Couples Counselling Vancouver

In Vancouver, couples therapy typically costs between $120 and $225 per session, depending on the therapist’s designation, experience, and session length. Some therapists may offer sliding scale pricing. To understand the pricing behind professional therapy, check out why therapy costs what it does in Canada.

MSP (Medical Services Plan) in BC does not cover private couples counselling. However, you may be able to access support through extended health benefits, especailly if your therapist is a Registered Psychologist, Registered Social Worker (RSW), or Registered Clinical Counsellor (RCC). Learn more about accessing mental health support through public and private options.

Couples therapy may be covered under your private insurance plan if the sessions are led by a therapist with a reimbursable license or designation. Depending on your covereage, you may be eligible for couples counselling in Vancouver from a Registered Psychologist, Registered Social Worker (RSW), or a Registered Clinical Counsellor (RCC).

Make sure to check with your provider. For a deeper breakdown and help navigating your insurance to locate your coverage, see our guide on how to find a therapist covered by insurance in Canada.

Bringing up therapy with a reluctant or hesitant partner can be tricky. Start with openness and curiosity. Use "I Statements", and definitely don't blame. Explain how therapy could strengthen your connection or help you work through a specific challenge together. Our guide on how to encourage someone to go to therapy has helpful tips for navigating this conversation.

Couples seek therapy for a wide range of reasons—from communication struggles to emotional distance, infidelity, or life transitions. Common challenges include:

• Divorce and separation
• Sexual disconnect
• Emotional affairs
• Conflict resolution and communication issues, including learning tools like "I statements"

If you're concerned on having to travel across Greater Vancouver, like battling the North Vancouver commuter traffic, you can absolutely get couples therapy online. Online couples counselling, can be just as effective as in-person sessions. Virtual therapy offers more flexibility and can be especially helpful for busy schedules or long-distance relationships. On First Session, you can filter by therapists offering online therapy in British Columbia.

Yes—at First Session, you can filter by therapists who identify as LGBTQIA+ or who specialize in working with queer and gay couples. Many therapists across the lower mainland offer culturally competent support that’s inclusive of your relationship structure, gender identity, and lived experience. We even have therapists experienced in polyamorous relationships.

The Gottman Method is a structured, evidence-based approach that focuses on building friendship, managing conflict, and creating shared meaning in relationships. Solution-Focused Therapy, on the other hand, emphasizes finding practical, short-term strategies to improve specific concerns. You can find therapists in Vancouver trained in both modalities by reviewing their approach on their therapist profile.