Online Counseling In Canada: Finding Virtual Mental Health Support

Virtual therapy has been around in different iterations for decades, offering individuals a possible alternative to conventional treatment methods. With the arrival of the COVID-19 pandemic, e-therapy grew significantly in popularity. Now, millions of people around the world use online therapy to care for their mental health and wellbeing. Online therapy is accessible Canada-wide, including for clients in Ontario and remote regions. Online therapy supports emotional well-being and helps Canadians manage stress, anxiety, and life transitions. 

With this rise in popularity, diverse platforms are now offering internet-delivered treatment for a wide range of mental health issues for both adults and children. This post discusses online counselling platforms that provide their services in Canada, how Canadians can benefit from online therapy, and how to choose a platform and mental health professional that fits your needs. 

The role of animals in therapy

Why are more Canadians choosing online therapy services?

Virtual therapy offers benefits to users that conventional treatment may not. For example, online platforms often feature more flexible scheduling options that might better accommodate busy lifestyles. 

Eliminating travel and increasing flexibility

Virtual therapy sessions eliminate the need to travel to and from appointments, potentially helping individuals cut back on time and money. By removing geographical barriers, internet-delivered mental health support is often more attainable for individuals in rural and remote areas, where in-person therapy options may be limited or unavailable. 

Overcoming mental health stigma

Despite increasing awareness, stigma around mental illness persists in Canada, potentially deterring individuals from seeking help or openly discussing their mental health concerns. This stigma can be particularly prevalent in specific communities, including rural areas and some cultural contexts, according to the Stigma-Free Mental Health Society. Additionally, smaller communities can make it harder to maintain discretion, which might discourage some people from seeking help. Online therapy allows individuals to connect with therapists from their homes, potentially reducing the anxiety associated with visiting a physical office and fostering a greater sense of comfort.

Online therapy effectiveness

Research consistently demonstrates that online therapy can be as effective as in-person therapy for a range of mental health concerns, including anxiety and depression. A review from the International Journal of Mental Health found that online dialectical behavior therapy (iDBT) for depression, anxiety, substance use disorders, and borderline personality disorder (BPD) produced comparable outcomes to traditional treatment in reducing symptoms. A McMaster University review of 54 randomized controlled trials found that internet-delivered cognitive behavioral therapy (iCBT) yielded similar results as conventional therapy for treating anxiety, depression, substance use disorder, and insomnia. 

Affordability of online therapy services

Therapy in Canada can be costly, ranging between $50 and $240 per session, and provincial health plans in Canada do not fully cover some types of treatment. This can pose a significant financial barrier, especially for those without their own health insurance or sufficient funds to pay out-of-pocket. Although many online therapy platforms don’t accept individual insurance, virtual treatment can be less expensive than in-person therapy without insurance. Additionally, platforms like BetterHelp may offer financial assistance to qualifying users.

BetterHelp

Like other online therapy platforms, BetterHelp allows you to connect with credentialed professionals from anywhere with an internet connection via live chat, video, messaging, or phone. Additionally, you’ll be granted journaling tools and, in some cases, optional group sessions for added support and self-exploration. The platform matches users with mental health professionals based on their needs, preferences, and goals, allowing them to switch therapists at any time if the initial match isn’t a good fit. Like most online therapy services, BetterHelp does not offer immediate support in crises, but users can message their counselors between sessions.

BetterHelp operates on a subscription-based model, typically billed weekly or every four weeks. Costs can range from CAD 85 to 110, depending on factors such as therapist availability, location, referral source, preferences, and any applicable discounts or promotions that might apply. This cost includes one live session per week and messaging with the therapist. Although they don’t take insurance, the platform’s rates can be less expensive than traditional therapy without insurance coverage. BetterHelp also offers financial assistance to individuals who qualify.

Talkspace 

Talkspace is also subscription-based, offering individuals four 30-minute live video or audio sessions per month. Users may attend live weekly workshops on various mental health topics. Talkspace does provide psychiatric services, and medical professionals can prescribe medications if necessary. 

