Harm Reduction Therapy Therapists

Harm reduction therapy offers a compassionate, non-judgmental approach to substance use that respects your autonomy and meets you where you are in your journey.

Harm reduction therapy is a client-centered approach that focuses on reducing the negative consequences associated with substance use, rather than requiring abstinence as a precondition for support. This approach recognizes that people have different goals and timelines for change, and that meaningful progress can look different for everyone. Therapists who practice harm reduction work collaboratively with clients to identify personal goals, develop practical strategies, and build on existing strengths.

First Session connects you with therapists across Canada who offer harm reduction support. Each therapist's credentials are verified during onboarding, and you can browse therapists in your area to find someone whose approach resonates with you. Watch intro videos to get a sense of each therapist's style before booking, helping you feel more confident about your choice.

Candice Burnett

Registered Therapeutic Counsellor
Waitlist
Offers In-Person (Vernon, BC)
Virtual Sessions in BC, NT, YT, AB, SK, and NL.
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Candice Burnett

Candice Burnett

Registered Therapeutic Counsellor
she/her
$160/session
Creativity, Psychedelic therapy, Disability, Addiction, Anxiety, Adjusting to a diagnosis, Befriending the Nervous System, Building Meaningful Connections, Children/Teens, Competitive anxiety, Dreams, Existential questions, Confidence, Identity and Self-Exploration, Learning disabilities, Mind-body connection, Nervous system regulation, Neurodiversity, Personal Growth, Performance anxiety, Sports Performance, Thought Restructuring, Somatic Therapy, Brain injury, Empowerment
Creativity, Psychedelic therapy, Disability, Addiction, Anxiety, Adjusting to a diagnosis, Befriending the Nervous System, Building Meaningful Connections, Children/Teens, Competitive anxiety, Dreams, Existential questions, Confidence, Identity and Self-Exploration, Learning disabilities, Mind-body connection, Nervous system regulation, Neurodiversity, Personal Growth, Performance anxiety, Sports Performance, Thought Restructuring, Somatic Therapy, Brain injury, Empowerment

Nicky Lightstone

Registered Psychotherapist
Waitlist
Offers In-Person (Newmarket, ON)
Virtual Sessions in BC, ON, NL, SK, MB, AB, YT, and NU.
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Nicky Lightstone

Nicky Lightstone

Registered Psychotherapist
She/Her
$160/session
Life transitions, Interpersonal dynamics, Self-Development, Anxiety, Anxiety and Stress Management Skills, Depression, Depression coping skills, Familial and social relationships, General Mental Health, Low mood, Low Self-Esteem and Self Worth, Nature-Based Spirituality, Negative thinking and ruminating, Personal Growth, Relationships, Self-Criticism, Self-esteem, Stress, Ecopsychotherapy, Climate Anxiety, Coping Skills
Life transitions, Interpersonal dynamics, Self-Development, Anxiety, Anxiety and Stress Management Skills, Depression, Depression coping skills, Familial and social relationships, General Mental Health, Low mood, Low Self-Esteem and Self Worth, Nature-Based Spirituality, Negative thinking and ruminating, Personal Growth, Relationships, Self-Criticism, Self-esteem, Stress, Ecopsychotherapy, Climate Anxiety, Coping Skills

Becky Hills

Registered Psychotherapist
Waitlist
Offers In-Person (Cobalt, ON)
Virtual Sessions in AB, BC, MB, NT, NU, ON, SK, and YT.
Waitlist
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Becky Hills

Meagan Gallacher

Registered Psychotherapist (Qualifying)
Waitlist
Offers In-Person (Oshawa, ON)
Virtual Sessions in ON.
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Meagan Gallacher

Meagan Gallacher

Registered Psychotherapist (Qualifying)
She/Her
$150/session
Addiction, ADHD, Adoption, Attention and Impulsivity, Anger, Anxiety, Anxiety and Stress Management Skills, Borderline Personality Disorder, Break-up recovery, Building Self-Care Routines, Dating challenges, Boundaries and boundary setting, Depression, Emotional regulation, Effective communication, Goal Setting, Low Self-Esteem and Self Worth, Infidelity, School challenges, Mindfulness Practices, People pleasing, Phobias, Self-esteem, Abuse (Sexual/Physical/Verbal)
Addiction, ADHD, Adoption, Attention and Impulsivity, Anger, Anxiety, Anxiety and Stress Management Skills, Borderline Personality Disorder, Break-up recovery, Building Self-Care Routines, Dating challenges, Boundaries and boundary setting, Depression, Emotional regulation, Effective communication, Goal Setting, Low Self-Esteem and Self Worth, Infidelity, School challenges, Mindfulness Practices, People pleasing, Phobias, Self-esteem, Abuse (Sexual/Physical/Verbal)

