CBT Near Me (Canada): Cognitive Behavioral Therapy For Mental Health
CBT refers to cognitive behavioral therapy, one of the most widely studied and widely used evidence-based treatment. Given that CBT is such a common approach, most mental health professionals have experience employing this method to help clients address various mental disorders and everyday life challenges. However, some people might not know where to access therapy services, and others might wonder where to find a professional who provides CBT sessions. Here, we’ll explore what CBT is, what it’s used for, and where to find this type of evidence-based, compassionate support in Canada.
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What is cognitive behavioural therapy (CBT)?
Cognitive behavioral therapy (CBT) is an evidence-based form of therapy used to treat a diverse array of mental health conditions and concerns. While it’s often used for diagnosable illnesses like depression and anxiety, individuals can also learn practical tools for low self-esteem, intrusive thoughts, panic attacks, relationship conflict, and more.
How CBT can help
Numerous peer-reviewed studies have demonstrated CBT to often be an effective treatment for a wide range of mental health conditions, including but not limited to:
- Depression
- Social anxiety disorder (formerly called “social phobia”)
- Generalized anxiety disorder
- Bipolar disorder
- Eating disorders
- Substance use disorder
Again, keep in mind that CBT isn’t just for people living with one of the above mental disorders. It can also often help people navigate life transitions and interpersonal challenges. In general, a qualified therapist can use CBT to identify inaccurate beliefs that may be limiting a person’s ability to face life challenges and then help the client shift these beliefs with self-compassion.
Conditions CBT Can Help With
CBT can be used to treat both maladaptive behaviors and mental health conditions – such as intrusive thoughts, obsessive compulsive disorder, and depression. At times, behavioral patterns are a sign of an underlying mental health condition. For example, panic attacks are considered a type of anxiety disorder. For symptoms that affect everyday life or a diagnosed mental health condition, CBT can be beneficial.
Other types of CBT
Many other types of individual therapy fall under the umbrella of CBT due to being based on its core principles. Here are a couple of examples of CBT-related modalities that may be used for specific illnesses.
Dialectical behavior therapy
Dialectical behavior therapy (DBT) was designed for people who experience emotions especially intensely. For this reason, DBT is often used for those who are living with borderline personality disorder, but it may also be used to address many other types of challenges. DBT focuses on using present-focused, mindfulness-based cognitive therapy principles and emotional regulation techniques like grounding and active listening to improve well-being and relationships.
Enhanced cognitive behavioral therapy
Another type of CBT is enhanced cognitive behavioral therapy (CBT-E). CBT-E is designed for people who are experiencing an eating disorder. It includes therapy strategies to address obstacles that are considered external to eating disorders, such as low self-esteem and clinical perfectionism.
CBT near me Canada: Where to find mental health care
Since CBT is so common, it may be easier to find a provider who practices it than to find a provider who practices some other types of therapy. If you’d like to connect with a cognitive behavioral therapist in person, family physicians or a registered nurse at a family practice can often provide a referral, or an online search can be a useful starting point. Inquiring at your local community center or clinic could be helpful too, as could asking friends or community members for a recommendation.
Using online directories to find a CBT provider in Canada
You could also use a directory. Whether it’s specific to CBT providers or not, you’re likely to find therapists who practice this modality. Some examples include:
- Healing In Colour, a directory of BIPOC therapists based in Canada
- The Canadian Association of Cognitive and Behavioral Therapies (CACBT), a directory of CBT therapists in Canada
- Inclusive Therapists, a social justice-oriented directory of therapists in Canada that you can search by modality, from CBT to acceptance and commitment therapy (ACT)
Also, some universities with a master’s program in counseling may allow counselors in training to provide CBT under the supervision of a credentialed therapist. This option may allow people to find CBT at a more affordable rate.
Who Provides CBT in Canada
In Canada, therapy services like CBT are offered by a range of mental health professionals; from social workers to therapists or even graduate students in the process of obtaining their qualifications. Since CBT is a specialized form of care, each healthcare provider receives extensive training before speaking with clients. A registered social worker for example, often undergoes additional coursework and supervised clinical hours focused on cognitive behavioral techniques.
Virtual Counselling and Accessibility
Whether attending sessions from Montreal, Ontario, or Nova Scotia, virtual counseling makes it easier to access therapy than ever before. Individuals can take advantage of internet-based video calls, chat platforms, phone sessions, and even mobile apps, where they can seek support from a compassionate therapist. As well as providing good company, a virtual therapist can offer first hand guidance, treatment, and care.
Evidence-Based Treatment and Assessments
As well as being an evidence-based treatment for depression, obsessive compulsive disorder (response prevention therapy), and anxiety, research suggests that CBT helps children understand their thoughts, feelings, and behaviors. During sessions for both adults and children, therapists use assessments to identify unhelpful behavioral patterns and techniques for personal growth. CBT can be a chance to develop new skills and live a more fulfilling life.
Preparing for CBT Sessions
Before attending CBT, it can be helpful for clients to reflect on their personal goals, challenges they face in everyday life, and what they want from therapy sessions. Taking this first step can help when dealing with difficulties during the therapy process. Some common ways to reflect and prepare include:
- Journal – write about recurring thoughts, emotions, or events to identify ways to grow beyond present limitations
- Set intentions – think about what practical tools and skills you’d like to learn in therapy sessions, such as learning to communicate clearly with a partner
- Plan questions – prepare questions about how the therapy process works, what to expect during sessions, and how the therapist hopes to improve your life
The option of online CBT: Key benefits
Some people might live in an area with few credentialed therapists. In such cases, it may be more feasible to search for CBT from an online therapist. With online therapy, you can connect with a therapist from anywhere in Canada remotely—via audio, video, or live chat—at times that suit your schedule.
