RCC, Counsellor
Lindsay Gail Brown
Counsellor, MA, RCC
Verified Verified
Vancouver, BC V6Z
Do you feel like life is an uphill battle? Are you exhausted? Depleted? Like you just can’t get a break? Are you stuck overthinking and re-living the past? Or constantly worrying about and over planning for the future? Are you stuck in destructive ways of coping? Or unable to break unhealthy relationship patterns?
Do you feel like life is an uphill battle? Are you exhausted? Depleted? Like you just can’t get a break? Are you stuck overthinking and re-living the past? Or constantly worrying about and over planning for the future? Are you stuck in destructive ways of coping? Or unable to break unhealthy relationship patterns?
(902) 600-2716 View (902) 600-2716
Photo of Scott Arner, MEd, RCC, CCC, Counsellor
Scott Arner
Counsellor, MEd, RCC, CCC
Verified Verified
1 Endorsed
Vancouver, BC V6B
Hi, I'm Scott! I have spent the past 18 years in Vancouver as a therapist working with children, youth, families and adults struggling with mental health issues, substance use, trauma, anger, grief, as well as isolation and disconnection. I have volunteered working with young offenders in the prison system, and with suicidal individuals through the services of the Vancouver Crisis Centre. Connectedness plays an important role in both my personal and professional life. At times, finding similar thoughts and opinions has helped me feel human. Other times, seeking different ideas and people has helped open my mind to new possibilities.
Hi, I'm Scott! I have spent the past 18 years in Vancouver as a therapist working with children, youth, families and adults struggling with mental health issues, substance use, trauma, anger, grief, as well as isolation and disconnection. I have volunteered working with young offenders in the prison system, and with suicidal individuals through the services of the Vancouver Crisis Centre. Connectedness plays an important role in both my personal and professional life. At times, finding similar thoughts and opinions has helped me feel human. Other times, seeking different ideas and people has helped open my mind to new possibilities.
(587) 328-4983 View (587) 328-4983
Photo of Sarah L Poole, BSc, MEd, RCC, Counsellor
Sarah L Poole
Counsellor, BSc, MEd, RCC
Verified Verified
4 Endorsed
Vancouver, BC V5L
Hi and welcome! I appreciate that it takes courage and strength to start this process. Sometimes, we need help to work through issues. You don't have to deal with your struggles, questions, grief, anxiety, depression, and all of life’s other servings alone. In a non-judgmental, confidential and safe space, shifts can begin to take place. I utilize various modalities, but always come from a person-centered, trauma-informed, and compassion focused lens. I believe in the strength and resilience in every person, and that includes you! Your story matters. You matter…and you deserve healing and happiness.
Hi and welcome! I appreciate that it takes courage and strength to start this process. Sometimes, we need help to work through issues. You don't have to deal with your struggles, questions, grief, anxiety, depression, and all of life’s other servings alone. In a non-judgmental, confidential and safe space, shifts can begin to take place. I utilize various modalities, but always come from a person-centered, trauma-informed, and compassion focused lens. I believe in the strength and resilience in every person, and that includes you! Your story matters. You matter…and you deserve healing and happiness.
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Photo of Hannah Curwin, CCC, MA, RYT, Counsellor
Hannah Curwin
Counsellor, CCC, MA, RYT
Verified Verified
1 Endorsed
Vancouver, BC V6Z
What would it take to remember our worth? How complete and loving and lovable we are? Welcome and thank you for being here. I am a Canadian Certified Counsellor (CCC) with the Canadian Counselling and Psychotherapy Association. I hold a Master of Arts in Counselling Psychology and specialize in eating disorders and disordered eating (HAES aligned), body image, depression, anxiety, life transitions, trauma, stress, and athletes.
What would it take to remember our worth? How complete and loving and lovable we are? Welcome and thank you for being here. I am a Canadian Certified Counsellor (CCC) with the Canadian Counselling and Psychotherapy Association. I hold a Master of Arts in Counselling Psychology and specialize in eating disorders and disordered eating (HAES aligned), body image, depression, anxiety, life transitions, trauma, stress, and athletes.
