Frequently Asked Questions
Looking for psychotherapy in Ontario? Below are answers to common questions about therapy, counselling, and mental health support. No matter if you are new, had some experience or a seasoned client of therapy, choosing a new therapist can be confusing and daunting. At Birch Grove Wellness, we want to ensure that you make the best decision with as much information as possible.
When in doubt, you can always reach out via our contact form for questions or book a meet and greet.
General Experience
What can I expect in Individual Psychotherapy?
Individual psychotherapy is a collaborative process where you meet one-on-one with a licensed therapist to explore your thoughts, emotions, and experiences in a safe and confidential space. Therapy sessions typically last about 50 minutes and may focus on concerns such as anxiety, depression, burnout, relationship challenges, life transitions, or personal growth.
In psychotherapy, your therapist will help you:
- Understand patterns in thoughts, emotions, and behaviours
- Develop practical coping strategies
- Improve emotional regulation and self-awareness
- Work toward meaningful personal goals
Therapy in Ontario is client-centred, meaning the pace and focus of sessions are guided by your needs and priorities.
What can I expect in Couples Psychotherapy?
Couples therapy provides a structured and supportive space for partners to strengthen communication, rebuild trust, and navigate relationship challenges together.
During couples therapy sessions, your therapist may help you:
- Improve communication and conflict resolution
- Understand patterns that create disconnection
- Rebuild emotional intimacy and trust
- Navigate life transitions or stressors together
The therapist remains neutral and supports both partners in feeling heard and understood while working toward healthier relationship dynamics.
What can I expect from the free 15 minute meet and greet?
A free 15-minute meet and greet is a brief consultation that allows you to connect with your therapist before booking a full psychotherapy session.
During this call you can:
- Share what brings you to therapy
- Ask questions about the therapist’s approach
- Learn about therapy modalities used in the practice
- Determine whether the therapist feels like the right fit
This consultation is not a therapy session but a chance to ensure you feel comfortable moving forward.
What are my rights in therapy?
As a client receiving psychotherapy in Ontario, you have important rights that help ensure therapy is respectful, ethical, and centered around your well-being.
These rights include:
- The right to respectful, professional, and non-judgmental care
- The right to confidentiality and privacy
- The right to informed consent before beginning therapy
- The right to ask questions about your therapist’s qualifications, approaches, and recommendations
- The right to participate actively in decisions about your treatment
Throughout the counselling process, you also have the right to:
- Request a review of your progress in therapy at any time
- Ask for a referral to another therapist or health professional if you would like additional or different support
- Withdraw consent for the sharing or disclosure of your personal information, unless disclosure is required by law
- End the counselling relationship at any time by informing your therapist
You also have the right to access your counselling records. Upon request, you may review or obtain a copy of the information contained in your therapy file, subject to applicable legal requirements. This right continues even after the counselling relationship has ended.
Your therapist will review these rights with you as part of the informed consent process so that you feel fully informed and comfortable throughout your therapy experience.
Are there limits to confidentiality?
Psychotherapy sessions are confidential; however, there are specific legal and ethical limits to confidentiality in Ontario.
A therapist may need to break confidentiality if:
- There is risk of serious harm to yourself or someone else
- There is suspicion of abuse or neglect involving a child or elder
- A court orders the release of records
- A regulated professional is involved in a legal investigation
Your therapist will review these limits with you during the informed consent process so you understand how your information is protected.
Are there any risks to therapy?
While psychotherapy is beneficial for many people, it can sometimes involve emotional discomfort. Exploring difficult experiences or emotions may temporarily increase feelings such as sadness, anxiety, or vulnerability.
These experiences are a normal part of the therapeutic process and often lead to greater insight, emotional healing, and long-term mental health improvement.
A skilled therapist will support you through these experiences at a pace that feels manageable.
How often should I attend therapy?
The frequency of therapy sessions depends on your goals, needs, and current life circumstances.
Many clients begin with weekly sessions, which allows for consistent progress and support. As therapy continues, sessions may shift to bi-weekly or monthly as you integrate new insights and coping strategies.
Your therapist will collaborate with you to determine a schedule that best supports your mental health.
How many sessions does it take to feel better?
The number of therapy sessions varies widely from person to person. Some individuals experience noticeable improvement within 8–12 sessions, while others benefit from longer-term psychotherapy for deeper personal growth.
Factors that influence the length of therapy include:
- The nature of the concerns being addressed
- Your therapy goals
- The frequency of sessions
- The type of therapeutic approach used
Therapy is a flexible process that can be adjusted based on your needs.
How do I know if therapy is working?
You should start to feel supported by your therapist, even when you share difficult information. You should continue to feel the support even when they are encouraging you to go deeper into insights or challenge maladaptive thought processes. You and your therapist will co-collaborate on goals at the start of the therapeutic process and continue to monitor and check in on these goals.