Online therapy through a platform like BetterHelp also allows individuals to reach out to their therapist at any time through in-app messaging, and their therapist will respond as soon as they’re able. This feature may be helpful on days when individuals experience negative thoughts that are affecting their mental well-being, as they can communicate with their therapist in the moment instead of waiting until their next therapy session.
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Is online CBT near me in Canada really effective?
In addition to offering flexible communication options, online therapy has a strong basis of support in the psychological literature. For example, one review of studies on cognitive behavioral therapy (CBT) suggests that online CBT can often be effective for treating depression, generalized anxiety disorder, social anxiety, phobias, bipolar disorder, and substance use disorder, among other mental disorders.
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Takeaway
How much does CBT cost in Canada?
The cost of a cognitive behavioral therapy session can vary depending on many factors. For example, it might cost more at an anxiety disorders clinic or other in-person mental health services office than it tends to cost online. If you live in an area that has a credentialed social worker, clinical psychologist, or therapist shortage, prices might also be more expensive. However, some universities with a master’s program in counseling may allow counselors in training to provide CBT under the supervision of a credentialed therapist.
Is CBT available for free in Canada?
In Canada, CBT may be offered through free services and programs for those who qualify. Bounceback is one free CBT-based program provided by the Canadian Mental Health Association (CMHA) that teaches skills in managing mental health challenges, such as anxiety, stress, and mild to moderate depression. The program, which varies by region, offers skills training for youth and adults delivered through online videos and by phone with a coach. Another program that a person may be eligible for following a referral includes the Ontario Structured Psychotherapy (OSP) Program.
How many CBT sessions are usually needed?
Cognitive behavioral therapy is generally considered a short-term form of therapy, which typically ranges from 6 to 20 sessions. According to the Canadian Mental Health Association (CMHA), addressing depression or anxiety with CBT usually involves 12 to 20 sessions.
However, the number of sessions needed can vary, depending on a person's severity of symptoms and other concerns.
Can CBT be done online in Canada?
Many mental health professionals offer CBT through online counseling services in addition to in-person therapy. Free services, such as online programs provided by the government to those who qualify, are also conducted online. Whether attending sessions from Montreal, Ontario, or Nova Scotia, virtual counseling makes it easier to access therapy. Individuals can have sessions through video calls, chat, or by phone.
What are the disadvantages or limitations of CBT?
Cognitive behavior therapy may not be recommended for all conditions, requires take-home exercises (such as journaling and self-monitoring), and may not necessarily address the underlying causes of a condition. As a short-term treatment, CBT alone may also not be sufficient for those with a severe mental illness, like treatment-resistant depression, personality disorders, or complex trauma. Speak to a provider with specialized training in evidence-based treatments for advice on whether this modality might be right for you.
What conditions can CBT treat, such as anxiety or depression?
Cognitive behavioral therapy can help with mood disorders, generalized anxiety disorder, adjustment disorder, eating disorders, and substance use disorder, among others. CBT can also help people navigate relationship challenges with confidence and self-compassion. Research suggests that CBT can often help with post-traumatic stress disorder (PTSD). Therapists can use active listening to help individuals identify and challenge thoughts that may be contributing to their continued emotional experience of a traumatic event.
How does cognitive behavioural therapy work?
Cognitive behavioral therapy seeks to help individuals identify and reframe unhelpful thought patterns and beliefs about themselves — a process that often involves understanding the relationship between thoughts, feelings, and behaviors. During sessions, therapists typically use assessments to identify unhelpful negative patterns. CBT therapy also encourages the development of new coping skills and the use of techniques for greater self-awareness and personal growth. However, different forms of CBT that can be used to address different conditions.
How do I find a licensed CBT therapist near me in Canada?
One tool for finding a licensed therapist in Canada is to use a directory. Directories can list a variety of professionals who offer in-person and/or online CBT counseling. One example of a directory is the Canadian Association of Cognitive and Behavioral Therapies (CACBT). If you live in a more remote area where with few therapists available, you may want to consider online therapy, which allows you to connect with a licensed therapist from anywhere.
Is CBT effective for stress and mental health concerns?
Cognitive behavioral therapy is a well-researched and evidence-based treatment modality used to address a range of mental health concerns. These conditions include stress, anxiety, post-traumatic stress disorder, and depression. For example, findings suggest that CBT used for stress management may reduce anxiety sensitivity and foster resilience. There are also different forms of CBT, which can address particular concerns, such as trauma-focused CBT or mindfulness-based CBT for preventing depression relapse and reducing stress.
Is CBT better than other types of therapy?
CBT is often considered the "gold standard" and first-line psychotherapy treatment for many conditions, focusing on reframing unhelpful thoughts and building coping skills. However, other therapies may be more suited for an individual's mental health concerns, conditions, and individual preferences. For example, acceptance and commitment therapy (ACT) also typically helps people recognize negative thoughts, but ACT emphasizes accepting the existence of those thoughts and adjusting behavior to better match one's values. Other modalities may also be helpful, such as dialectical behavioral therapy for managing intense emotions.
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