(902) 701-7521 View (902) 701-7521
Photo of Nazanin Moghadami, RCC, MCP, Counsellor
Nazanin Moghadami
Counsellor, RCC, MCP
Verified Verified
4 Endorsed
Vancouver, BC V5V  (Online Only)
Hello and welcome, My name is Nazanin Moghadami and I am a Registered Clinical Counsellor, activist and community organizer practising in the so-called British Columbia. My approach to counselling is shaped by my experiences as a queer, BIPOC, immigrant woman, and is strongly rooted in feminist, anti-oppression and justice oriented framework. We will explore how the patterns we learned and created as children show up in our adult lives and the way they might have strayed from their initial purposes. My approach is collaborative and consent-based. I have training in: EMDR, Hakomi, CBT, Focusing, IFS, Narrative and more.
Hello and welcome, My name is Nazanin Moghadami and I am a Registered Clinical Counsellor, activist and community organizer practising in the so-called British Columbia. My approach to counselling is shaped by my experiences as a queer, BIPOC, immigrant woman, and is strongly rooted in feminist, anti-oppression and justice oriented framework. We will explore how the patterns we learned and created as children show up in our adult lives and the way they might have strayed from their initial purposes. My approach is collaborative and consent-based. I have training in: EMDR, Hakomi, CBT, Focusing, IFS, Narrative and more.
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Photo of Punita Krishnatry, RPC-C, Counsellor
Punita Krishnatry
Counsellor, RPC-C
Verified Verified
2 Endorsed
Vancouver, BC V6Z
The emotions you're feeling—fear, anxiety, depression, hurt, grief, sadness—are not random; they are a natural response to your current circumstances. Acknowledging these feelings is crucial, and doing so in a safe space is the first step towards change. I offer such a space: secure, non-judgmental, and supportive.
The emotions you're feeling—fear, anxiety, depression, hurt, grief, sadness—are not random; they are a natural response to your current circumstances. Acknowledging these feelings is crucial, and doing so in a safe space is the first step towards change. I offer such a space: secure, non-judgmental, and supportive.
(548) 490-4264 View (548) 490-4264
Photo of Kev Kokoska - Otherside Health, MEd, RCC, Counsellor
Otherside Health
Counsellor, MEd, RCC
Verified Verified
1 Endorsed
Vancouver, BC V5T  (Online Only)
My work is relational, emotion-focused, and experiential. Relational means establishing a unique and real connection with people — i.e. not being a “blank slate” therapist. Emotion-focused means helping people pay attention to old emotional patterns that may no longer be serving them. Experiential means going beyond just talking about patterns. It means offering actual in-session experiences of doing things a different way — working together to form new and preferred patterns that are conducive to one’s therapy goal(s).
My work is relational, emotion-focused, and experiential. Relational means establishing a unique and real connection with people — i.e. not being a “blank slate” therapist. Emotion-focused means helping people pay attention to old emotional patterns that may no longer be serving them. Experiential means going beyond just talking about patterns. It means offering actual in-session experiences of doing things a different way — working together to form new and preferred patterns that are conducive to one’s therapy goal(s).
(604) 243-5163 View (604) 243-5163
Photo of Trauma Transformed Emdr Ptsd Therapy, MSW, RCC, RSW, EMDR, Clinical Social Work/Therapist
Trauma Transformed Emdr Ptsd Therapy
Clinical Social Work/Therapist, MSW, RCC, RSW, EMDR
Verified Verified
Vancouver, BC V6J  (Online Only)
I work with post-trauma injuries that are accumulated over time. My specialty is treating post-trauma injuries (PTSD) that are accumulated over multiple incidents seen within first responder populations such as police, RCMP, Canadian Forces and health care professionals. I also work with survivors of childhood trauma. If you are experiencing flashbacks, nightmares, agoraphobia, hyper-vigilance, intrusive thoughts or images, I use EMDR to treat these symptoms. Sometimes, my clients need a safe place to understand what has happened to them. If that's you I am here to listen.