Fees vary depending on the method of therapist-to-client communication used. For example, messaging-only services are typically around CAD 94 per week, video and messaging run about CAD 135 per week, and packages with video, messaging, and workshops are roughly CAD 148 per week. Psychiatric service fees are typically higher. All payments are billed monthly. Talkspace accepts insurance plans, and many employers offer it as part of their employee assistance programs (EAPs). You can also use FSA/HSA cards to pay for Talkspace services. 

Inkblot therapy

Inkblot is a Canadian-based online therapy platform that connects individuals with therapists based on their needs and preferences using a matching questionnaire. In addition to individual therapy, the platform also offers employee assistance programs (EAPs) to organizations, providing employees with virtual counseling and other wellness programs. Pricing varies based on the type of service, whether it's offered through an employer or sought independently, with individual sessions generally costing around CAD 90-$125 per hour. 

Wellin5

Wellin5 provides online therapy services throughout Canada, matching individuals with qualified therapists who treat conditions like anxiety, depression, trauma, relationship issues, and more. The platform offers services in English, French, Mandarin, Cantonese, Punjabi, and Hindi. Unlike many other platforms, Wellin5 offers pay-as-you-go sessions, monthly subscription plans, and discounted bundles. Counseling session pricing may vary depending on different factors, but they can be covered by insurance and are tax-deductible. 

MindBeacon 

MindBeacon is another Canadian virtual mental health platform offering various services, including therapist-guided programs and live therapy sessions, alongside free mental wellness resources (called Strongerminds). It is available to Canadians aged 16 years and older. Programs are offered in English and French. MindBeacon boasts a broad network of credentialed therapists across Canada, specializing in various areas like anxiety, depression, grief, relationships, and more. Users can schedule virtual sessions (video or phone) during daytime, evening, and weekend hours. 

Cost is typically CAD 525 CAD for a 12-week program (including messaging with a therapist) billed in three installments: $150 (initial payment), $150 (week 3), and $175 (week 5), which also includes 12 months of additional MindBeacon resources. Per hour, sessions typically cost around CAD 130, but the exact price may vary depending on the chosen practitioner. Most Canadian benefits plans cover MindBeacon services.

When to seek professional support 

If you are having difficulties emotionally, it’s often a good idea to seek support from a counsellor. For instance, if you are experiencing anxiety, depression, or difficulty adapting to changing life circumstances, you could benefit from therapy. Mental health professionals recommend checking with your doctor or a mental health platform to get referrals to see a therapist who can support you with your unique needs.

If you are experiencing an acute mental health crisis or emergency situation, however, do not wait the days it may take to access an appointment with a therapist. Instead, act quickly by calling 9-1-1 emergency services in case of immediate danger or medical attention. Call the 9-8-8 Sucicide Crisis Helpline if you or someone you know are experiencing a mental health crisis or suicidal thoughts.     

Common mental health issues among Canadians

In Canada, common mental health conditions include mood disorders (like depression and bipolar disorder), anxiety disorders (including panic disorder and phobias), post-traumatic stress disorder (PTSD), and eating disorders. Additionally, substance use disorders often co-occur with other mental health conditions, sometimes creating a cycle in which individuals use substances to cope with mental health issues. Some people also experience relationship challenges that exacerbate mental health issues, which can then create more problems in relationships. 

Prevalence of mental illness in Canada

Mental illness can affect people of all ages, education levels, income levels, and cultures. According to the Canadian Mental Health Association (CMHA), one in five Canadians will experience a mental illness in any given year. Below, you’ll find more statistics from the CMHA on the current state of mental health in Canada:  

• Approximately 5.4% and 4.6% of the Canadian population are affected by major depression and anxiety disorders, respectively.
• Approximately 1% of Canadians will experience schizophrenia, and another 1% will experience bipolar disorder in their lifetimes.
• Eating disorders affect roughly 1 million individuals in Canada.
• Substance use disorders affect approximately 6% of people in Canada. 
• 4,012 Canadians died by suicide in 2019.

