Frequently Asked Questions

Having a Therapist you can trust and that you feel comfortable with is essential to having an effective session. Therapy only works when you can be open and honest, and you need to be able to trust that your Therapist is there to support you. As with any relationship, it can take some time for the therapeutic relationship to be established.

Some things to watch for when choosing a Therapist:
  • Ensure that your Therapist has credentials that are recognized by a Professional College or Regulatory Body. Regulation by a professional body does some of the work for you by screening and monitoring the behaviour of its members, by requiring ongoing education of your Therapist, and by requiring certain levels of competence.
  • Ask questions about the Therapists’ professional reputation. As with any service, word-of-mouth is one of the best ways to know the experiences of other people. Your Doctor, other Health Care Professionals, Teachers, Guidance Counsellors, and even friends or family will often exchange information about this if they are asked.
  • Ask to speak to the Therapist for a few minutes on the phone for no fee. It is reasonable to ask to speak to a potential Therapist for 5-10 minutes to ask about their qualifications, their familiarity with your problem, or their general approach to helping people.
  • Give plenty of feedback. The therapeutic relationship depends, among other things, on the usual habits of good relationships, including transparency and communication. Despite what movies and television may depict, your Therapist cannot “read minds.” Tell them how you find your therapy experience, so that they are able to adjust their communication style to best suit you.
  • Stick with it. Know ahead of time that therapy can sometimes make things more painful before they get easier; this is because therapy will bring you face to face with your problem. This is a sign that good things are happening, and your Therapist will support you through it.
Choosing the type of therapy you need is a difficult challenge. One of the most important questions to ask is what type of evidence is there that proves the effectiveness of the therapy. Don’t take someone’s word for it – look for treatments that have solid evidence gathered from objective sources. Cognitive Behavioural Therapy is a thoroughly tested, proven method with simple but effective skills and tools to help you succeed. At Qualia, we believe CBT is by far the best option for evidence-based therapy.
Cognitive Behavioural Therapy is good fit for a wide range of life challenges. CBT is likely best for you if:

  • You are facing a problem such as mental illness, low self-esteem, couples’ conflict, or mismatched expectations from family members, and need an achievable solution.
  • You are ready to work. CBT is an active, intense therapy for both the Therapist and the Client, often including homework, behaviour experiments, and guided reflection.
  • You’re ready to give your therapy the time it needs. Quite often, therapy requires weekly sessions so that a momentum is created, and change becomes more likely. Clients that cannot make regular appointments or complete homework are better suited to other types of therapy.
Cognitive Behavioural Therapy is focused on producing a noticeable change in your life, in a reasonable amount of time. Depending on the type of support you require, you and your Therapist will work out exactly how many sessions will fully equip you with the skills you need. For example, simple problem-solving dilemmas can often be dealt with in a couple of sessions, while treatment for severe depression will take between 12 and 20 sessions in order to do the work deeply and thoroughly.

Because each session is customized for your needs, other factors that determine the length of your therapy include:
  • How debilitated you have become as a result of the issue
  • How long the problem has been around
  • How frequently you are able to attend therapy to do the work
  • How much support you have in your life as you work for change
  • The number of problems you’d like to address with your Therapist
  • The financial resources available to you in seeking treatment

As a general rule, your Therapist is often able to estimate how many sessions will be needed to address your concerns within the first session or two. They will consult with you throughout your therapy about this.

Therapy – even therapy for debilitating psychiatric concerns- is only covered by OHIP when it is provided through a crisis visit to the hospital, or through a non-profit community service. As with all professional services, the cost of Cognitive Behavioural Therapy is something that must be considered carefully, and this service is not “cheap” to obtain.

As with any industry, our fees are based on our understanding of current market trends. In Kitchener-Waterloo, someone seeking Psychotherapy can expect to pay between $75-$250 dollars for one 50-minute session, depending on a number of factors (for example, a non-regulated Therapist working out of a home office, versus a sub-specialized Psychologist at an established practice).

Many of our clients are able to utilize their group benefits to cover our services; we strongly encourage you to check the extent of your group benefits when seeing a registered social worker for this information. At this time, we have created relationships with the following bodies to provide our professional services, including assessment, professional reporting, and inter-professional consultations with:

  • Manulife Insurance Company
  • Great West Life Insurance Company
  • Sunlife Insurance Company
  • The Co-Operators Insurance Company
  • Workplace Safety and Insurance Board of Ontario
  • Non-Insured Health Benefits Program (Government of Canada)

If you have any questions regarding services please feel free to contact us at 519-742-0500.

Cognitive Behavioural Therapy helps you produce real, lasting change in your life. It does this primarily through challenging your current thinking, often including long-held beliefs about ourselves, about others, and about the way the world works. The best thing you can do to help your therapy succeed is to come with an open mind, ready to find creative new ways to manage the stress of life. Those who do best in therapy are those who –either naturally or through self-discipline- take a positive, hopeful attitude that things can and will get better.
Other ways you can help maximize your time in therapy are:


  • Reflect on what you’re learning. This can be done by talking with friends or family, or through something more private, like journaling and meditating.
  • Read about your problem. Ask your Therapist for suggestions of what to read that may lead to greater insights about your concerns.
  • Do your homework. You and your Therapist will often discuss activities in your week that help you address your concerns. Cognitive Behavioural Therapy uses homework to help you build in the skills you need to succeed in your therapy.
  • Get toxic people out of your life. Take the attitude of the wise: that people who bring consistent negativity into your life –regardless of why- degrade your attempts to be happier. Exercise your responsibility to fill your life with good people.
  • Aspire toward balance in the whole of life, including a nourishing diet, moderate exercise, managing your financial resources, or spiritual expression of some kind.
  • Be generous. Give away your time, money, praise, or affection to others. Research says that giving a part of ourselves to causes that benefit children, the elderly, the disabled, homeless, or otherwise marginalized people, provides both inner and outer positive feedback. It’s an old- fashioned way of being that simply makes us feel good.
  • Listen to others’ stories. Stepping into others’ realities is a powerful way to help us get perspective on our own.
  • Have fun. Every issue brought to a Therapist’s office is causing stress in some way. Fun is the enemy to stress, and is always a part of good self-care, whether it be hobbies, interests, or trying something new.
We are able to offer a sliding scale if you are willing to be seen by a clinical learner. Please note that clinical learners are only with us for a portion of the year, therefore, the sliding scale will only be available when a learner is with us. The fee for these appointments are typically 50% of our current hourly rate. Please contact us to learn more.
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