I work with post-trauma injuries that are accumulated over time. My specialty is treating post-trauma injuries (PTSD) that are accumulated over multiple incidents seen within first responder populations such as police, RCMP, Canadian Forces and health care professionals. I also work with survivors of childhood trauma. If you are experiencing flashbacks, nightmares, agoraphobia, hyper-vigilance, intrusive thoughts or images, I use EMDR to treat these symptoms. Sometimes, my clients need a safe place to understand what has happened to them. If that's you I am here to listen.
(604) 210-7416 View (604) 210-7416
Photo of Kevin Barry Adult Adhd Coach And Therapy, MPA, MSW, ACS-RCC, RSW, Clinical Social Work/Therapist
Kevin Barry Adult Adhd Coach And Therapy
Clinical Social Work/Therapist, MPA, MSW, ACS-RCC, RSW
Verified Verified
Vancouver, BC V6M
Waitlist for new clients
Learn how to clear our your life clutter and reassess, navigate through tough times, set goals and take your power back, and increase self-awareness. My name is Kevin Barry, and I am a Registered Clinical Counsellor, Registered Social Worker with nearly 20 years of experience working in the field of Mental Health & Substance Use. I am currently a coordinator at the Surrey Mental Health & Substance Use, Urgent Care Response Centre. In 2016, I co-founded Inspirit Health Group which is a successful integrated health clinic located in Downtown. I am also a counselling instructor at City University, Douglas College, and Sprott Shaw.
Learn how to clear our your life clutter and reassess, navigate through tough times, set goals and take your power back, and increase self-awareness. My name is Kevin Barry, and I am a Registered Clinical Counsellor, Registered Social Worker with nearly 20 years of experience working in the field of Mental Health & Substance Use. I am currently a coordinator at the Surrey Mental Health & Substance Use, Urgent Care Response Centre. In 2016, I co-founded Inspirit Health Group which is a successful integrated health clinic located in Downtown. I am also a counselling instructor at City University, Douglas College, and Sprott Shaw.
(778) 998-8867 View (778) 998-8867
Photo of Jean-Jacques Rosemond, MA, RP, Registered Psychotherapist
Jean-Jacques Rosemond
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Vancouver, BC V5Y  (Online Only)
Waitlist for new clients
Hello, are you going through some difficult times right now, either struggling to cope with challenges, feeling overwhelmed, stuck or unsure of what to do? Having trouble with work or personal relationships? I am an experienced psychotherapist and I offer individual therapy services for a wide range of issues such as depression, anxiety, addiction problems, relationship problems, grief, life transitions, etc
Hello, are you going through some difficult times right now, either struggling to cope with challenges, feeling overwhelmed, stuck or unsure of what to do? Having trouble with work or personal relationships? I am an experienced psychotherapist and I offer individual therapy services for a wide range of issues such as depression, anxiety, addiction problems, relationship problems, grief, life transitions, etc
(343) 342-0381 View (343) 342-0381
Photo of Elizabeth Peters, PhD, Psychologist
Elizabeth Peters
Psychologist, PhD
Verified Verified
Vancouver, BC V6J  (Online Only)
New online skills group starting Sept 16th! Message for more details. I am a registered psychologist in British Columbia and an associate at the Vancouver CBT Centre. I provide virtual therapy for individuals across the province. I help adults and adolescents struggling with emotional dysregulation, depression, anxiety, adjustment disorders, stress, women's issues, interpersonal difficulties and relationship concerns.
New online skills group starting Sept 16th! Message for more details. I am a registered psychologist in British Columbia and an associate at the Vancouver CBT Centre. I provide virtual therapy for individuals across the province. I help adults and adolescents struggling with emotional dysregulation, depression, anxiety, adjustment disorders, stress, women's issues, interpersonal difficulties and relationship concerns.
(672) 202-1190 View (672) 202-1190
Photo of Alejandra Proano, MPsy, MA, MSc, RCC, Counsellor
