Finding Mental Health Support With Online Therapy (Canada)

Teletherapy—also called e-therapy, online therapy, and virtual therapy—has existed in different forms for decades. It was during the COVID-19 pandemic, however, that virtual therapy gained significant popularity both world- and Canada-wide. Even though restrictions have eased, millions of people continue to use online therapy platforms like BetterHelp to care for their mental health. This article explores the state of mental health in Canada and how it’s influenced the way people engage in therapy and seek mental health support. It also touches on the key online therapy platforms in Canada, the benefits they can offer, and how you can take advantage of virtual therapy’s convenience and flexibility. 

The growing need for mental health support in Canada

Like many places around the world, Canada is facing a growing need for mental health services. According to a 2022 survey, over 18% of Canadians aged 15 and older met the diagnostic criteria for anxiety, mood, and substance use disorders. The same survey indicated that only about half of the participants spoke to a health care professional about their mental health within the past 12 months, and one in three said their mental health care needs were unmet or only partially met. 

The impacts of unmet mental health needs on Canadians

But mental health challenges can have far-reaching consequences beyond an individual level. They can also have economic and societal impacts, including lost productivity, increased healthcare costs, and strain on families and communities. Unmet needs can lead to overwhelm in the healthcare system, driving more frequent and costly interactions like emergency room visits and hospitalizations. Lost productivity, increased healthcare costs, and social services expenses all contribute to the economic burden of untreated mental illness. 

Mental health care barriers faced by Canadians  

Canadians may face numerous barriers when looking for mental healthcare. For example, cost can be an issue for some. Although Canada offers universal medical care, the country doesn’t provide universal mental health care, leaving many Canadians to pay out of pocket for mental health services (especially those not covered by individual insurance or public healthcare). 

A shortage of mental health professionals, particularly in rural and remote areas, may create barriers to care. This is compounded by the fact that some may not know where to go for help or struggle to navigate the system. Stigma surrounding mental illnesses and the fear of judgment or negative consequences can prevent individuals from seeking help. For some Canadians, cultural or language differences can create barriers to culturally appropriate and effective mental health care. 

Populations at higher risk for mental health challenges in Canada

While mental health challenges affect people from all walks of life, systemic inequalities can present barriers to care. Additionally, certain groups, such as racialized communities and those experiencing poverty, face disproportionate barriers to mental health care, leading to significant inequalities. Examples of Canadian populations identified as high-risk for mental health issues might include:

• Indigenous populations: First Nations individuals often experience disproportionately high rates of mental health challenges and face significant barriers to care.
• Low-income individuals: Individuals with lower incomes are more likely to experience anxiety and have poorer mental health outcomes.
• Young people: Young adults may be particularly vulnerable to mental health challenges, with increased rates of mood and anxiety disorders. 
• Individuals with substance use disorders: The opioid crisis and other substance use issues can significantly impact mental health. 
• 2SLGBTQIA+ individuals: People from sexual and gender minority populations may face barriers due to factors like a lack of culturally safe care, experiences of discrimination, and a lack of affirming care options.

Key online therapy platforms in Canada

Several Canadian-based online therapy platforms offer a variety of services. For example, OnlineCounseling.ca and Mindbeacon offer cognitive behavioral therapy (CBT) programs for issues like depression, anxiety, stress, post-traumatic stress disorder (PTSD), and others. 

Additionally, Wellness Together Canada was launched by the Canadian Government in response to the rising need for mental health support during the COVID-19 pandemic. It offers a range of services, including self-assessment tools, resources, and one-on-one online counselling. 

The platform Help Clinic Canada provides online therapy services across the country with a team of Canadian therapists. They offer individual, couples, and teen therapy, with specialized support for ADHD and neurodivergence.

Canadians can also connect to subscription-based platforms with global reach, such as BetterHelp and Talkspace, where users can speak with a mental health professional through live chat, video, messaging, text, and phone. 

Accessibility and nationwide support

Know that when you sign up for therapy that online therapy through BetterHelp connects clients Canada-wide, regardless of the province you live in. With BetterHelp, it is easy to access sessions anytime, from anywhere. Before you start with your first session, one would recommend checking your therapist’s credential and to make sure that their experience and areas of focus match your individual needs.   

What to expect in your first session

After you’ve made a first therapy appointment, you may be wondering what will happen at your first session. The first time that you see your therapist, they will take the time to get to know you and your goals for therapy. They will typically ask a new client questions about their history, symptoms, and goals so that they have a good understanding of what a client’s needs are. They also may review procedures for making appointments and paying for sessions. The therapist will also begin by helping to create a strong therapeutic relationship, allowing for your comfort, trust, and personal so that you can share your feelings and safely begin your healing journey.  

Building a therapeutic relationship

Therapy is an ongoing journey that involves collaboration between the therapist and the client. This means that empathy and trust must be present. For this reason, when you begin therapy, your therapist will begin to build a strong therapeutic relationship with you. They will work at understanding your unique needs and building a safe and trusting relationship. Strong therapist–client relationships are important, because the client needs to feel safe enough to be vulnerable as they explore their feelings and thought patterns.

The convenience of online therapy 

Online therapy platforms often offer a wider range of scheduling options, including evenings and weekends. This flexibility can make it a good choice for individuals with busy schedules. The convenience of online therapy may also allow for easier integration of therapy sessions into daily life, potentially reducing stress and logistical challenges. 