Emily Duggan

Registered Psychotherapist
Waitlist
Offers In-Person (Alliston, ON)
Virtual Sessions in ON.
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Emily Duggan

Emily Duggan

Registered Psychotherapist
She/her
$165/session
LGBTQ2IA+, Neurodiversity, Eating disorders, ADHD, Attention and Impulsivity, Anxiety, Anxiety and Stress Management Skills, Attachment, Borderline Personality Disorder, Coming out and identity, Childhood trauma, Children/Teens, Fears and phobia, Low Self-Esteem and Self Worth, Depression, OCD, Autism Spectrum Disorder (ASD), PTSD, Complex Trauma (CPTSD), Stress, Body Dysmorphia, Chronic and acute illness, Highly Sensitive Person, Identity and Self-Exploration
LGBTQ2IA+, Neurodiversity, Eating disorders, ADHD, Attention and Impulsivity, Anxiety, Anxiety and Stress Management Skills, Attachment, Borderline Personality Disorder, Coming out and identity, Childhood trauma, Children/Teens, Fears and phobia, Low Self-Esteem and Self Worth, Depression, OCD, Autism Spectrum Disorder (ASD), PTSD, Complex Trauma (CPTSD), Stress, Body Dysmorphia, Chronic and acute illness, Highly Sensitive Person, Identity and Self-Exploration

Natasha Sandy

Registered Psychotherapist
Waitlist
Offers In-Person (Toronto, ON)
Virtual Sessions in ON.
Waitlist
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Natasha Sandy

Natasha Sandy

Registered Psychotherapist
$180/session
Supervising qualifying therapists, Anxiety, Depression, Relationships, Trauma processing, Attachment wounds, Assertiveness, Blocks in Connecting with Self and Others, Boundaries and boundary setting, Burnout, Building Meaningful Connections, Workplace stress, Break-up recovery, Childhood trauma, Trauma, Mental Decolonization, Connecting with your Inherent Power, Oppressive family dynamics, Abuse (Sexual/Physical/Verbal)
Supervising qualifying therapists, Anxiety, Depression, Relationships, Trauma processing, Attachment wounds, Assertiveness, Blocks in Connecting with Self and Others, Boundaries and boundary setting, Burnout, Building Meaningful Connections, Workplace stress, Break-up recovery, Childhood trauma, Trauma, Mental Decolonization, Connecting with your Inherent Power, Oppressive family dynamics, Abuse (Sexual/Physical/Verbal)

Kimberly Crossman

Registered Social Service Worker
Waitlist
Offers In-Person (Toronto, ON)
Virtual Sessions in all provinces and territories.
Waitlist
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Kimberly Crossman
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Therapy is hard work.

Finding the right therapist shouldn’t be. Over 10,000 Canadians found their new therapist with First Session.
What is harm reduction therapy?

Harm reduction therapy is a compassionate approach that focuses on minimizing the negative effects of substance use rather than demanding immediate abstinence. It meets people where they are, acknowledging that change is often gradual and that any step toward reducing harm is valuable. This approach respects individual autonomy, allowing clients to set their own goals while receiving non-judgmental support from their therapist.

Who might benefit from harm reduction therapy?

Harm reduction therapy may support anyone whose substance use is affecting their life, regardless of whether they want to stop using entirely. It can be helpful for those who have found abstinence-based approaches challenging, people who want to reduce their use without committing to complete abstinence, or those seeking a non-judgmental space to explore their relationship with substances. This approach welcomes people at any stage of readiness for change.

What does harm reduction therapy involve?

Sessions typically involve open, honest conversations about your substance use patterns, goals, and concerns. Your therapist works collaboratively with you to identify practical strategies for reducing harm, which might include safer use practices, understanding triggers, building coping skills, or addressing underlying concerns. The pace and direction of therapy are guided by your personal goals rather than a predetermined outcome.

How long does harm reduction therapy typically take?

The duration of harm reduction therapy varies significantly based on individual circumstances, goals, and preferences. Some people find value in short-term support during a specific period, while others benefit from longer-term work. Because this approach respects your autonomy, you and your therapist can discuss what timeline feels right for your situation and adjust as your needs evolve.

How do I know if a therapist is right for me?

Finding the right therapist is an important part of the process. On First Session, you can watch intro videos from therapists to get a sense of their personality and communication style before booking. Look for someone whose approach feels comfortable and non-judgmental. Many therapists offer free consultations, giving you an opportunity to ask questions and see if the fit feels right before committing to ongoing sessions.

How do I book a session?

Booking a session on First Session is straightforward. Browse therapists who offer harm reduction support, watch their intro videos, and review their profiles to learn about their approach and availability. When you find someone who feels like a good fit, you can book directly online through their profile. Many therapists offer both online and in-person sessions, giving you flexibility in how you receive support.