Alejandra Proano
Counsellor, MPsy, MA, MSc, RCC
Verified Verified
3 Endorsed
Vancouver, BC V6B
Waitlist for new clients
After attending our groups, clients report feeling less isolated, more connected with others, and more able to handle difficult emotions and stressful situations. Whether their default is to express their anger outwards or direct it inwards as resentment and self-criticism, my clients present with a desire to stop damaging the relationships they care the most about. Many show up to learn how to deal better with someone close who displays a lot of anger. My clients want to create intimate relationships, emotional intelligence, and conflict resolution. They want to take ownership of their lives and feel proud of their choices.
After attending our groups, clients report feeling less isolated, more connected with others, and more able to handle difficult emotions and stressful situations. Whether their default is to express their anger outwards or direct it inwards as resentment and self-criticism, my clients present with a desire to stop damaging the relationships they care the most about. Many show up to learn how to deal better with someone close who displays a lot of anger. My clients want to create intimate relationships, emotional intelligence, and conflict resolution. They want to take ownership of their lives and feel proud of their choices.
(778) 655-4196 View (778) 655-4196
Photo of Xiva Taverna, RTC, Counsellor
Xiva Taverna
Counsellor, RTC
Verified Verified
Vancouver, BC V6Z
Do you judge yourself harshly? Do you feel that you're never good enough? Do you think you are responsible for the way another person feels or behaves? Do you focus outside yourself for love or security? Are you constantly seeking approval and affirmation? Change takes a lot of hard work and effort, but it is possible, and with the right type of counselling, you can get what you want from life. Together we will create a safe space where I will help you discover what's blocking your growth, heal old wounds, and change old patterns that no longer serve you.
Do you judge yourself harshly? Do you feel that you're never good enough? Do you think you are responsible for the way another person feels or behaves? Do you focus outside yourself for love or security? Are you constantly seeking approval and affirmation? Change takes a lot of hard work and effort, but it is possible, and with the right type of counselling, you can get what you want from life. Together we will create a safe space where I will help you discover what's blocking your growth, heal old wounds, and change old patterns that no longer serve you.
(450) 987-2080 View (450) 987-2080
Photo of Theresa Thomas - In-Power Counselling & Services, MCP, RCC, ACS, Counsellor
In-Power Counselling & Services
Counsellor, MCP, RCC, ACS
Verified Verified
Vancouver, BC V6J  (Online Only)
Hello, I’m Theresa and I am very passionate about supporting people in finding their voices and standing in their own power. I am committed to helping people achieve freedom from systemic and societal oppression in every capacity. My therapeutic focus is on seeking safety, trauma intervention, freedom from abuse, substance misuse, and achieving empowerment in every aspect of your life. I support you in removing the obstacles to achieving your goals and building the tools to maintaining success in your life on your own!
Hello, I’m Theresa and I am very passionate about supporting people in finding their voices and standing in their own power. I am committed to helping people achieve freedom from systemic and societal oppression in every capacity. My therapeutic focus is on seeking safety, trauma intervention, freedom from abuse, substance misuse, and achieving empowerment in every aspect of your life. I support you in removing the obstacles to achieving your goals and building the tools to maintaining success in your life on your own!
(778) 860-7904 View (778) 860-7904
Photo of Taya Nowlan
Taya Nowlan
Registered Therapeutic Counsellor Candidate
Verified Verified
Vancouver, BC V6L  (Online Only)
Struggling to focus? Exploring your Identity? Not feeling like you fit in? Feeling lonely? Just wanna talk about things you have been struggling with?
Struggling to focus? Exploring your Identity? Not feeling like you fit in? Feeling lonely? Just wanna talk about things you have been struggling with?
