Confidentiality in Therapy and Ethical Guidelines in Canada

In Canada, confidentiality and ethical guidelines for therapists are crucial aspects of professional practice, designed to protect client privacy and ensure ethical treatment.
Therapists in Canada are typically governed by provincial regulatory bodies, and these bodies may have additional or specific guidelines tailored to their jurisdiction.
Here's an overview of these guidelines in Canada:
1. Confidentiality
Client Privacy: Therapists must keep all client information private, sharing it only with the client's consent or as required by law.
Limits to Confidentiality: In Canada, there are specific situations where a therapist is legally and ethically required to break the confidentiality clause. These exceptions are generally consistent across provinces and territories, but therapists must always be aware of the specific laws and regulations in their jurisdiction.
- Risk of Harm: If there's a serious, immediate risk of harm to the client or others.
- Child Abuse or Neglect: If there's suspicion or evidence of child abuse or neglect.
- Court Orders: If required by a legal proceeding or court order.
- Client Consent: When the client consents to share specific information.
Record Keeping: Therapists are required to maintain secure and confidential records of their sessions with clients.
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Flip Smith
Registered Psychotherapist (Qualifying)
- Virtual sessions in all provinces and territories.
Flip Smith
Registered Psychotherapist (Qualifying)
- She/Her
- Offers free consultation
- $150/session
- Low Self-Esteem and Self Worth, Confidence, Early childhood, Anxiety, Anxiety and Stress Management Skills, Befriending the Nervous System, Boundaries and boundary setting, Body Dysmorphia, Bullying, Childhood trauma, Chronic and acute illness, Chronic Illness, Depression, Depression coping skills, Grief and Loss, Health anxiety, Identity and Self-Exploration, Imposter syndrome, Intergenerational trauma, Negative body image, Negative thinking and ruminating, Parts Work, People pleasing, Perfectionism, Trauma

Shadan Mosavat
Registered Clinical Counsellor
- Virtual sessions in BC, NU, AB, MB, NL, NT, SK, YT
Shadan Mosavat
Registered Clinical Counsellor
- She/Her
- Offers free consultation
- $180/session
- ADHD, Borderline Personality Disorder, Emotional regulation, Attachment, Boundaries and boundary setting, Childhood trauma, Couples, Dealing with difficult or narcissistic personalities, Depression, Anxiety, Trauma, Stress, Self-Regulation, Befriending the Nervous System, General Mental Health, Mindfulness, Nervous system regulation, Neurodiversity, OCD, Personal Growth, Coping Skills, Racism, Relationship to self and others, Eating disorders, Cultural Challenges

Richard Tatomir
Canadian Certified Counsellor
- Offers in-person (Langley, BC)
- Virtual sessions in all provinces and territories.
Richard Tatomir
Canadian Certified Counsellor
- He/Him
- Offers free consultation
- $200/session
- Neurodiversity, Supervising qualifying therapists, Complex Trauma (CPTSD), Psychedelic therapy, ADHD, Life transitions, End of Life Support, Cultural Challenges, Spirituality, Family Conflict, Abuse (Sexual/Physical/Verbal), Relationships, Behavioural Issues, Addiction, Anxiety and Stress Management Skills, Assertiveness, BIPOC, Befriending the Nervous System, Burnout, Caregiver burnout, Understanding & Regulating Emotions, Career Performance, Intergenerational trauma, College or University Coaching, Codependency

Raquel Ramos Nicolau
Registered Therapeutic Counsellor
- Offers in-person (North Vancouver, BC)
- Virtual sessions in BC
Raquel Ramos Nicolau
Registered Therapeutic Counsellor
- Offers free consultation
- $150/session
- Somatic Therapy, Trauma, Parts Work, Abuse (Sexual/Physical/Verbal), Adjusting to a diagnosis, Anxiety, Attachment wounds, Befriending the Nervous System, Boundaries and boundary setting, Cancer Support, Childhood trauma, Confidence, Vulnerability, Understanding & Regulating Emotions, Trauma processing, Stress, Shadow Work, Separation anxiety, Self-Regulation, Self-Criticism, Self-esteem, Rewilding & Reclaiming the Wild Feminine, Relationship to self and others, Codependency, Self-Image, Self Confidence