Insurance and Logistics
Do we accept insurance?
Many extended health benefit plans in Ontario cover psychotherapy services when provided by a Registered Psychotherapist (RP) or other regulated mental health professional. Please check the requirements and coverage for a Registered Psychotherapist (qualifying) designation.
Clients typically pay for therapy sessions upfront and then submit receipts to their insurance provider for reimbursement. At this time we do not offer direct billing.
Coverage varies depending on your insurance plan, so it is helpful to confirm your benefits before beginning therapy.
When and how would I pay?
Fees are due at the time that sessions and services are rendered. Debit/Credit card payments are accepted for online payments. Card information is provided before the first session is booked and stored on our PHIPA approved platform, Jane.
After payment, you will receive a receipt that can be submitted to your insurance provider for reimbursement if your plan includes psychotherapy coverage.
How do I schedule sessions?
Therapy sessions can usually be scheduled through an online booking system or by contacting the practice directly.
Online booking allows you to:
- View available appointment times
- Schedule or reschedule sessions
- Receive confirmation and reminders
You can book here:
Schedule Policy
What happens if I need to reschedule?
If you need to reschedule a therapy session, most practices request at least 24 hours’ notice.
Providing advance notice allows the therapist to offer the appointment time to another client who may need support.
Rescheduling can usually be done through the online booking system or by contacting the practice.
What happens if I don't show up to the session?
If a client does not attend a scheduled therapy session and has not provided advance notice, the session is typically considered a missed appointment.
Appointments canceled with less than 24 hours' notice or missed without notice will be charged a fee of $70, which is not covered by insurance.
What happens if I want to cancel?
You are free to stop therapy at any time.
Many clients choose to schedule a final session to reflect on their progress, review helpful strategies, and discuss next steps for maintaining their mental health. If further resources and referrals are recommended, the therapist will ensure you have access to these resources.
Ending therapy intentionally can help provide closure and reinforce the work you have done.
Therapy Specific
What are the different types of therapy?
There are many different approaches to psychotherapy, each designed to support mental health and emotional well-being in different ways.
The five broad categories of therapy include:
- Psychoanalysis and psychodynamic therapies
- Behaviour Therapy
- Cognitive Therapy
- Humanistic and Individualistic Therapy
- Integrative Therapy
Your therapist may integrate several approaches to best support your goals. If you are interested in understanding more, check out this page here:
What modalities do you use?
Many therapists use an integrative approach, combining several evidence-based modalities to meet the needs of each client.
Common modalities may include:
- Cognitive Behavioural Therapy (CBT)
- Somatic and nervous system-based therapies
- Trauma-informed approaches
- Mindfulness and emotional regulation techniques
- Parts-based approaches such as Internal Family Systems
Your therapist will tailor interventions to your goals, experiences, and preferences.
How to choose a therapist?
Finding the right therapist is an important step in the therapy process. Research shows that the therapeutic relationship is one of the strongest predictors of positive outcomes.
When choosing a therapist, consider:
- Their credentials and licensing
- Their areas of specialization
- Their therapy approach or modalities
- Whether you feel comfortable and understood when speaking with them
A consultation call can help you determine whether a therapist feels like a good fit. You can book a 15 minute meet and greet here:
How do you choose what interventions are appropriate?
Therapists choose interventions based on several factors, including:
- Your therapy goals
- Your current mental health concerns
- Your personal history and experiences
- Evidence-based practices in psychotherapy research
Therapy is collaborative, meaning your therapist will discuss different approaches with you and adjust strategies based on what feels most helpful.
How does therapy help?
Psychotherapy helps individuals develop greater self-awareness, emotional resilience, and practical tools for navigating life’s challenges.
Through therapy, many people learn how to:
- Regulate difficult emotions
- Improve relationships and communication
- Reduce anxiety, depression, and stress
- Build confidence and self-understanding
- Process past experiences and trauma
Over time, therapy can support meaningful and lasting improvements in mental well-being.
How do you know if you need therapy?
You do not need to be in crisis to benefit from therapy. Many people seek psychotherapy when they are feeling:
- Overwhelmed, anxious, or emotionally exhausted
- Stuck in patterns they want to change
- Struggling with relationships or life transitions
- Curious about personal growth and self-understanding
If something in your life feels difficult to navigate alone, therapy can provide support and perspective.
Do I need to come prepared with what I need to work on?
No preparation is required before attending therapy. Many clients begin therapy without knowing exactly what they want to talk about.
Your therapist will guide the conversation with thoughtful questions and help you explore whatever feels most important in the moment.
Over time, therapy naturally helps clarify goals and priorities.
However, if you have a list and would like to share with your therapist, by all means bring it along! We just want to let you know it's not a requirement.