What are the differences between therapists and counselors?
In some provinces in Canada, law does not allow the word psychotherapy. All forms of psychotherapy are called counseling. The term psychotherapy is restricted so therapists must call themselves counselors. They have to talk in terms of counseling when they provide the equivalent of psychotherapy. It's a little confusing.
Why attend therapy?
There are many reasons why people will book an appointment with me. Psychotherapy may be helpful to you when:
Everlasting Essentials has specialized knowledge in:
What kinds of problems do you work with?
Everlasting Essentials is a generalist practice. I work with a variety of issues including anxiety, depression, substance abuse issues, relationship problems, coping with life change, and extreme states of mind. Feel free to contact me for more information about specific treatment.
How do I make an appointment? Do I need a referral from a physician?
We do not require a referral. To schedule an appointment you may contact us directly by telephone (905-621-0828) or email (firstname.lastname@example.org). Alternatively you can book an appointment yourself directly on the website.
What should I expect in the first appointment?
The initial appointment involves a detailed assessment to understand you and your particular situation, current problems, background, and your strengths and resources in order to develop an appropriate plan for treatment. My aim is to help you feel comfortable and safe to talk openly about your concerns.
At the end of the consultation (a few sessions), I will provide you with my initial impressions and recommendations. I will work with you to develop a treatment plan, including goals and approximate time frames. Sometimes an individual’s primary concerns or symptoms are not within my area of expertise. If this happens, I will refer you to another professional who can help.
Payment for services ($50) is due at the beginning of each session. We accept the following methods of payment: Email Money Transfer, Visa and MasterCard, and Canadian Cheques (on occasion).
Length of Sessions
Although a full hour is scheduled for you, the actual session lasts 50 minutes. This allows me to use the remaining 10 minutes to complete session notes.
How often are therapy sessions?
The frequency of sessions depends on the individual and typically ranges from once a month to once a week. Occasionally, individuals have started with multiple sessions in a week and gradually moved to once a month. I will work with you to establish the frequency of sessions that will be best for you and your financial situation.
Your appointment is a block of time that is reserved for you. Missed appointments and last minute cancellations prevent me from scheduling other people. If you believe you won’t be able to make a scheduled appointment, I would ask that you notify me as soon as possible. You can cancel appointments you have made on our booking system within 24-hours of the appointment. There may be a possibility that I can find you a different time in the week. Alternatively, if I am able to fill the time with another patient, no fee will be charged to you. However, the regular fee for one session will be charged for any missed appointments I cannot fill.
How long does therapy last?
Normally you are the one who decides when therapy ends. This is usually when you feel you have made satisfactory progress. This may take a few sessions or several years. Generally, cognitive behavioural and solution focused therapy take a shorter period of time than longer-term psychodynamic psychotherapy or psychoanalysis. You have the right to stop therapy at any time without further financial obligations, other than those already incurred.
Some people do decide to stop therapy suddenly when difficult issues come up. Rather than just quitting, it is best to discuss your feelings with me. Talking about your wish to quit therapy, including negative feelings you have towards me, will very often lead to progress, new insights and a stronger therapeutic alliance.
On occasion, I may decide to terminate therapy. If I have contracted with you for a specific number of sessions to address a problem, then therapy will end at the end of that contract. If I feel that I cannot help you due to limitations in my training, I will inform you of this and refer you to a therapist who may be better suited to meet your needs. If you threaten me verbally or physically or harass my office staff, my family, or myself, I will terminate you immediately from treatment. I will offer you referrals, but cannot guarantee that they will accept you for therapy.
Do you prescribe medications?
I do not prescribe medications. I fully respectful of individuals’ decision to use or not to use medications and we are happy to work collaboratively with family physicians and psychiatrists in this regard.
How does therapy work?
Some people refer to psychotherapy as a “talking treatment” because it generally involves talking to a therapist one-on-one, as a couple, a family, or to a group of people with similar issues.
Therapy can be time-consuming and challenging as you may feel uncomfortable with the emotions and thoughts that therapy is causing you to bring out. But, this is all part of the process.
Psychotherapy helps to give you a fresh perspective on a difficult problem, and helps you find a solution. Psychotherapy helps you to understand yourself better, to develop skills for healthy relationships, and to be a much happier and satisfied person.
However, remember that your therapist cannot do the work for you. In order for therapy to work, you must be a willing participant.
If you are experiencing an emergency I can usually be reached at 905-621-0828. I am available for brief between session phone calls during normal business hours including some evenings and weekends. I will tell you in advance of any anticipated lengthy absences and give you the name and phone number of the therapists who will be covering my practice.
If you are unable to reach me or my alternate, please call your local crisis line. The Toronto Distress Centre number is 416-408-4357 or you may call The Gerstein Centre at 416-929-5200. Parents and children may also call the Kids Helpline at 1-800-668-6868. If you believe that you cannot keep yourself safe, please call 911, or go to the nearest hospital emergency room for assistance.
With a few exceptions, you have the absolute right to confidentiality in your therapy. This means that I cannot share what you have told me to anybody without your consent to do so. You may direct me in writing to share information with whomever you deem necessary and you may revoke that permission at any time. I may legally speak to another regulated health care provider without your consent, but I would only do so when necessary for the delivery and management of your health care or in the case of an emergency.
There are times when confidentiality must be broken without your consent. These circumstances include:
Here are our most asked questions. If your question is not listed, or you need more information, please email us. We are glad to help.