Why it might be challenging for some Canadians to find a therapist

Canada’s three territories represent 39.1% of the country’s landmass, but only 0.3% of its population. People living in rural and remote communities might face limited availability of mental health services due to the concentration of professionals in urban centers. Travel time and costs can be further deterrents for those who need services not available nearby. Experts report an overall shortage of mental health professionals in Canada, further compounding barriers to receiving care. Additionally, finding therapists who understand and are sensitive to diverse cultural backgrounds and identities can be an obstacle. This can be particularly challenging for Indigenous populations and racialized minorities who may not find culturally appropriate or compassionate care within the existing system.

Coverage and costs: How Canadians can access therapy

Getting access to therapy can be challenging for some patients, and figuring out how to pay for therapy can be equally challenging. First off, someone needs to decide where they will access therapy, whether it’s through a therapist’s own therapy practice, an integrated community clinic, an online therapy platform, or elsewhere. Once they’ve chosen what type of organization to seek therapy from, they can either book an appointment via phone, website, or email or see if they can get an initial free consultation with a therapist. As part of making an appointment, you’ll want to see how much therapy costs and if they take insurance. Extended health insurance plans often cover therapy, but the amount they cover varies according to your plan, so be sure to check your specific coverage.   

Find a therapist tailored to your mental health needs

There are several factors to consider when choosing the right therapist. First, research reputable platforms that vet their therapists’ licensing, credentials, and education (Most mental health professionals must obtain a master’s degree or higher to practice). Check out the types of therapy they offer and the conditions they treat. Some platforms offer services from registered social workers and counselors, while others extend their services to registered psychotherapists or psychiatrists. If you prefer a therapist who matches your gender, culture, ethnicity, or other factors, ensure the platform hosts professionals who can meet those preferences. 

Finding the right fit in online counselling 

Not only should you research the therapist’s qualifications, but it’s also important to make sure that it’s a right fit between the client and the therapist. You should consider things such as the therapeutic approaches they are trained in and their personality. This is important, because ideally you’ll see the same therapist for consistent care throughout your treatment. A therapy platform that you register with can help match you with experienced therapists, such as a registered psychotherapist, to help address your unique needs. 

Most therapists offer a free or low-cost initial consultation to build rapport and establish whether they’re a good match for you. Ensure you feel comfortable and understood by the therapist; don’t be afraid to ask questions and communicate your goals and expectations. Finally, it’s totally normal if you don’t feel your therapist is a good match, so make sure the platform allows users to switch therapists if necessary. 

Therapeutic approaches and areas of focus

Part of making sure that a therapist is the right fit is understanding their therapeutic focus and figuring out if it meets your mental health needs. Among common therapeutic approaches are cognitive behavioral therapy (CBT), EMDR, acceptance and commitment therapy (ACT), psychodynamic therapy, and many others.   

Overall, no matter what kind of therapy you end up doing, therapy helps with navigating anxiety, helps to improve self-esteem, and helps you manage life changes. Therapy can be a great help as you embark on your healing journey, leading to a more fulfilling life. 

What to expect in your first session

Once you’re taken the step to choose a therapist and make an appointment, you may be feeling apprehensive about what to expect at your first session. You should know that the first session is typically dedicated to you and your therapist getting to know each other and not diving into anything deep. Your therapist will likely ask you about your history, symptoms, specific needs, and goals for therapy. They will also begin the process of cultivating a safe space and a strong therapeutic relationship based on empathy and understanding. Then, at subsequent sessions, you can begin to investigate your emotions and develop tools for long-term emotional growth. 

Building connection and community through online therapy 

Online therapy not only can help you get to know yourself better, but it can also strengthen your connections with others. Family and couples therapy can help people feel heard and learn to talk more productively with loved ones, which can strengthen relationships. These types of therapy, and also individual therapy, can also help strengthen connections within your broader community through improved self-awareness and communication patterns. Furthermore, online therapy platforms can foster inclusion and create a sense of belonging during your healing journey.