Irina Carayannis
Registered Psychotherapist (Qualifying)
- Virtual sessions in ON
Irina Carayannis
Registered Psychotherapist (Qualifying)
- She/Her
- Offers free consultation
- $150/session
- Life transitions, Managing ADHD symptoms, ADHD, Overwhelm, Self-Regulation, Anxiety, Perfectionism, Identity and Self-Exploration, Boundaries and boundary setting, People pleasing, Low Self-Esteem and Self Worth, Emotional regulation, Relationships, Overthinking, Abuse (Sexual/Physical/Verbal), Addiction, Anger, Anxiety and Stress Management Skills, Assertiveness, Burnout, Caregiver burnout, Childhood trauma, Confidence, Depression, Disability, Early childhood, Eating disorders, Emotional Numbness, Empowerment, Financial Stress, Personal Growth, Perinatal, Neurodivergent, Attention-deficit/hyperactivity disorder (ADHD), Relationship Trauma

Jordan Wiener
Registered Psychotherapist (Qualifying)
- Virtual sessions in ON, BC, AB, MB, SK, YT, NT, NU, NL
Jordan Wiener
Registered Psychotherapist (Qualifying)
- Offers free consultation
- $160/session
- Stress, Emotional regulation, Relationships, ADHD, Anger Management, Anger, Couples Therapy, Depression, Workplace stress, Understanding & Regulating Emotions, Spirituality, Sleeping difficulties, Relationship anxiety, Psychedelic therapy, Parts Work, Performance anxiety, Mindfulness, Men's issues, Meaning and purpose, Masculinity, Life transitions, Insomnia, Existential questions, Burnout, Anxiety, Self Confidence

Caitlin Sigouin
Registered Social Worker
- Virtual sessions in ON, QC
Caitlin Sigouin
Registered Social Worker
- She/her
- Offers free consultation
- $165/session
- Grief and Loss, Maternal mental health, Parenting, ADHD, Anxiety, Attachment, Assertiveness, Boundaries and boundary setting, Caregiver burnout, Domestic violence, Emotional regulation, Familial and social relationships, Fertility, Infertility, LGBTQ2IA+, Mind-body connection, Mindfulness, People pleasing, Perinatal, Postnatal Care, Pregnancy, Women's Health, Neurodivergent
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Sunaina Dahiya
Registered Psychotherapist (Qualifying)
- Offers in-person (Brantford, ON)
- Virtual sessions in ON
Sunaina Dahiya
Registered Psychotherapist (Qualifying)
- She/her
- Offers free consultation
- $100/session
- Anxiety, Cultural Challenges, Substance Use, Addiction, Anger, Understanding & Regulating Emotions, Thought Restructuring, Social anxiety, Relationship to self and others, Personal Growth, Perfectionism, Parenting, OCD, Effective communication, Attachment, Building Self-Care Routines, Couples Therapy, Early childhood, Caregiver burnout, South Asian Counselling, Harm Reduction
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Tania Hernandez
Registered Psychotherapist
- Virtual sessions in AB, BC, ON, MB, SK
Tania Hernandez
Registered Psychotherapist
- Offers free consultation
- $170/session
- Anxiety and Stress Management Skills, Relationship to self and others, Life transitions, Attachment, Burnout, Coping Skills, Dating challenges, Depression, Effective communication, Interpersonal dynamics, Low Self-Esteem and Self Worth, Managing ADHD symptoms, Mind-body connection, Mindfulness and stress reduction, Navigating challenging relationships, Negative thinking and ruminating, Nervous system regulation, Relationship anxiety, Self-Criticism, Trauma processing, Women's Health, Work-Life Balance, Somatic Therapy, Understanding & Regulating Emotions, Supervising qualifying therapists
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Olivia Johnson
Registered Psychotherapist
- Virtual sessions in ON
Olivia Johnson
Registered Psychotherapist
- She/Her
- Offers free consultation
- $165/session
- Trauma, Relationships, Borderline Personality Disorder, Self-Regulation, Personality & Mood Disorders, Panic attacks, Mindfulness and stress reduction, Anxiety and Stress Management Skills, Attachment trauma, Attachment wounds, Building Meaningful Connections, Coping Skills, Couples, Couples Therapy, Dissociation, Family Conflict, General Mental Health, Grief and Loss, Mind-body connection, Social anxiety