(289) 206-7018 View (289) 206-7018
Photo of Tammam El-Khodor, Reg OT, MRSc, MEd, RCC, CCC, Counsellor
Tammam El-Khodor
Counsellor, Reg OT, MRSc, MEd, RCC, CCC
Verified Verified
3 Endorsed
Vancouver, BC V6J
I work with individuals and couples who seek to improve their mental health and relationships. I work with individuals, who experienced trauma, struggling with anxiety, and/ or seeking meaning to life events. My unique life experience exposed me to different cultures and ways of living, which included the Middle East, Europe, and North America. I believe that relationships, mental health, and behaviors are better understood when body, mind, and context are examined simultaneously. I work with my clients to navigate through their experiences, including their spirituality, to create helpful meanings in their lives.
I work with individuals and couples who seek to improve their mental health and relationships. I work with individuals, who experienced trauma, struggling with anxiety, and/ or seeking meaning to life events. My unique life experience exposed me to different cultures and ways of living, which included the Middle East, Europe, and North America. I believe that relationships, mental health, and behaviors are better understood when body, mind, and context are examined simultaneously. I work with my clients to navigate through their experiences, including their spirituality, to create helpful meanings in their lives.
(778) 403-5273 View (778) 403-5273
Photo of Nassim Ghani, MEd, RCC, CCC, Counsellor
Nassim Ghani
Counsellor, MEd, RCC, CCC
Verified Verified
Vancouver, BC V6B  (Online Only)
Thank you for taking the time to visit my profile. When it comes to embarking on a therapeutic journey, finding a therapist who you feel comfortable with is key. Therefore, together we can work collaboratively to create a safe and trustworthy environment and develop personalized goals and strategies that are informed by evidence-based practices. My approach centers on gaining more insight into the obstacles you are encountering right and providing you with tools and support to overcome challenges. My aim is to help you tap into your inherent strength and resilience, allowing you to create new possibilities.
Thank you for taking the time to visit my profile. When it comes to embarking on a therapeutic journey, finding a therapist who you feel comfortable with is key. Therefore, together we can work collaboratively to create a safe and trustworthy environment and develop personalized goals and strategies that are informed by evidence-based practices. My approach centers on gaining more insight into the obstacles you are encountering right and providing you with tools and support to overcome challenges. My aim is to help you tap into your inherent strength and resilience, allowing you to create new possibilities.
(587) 850-5507 View (587) 850-5507
Photo of Karen Battersby, MACP, CCC, Counsellor
Karen Battersby
Counsellor, MACP, CCC
Verified Verified
Vancouver, BC V6J
I am a dedicated and compassionate therapist offering professional and inclusive counselling services for individuals, couples, and families. My approach is tailored to meet the unique needs of all ages, backgrounds, and abilities, providing a nurturing environment to help cope with challenges and build resilience.
I am a dedicated and compassionate therapist offering professional and inclusive counselling services for individuals, couples, and families. My approach is tailored to meet the unique needs of all ages, backgrounds, and abilities, providing a nurturing environment to help cope with challenges and build resilience.
(867) 292-1953 View (867) 292-1953
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See more therapy options for Vancouver

How does your Counsellor compare?

Number of Counsellors in Vancouver, BC

2,000+

Average cost per session

$150

Counsellors in Vancouver, BC who prioritize treating:

91% Anxiety
84% Depression
80% Relationship Issues
80% Self Esteem
77% Stress
71% Trauma and PTSD
70% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

55% SunLife
48% Pacific Blue Cross
46% Green Shield Canada

How Counsellors in Vancouver, BC see their clients

68% In Person and Online
32% Online Only

Gender breakdown

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

How can I find a therapist in Vancouver?

Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.