CBT FAQs | CBT Associates

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Seeking Help

Why do I have this problem?

Little is known about the causes of depression and anxiety, and each person’s circumstances and experiences are different and complex. As a result, we are often unsure why a person is experiencing problems. It has been convincingly demonstrated that simply understanding why someone has problems will not help a lot. To overcome problems, people must move from understanding to action, by challenging and changing their thoughts, assumptions, beliefs, and behaviours.

Fortunately, although we know less than we would like to about the causes of anxiety and depression, we do know what works to help people get better and stay well. Thus, rather than looking back, the focus of CBT is on solving problems in the present and looking forward.

Should I see a psychologist?

Although many people get professional help for personal problems, it can be hard to recognize when you or your loved ones need professional help and to know how to get started. Even if your problem is not overwhelming or a full-blown crisis, you may still benefit from psychological help. You may wish to talk to a psychologist to analyze and understand the problem, develop healthy strategies, and make the necessary changes.

Don’t wait until you are overwhelmed: Waiting may cause needless suffering and let a problem get worse over time.

As you can see by the partial list of reasons below, challenges at home, work or school can happen to anyone. If you, or someone you know, has experienced or is experiencing a problem on this list, please consider speaking with a psychologist soon.

Abuse or violence
A traumatic incident, such as a life-threatening accident
Overuse of alcohol, prescription medications, street drugs, or excessive gambling, that is impacting your life
Eating disorders (anorexia, bulimia, compulsive over-eating)
Frequent feelings of anxiety and/or depression, or suicidal thoughts.
Phobias (for example, fear of insects, going outside, talking to others, or certain foods)
Chronic pain and/or illness
A learning disability, or poor performance in school
Difficulty fully recovering from brain injury
Chronic illness or disability
A strong and persistent reaction to a tragic event such as the death of a loved one, a separation or divorce, the loss of a job, etc.
Difficulty getting along with your partner, family members, or co-workers
A major life change
Feelings of being overwhelmed or “burned-out” due to stress at home, work or both
Problems parenting your kids or helping a loved one suffering from dementia or Alzheimer’s disease.
The need for an assessment regarding child custody and/or access
The need for an assessment to support claims for personal injury

Source: The Ontario Psychological Association – http://opajoomla.knowledge4you.ca/

Should my child see a psychologist?

Sometimes it’s hard to know when children or adolescents need professional help. Some people get help when family members are not getting along. Others seek help when they find it hard to manage or parent their children. Often adolescents request someone to speak to when they feel uncomfortable speaking with their parents about their problems or worries. You might also consult a psychologist if your child or adolescent is:

Having difficulties at school or learning difficulties
Developing differently or slower than others
Wetting the bed beyond the usual age
Behaving in a socially immature manner
Having difficulties in interactions with peers
Sleeping poorly
Overly active or having difficulty paying attention
Aggressive and destructive behaviour
Lying or stealing
Anxious or depressed
Having difficulty with drugs or alcohol
Poor eating habits or showing signs of an eating disorder; or
Adjusting poorly to change such as a move, divorce, or separation

How would a psychologist help?

Usually, a psychologist will talk to parents to help them identify and clarify their concerns about their child. Often, the child will be included in this initial session; the psychologist will let you know if this is best. Adolescents can usually choose to speak to a psychologist alone or with their parents for part of a session, depending on their abilities and comfort level. A structured psychological assessment, often with measures (or questionnaires) provide the psychologist with helpful information about the child for treatment planning. As part of an assessment, the psychologist may also want to collect information from teachers, primary care providers or other health care specialists that know your child. They will only do this with your permission.

Over the course of treatment, a psychologist may see the child alone, parents alone or parents and children together. Some treatments may involve the whole family. Throughout the process, child or adolescents and their caregivers are involved in reviewing goals and outcomes of therapy.

How do I choose a psychologist?