Online therapy research

Multiple studies suggest that online therapy is an effective alternative to conventional treatment methods for a range of mental health concerns. Researchers from McMaster University compiled the results of 54 randomized controlled trials, finding “moderate-certainty evidence” that internet-delivered cognitive behavior therapy (iCBT) is as effective as traditional in-person treatment for people with anxiety, depression, insomnia, alcohol use disorder, and chronic fatigue syndrome. 

Another review published in the International Journal of Mental Health Nursing concluded that online dialectical behavior therapy (iDBT) can produce results comparable to in-person treatment for reducing symptoms associated with conditions including borderline personality disorder (BPD), depression, anxiety, and substance use disorders. 

When online therapy might not be the best option 

Sometimes, virtual therapy sessions can be more affordable than conventional in-person treatment—still, some must rely on coverage to pay for mental health care. Not all providers offer online therapy covered by extended health insurance plans, so in-person therapy providers that do accept insurance may be a better option for some. 

People with conditions like schizophrenia spectrum disorders or severe depression may require a higher level of care that is better facilitated in a traditional setting. Additionally, some therapies might be better suited to in-person treatment. For example, certain types of somatic therapy require physical contact, and some types of trauma therapy are more effective when the therapist can read the client’s non-verbal cues and behaviors in person. 

Finally, if you're experiencing a mental health crisis like thoughts of self-harm or suicide, or if your symptoms are severe, you might need immediate in-person support that online therapy sessions may not be able to effectively provide.

Bridging the gap for rural and remote communities 

People in rural and remote Canadian communities may face long commutes to receive mental health services and shortages of trained professionals, potentially contributing to a higher burden of mental illness and making it harder to seek and receive timely care. Online therapy could allow individuals in remote areas or underserved communities to receive mental health services they might not otherwise be able to find. However, it is prudent to note that some communities may have insufficient infrastructure that creates challenges in obtaining reliable internet services.

Stigma as a barrier to mental health support

Research suggests that individuals with mental health conditions like anxiety and depression living in smaller communities may experience stigma that deters them from seeking mental health care. Rural residents, especially men, may be more reluctant to seek help due to societal pressure to "tough it out" or a fear of being perceived as weak. 

Choosing a therapist, social worker, or counselor

When considering a mental health professional, try to choose one according to your specific needs and goals. For example, a counselor may be a good fit if you require guidance for issues like significant life transitions or other short-term concerns. Therapists typically offer more long-term support for a broader range of emotional, behavioral, social, and relationship challenges. Social workers may provide therapy but also focus on connecting clients with community resources, navigating social services, and addressing systemic barriers. 

Check credentials and experience

Ask about the professional’s education, background, and experience. Mental health professionals must meet official requirements set by organizations such as the Canadian Psychological Association. To practice as a therapist in Canada, individuals generally need a graduate degree in a relevant field, supervised clinical experience, and passing scores on required provincial or national exams. Specific requirements may vary by province and the type of therapy offered.

Finding a culturally competent therapist, counselor, or social worker

Online therapy may be a good option for individuals looking for culturally sensitive therapy, as platforms can connect individuals with a broader range of therapists, including those with specialized expertise and training in cultural competency. To find a culturally competent mental health professional, you might start by researching counselling therapists with experience in your cultural background or those who have demonstrated cultural sensitivity training. 

Consider asking for referrals from trusted friends, family, or community organizations. You can also consult online directories and websites that specialize in culturally competent care or those that allow you to filter therapists by cultural background. During the vetting process, you could ask about the therapist's openness to learning about your culture and their willingness to adapt their approach if needed. 

Who provides online therapy?

When you seek therapy, you may receive support from any number of trained mental health professionals, from social workers to medical doctors. Many people in Canada see a therapist for mental health support. Among them are licensed therapists and registered psychotherapists. These are not all the same therapist type. Licensed therapist is a broad term that may include a social worker, psychiatrist, or psychologist, and each has a different experience and training level. A psychiatrist, for instance, is a physician who offers psychiatric support in the form of medication management and therapy. The registered psychotherapists' “registered” designation guarantees that they’ve completed a master’s degree and supervised training along with registering with a professional body. All these experienced therapists may have their own therapy practice, or they may work for an institution or organization. Furthermore, therapists pursue additional training throughout their careers in order to maintain their professional expertise. Once you choose your therapist, as long as it's a good fit, it can be important to continue working with the same person for continuity of care. 

Types of therapy available in Canada

There are numerous types of therapy available for those seeking support in Canada. There are various therapy formats, including individual therapy, couples therapy, and family therapy, as well as group therapy. Also, therapy can address a variety of mental health concerns. These may include issues with self-esteem, relationship problems, grief and bereavement, mental illness, or even adjusting to tough times and life changes. Overall, therapy has the ability to meet your unique mental health needs.      

BetterHelp for online therapy in Canada

BetterHelp can be a good option for people in Canada due to its convenience and flexibility. The platform can match individuals with credentialed therapists who can accommodate their needs more efficiently compared to traditional modalities. Treatment through BetterHelp can be more affordable than in-person therapy without insurance. Although BetterHelp doesn’t accept health insurance, it does offer financial assistance to those who qualify.