Jordan Wahlstrom
Counselling Therapist
- Offers in-person (Yorkton, SK)
- Virtual sessions in SK, MB
Jordan Wahlstrom
Counselling Therapist
- He/Him
- Offers free consultation
- $120/session
- Couples, Relationship to self and others, Parenting, Anxiety and Stress Management Skills, Attachment, Boundaries and boundary setting, Building Meaningful Connections, Christian counselling, Conflict resolution, Early childhood, Emotional regulation, Familial and social relationships, Family issues, Intimacy concerns, Men's issues, Navigating challenging relationships, Relationship anxiety, Relationships, Self-Regulation, Couples Therapy, Family Conflict, Work-Life Balance
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Cathy Brehaut
Canadian Certified Counsellor
- Offers in-person (Calgary, AB)
- Virtual sessions in AB, BC, MB, NT, SK
Cathy Brehaut
Canadian Certified Counsellor
- she/her
- Offers free consultation
- $180/session
- Trauma, Neurodiversity, Meaning and purpose, Attachment, Boundaries and boundary setting, Childhood trauma, Cultural Challenges, Existential questions, Family issues, Grief and Loss, Identity and Self-Exploration, Intergenerational trauma, Interpersonal dynamics, LGBTQ2IA+, Parts Work, PTSD, Relationships, Self Destructive Behaviour, Somatic Therapy, Suicidal ideation, Understanding & Regulating Emotions, Harm Reduction
2. Informed Consent
Client Understanding: Therapists must ensure clients understand the nature of therapy, including methods, risks, benefits, and confidentiality limits.
Voluntary Participation: Participation in therapy should be voluntary, and clients have the right to withdraw consent at any time.
3. Professional Boundaries
Avoiding Dual Relationships: Therapists must avoid dual relationships that could impair their professional judgment or increase the risk of harm to clients.
Sexual Boundaries: Any sexual behaviour, physical or verbal, by a therapist is strictly prohibited both by law and by the College. Sexual relationships with current or former clients are strictly prohibited.
4. Competence and Integrity
Professional Competence: Therapists are expected to provide services within their areas of competence and seek additional training or supervision when necessary.
Honesty and Integrity: Therapists should be honest in their professional interactions and avoid misrepresenting their qualifications or services.
5. Cultural Sensitivity
Respect for Diversity: Therapists must be respectful of and sensitive to cultural, individual, and role differences, including those based on age, gender, race, ethnicity, national origin, religion, sexual orientation, disability, language, and socioeconomic status.
6. Accountability
Therapists are expected to adhere to applicable laws and the ethical standards of their professional bodies, such as the Canadian Psychological Association (CPA) or provincial regulatory bodies.
7. Handling Ethical Concerns
Therapists should strive to resolve ethical issues through consultation with professional colleagues or appropriate regulatory bodies. Ethical guidelines often include a duty to report unethical behavior by fellow professionals.
At First Session, we thoroughly screen each candidate to ensure they meet the highest standards of professional practice.. Every therapist on our platform is licensed and are also stands in good standing with their respective Colleges or Associations.