Make sure that you find a psychologist with whom you feel you fit comfortably so you can share important information more easily and work together more productively.

It is important to find out if your therapist is registered with the College of Psychologists of Ontario or another regulated health profession. If your therapist is in supervised practice with the College of Psychologist of Ontario or is being supervised by another regulated health care professional you should be contacted by that supervisor before you speak with your therapist. Your therapist’s supervisor will want to speak to you to explain supervised practice and give you the chance to ask any questions you might have about it.

Your therapist should be comfortable about answering questions about their experience and expertise that are relevant to you and your concerns. Psychologists who are trained in evidence-based assessment and treatment should be comfortable describing how they would work with you in some detail and should answer your questions about their practice.

If a healthcare professional cannot answer reasonable questions to your satisfaction, consider consulting someone else.

Why should I see a regulated professional?

Psychologists are regulated health service providers, registered with the College of Psychologists of Ontario to practice psychology within the framework of the Regulated Health Professions Act (RHPA). The College is charged by the Government of Ontario with setting the standards psychologists must follow when providing services in the province. This regulation ensures the public receives high-quality services and is protected from unprofessional and unethical conduct. Only those registered by the College are allowed by law to call themselves psychologists or to offer psychological services.

Regulation protects the public by ensuring that psychologists:

Are well trained
Stay well trained through continuing education
Obey provincial laws, regulations and a code of ethics to ensure patients are safe and receive excellent services; and
Are answerable for consumer complaints to the College of Psychologists of Ontario.
Protect their personal information so it remains private.
Unless they are licensed psychologists, people who call themselves counsellors or family therapists are not currently regulated health professionals covered by the Regulated Health Professions Act.

Source: The Ontario Psychological Association – http://opajoomla.knowledge4you.ca/

About CBT Associates

Why choose CBT Associates?

CBT Associates is a large, well-established and rapidly-growing network of clinics that provides evidence-based psychological services to children, adolescents, adults of all ages, and couples.

We are a highly-qualified group of over 50 psychologists and psychological associates who provide personalized, compassionate, respectful and discreet treatment with the highest level of professional care. We focus on leading-edge, evidence-based Cognitive Behavioural Therapy (CBT).

We are dedicated to excellence and hold each other to the highest possible standard of clinical care and client service. Our large group practice provides important advantages to our clients and associates – it enables us to engage in peer consultation, scrutiny and support to significantly enhance the quality of our clinical service. In addition, our size and structure offer a number of other advantages that promote excellence.

Three things really set us apart:

Our large team of registered psychologists maintain the highest standard of clinical care. We maintain the highest standards of training and supervision. Many of us are affiliated with teaching hospitals and universities. Visit www.cbtassociates.com/ourteam to learn more.
Our scope. Our clinicians have deep and wide expertise in a range of Cognitive Behavioural Therapy (CBT) as well as Dialectical Behavioural Therapy (DBT), Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Cognitive Therapy (MBCT), which enable us to individualize our approach for a variety of problems. We will match you with an experienced clinical psychologist who has the training, knowledge and skills to focus on your unique needs.
Our two locations in the Greater Toronto Area. You don’t need to come downtown to get help. We also provide secure online video-based treatment throughout Ontario.

How will I know if CBT is right for me?

Most people know within two to four sessions if they are comfortable with their therapist and CBT is likely to be helpful. It usually takes longer than two to four sessions to experience any significant change in symptoms or distress. We encourage everyone to discuss their progress with their therapist after four to six weeks of treatment.

What can I expect during therapy?

Once initial goals are decided upon, expect a good clinician to discuss one or more approaches for helping you reach your goals. If you are not progressing, or if progress is too slow, your clinician should suggest modifying or changing the treatment approach. At each of these points you may want to ask yourself the following questions:

Do you understand what the clinician has asked you to do?
Do the clinician’s instructions seem relevant to your goals?
Do you believe that following these instructions is likely to help you make significant progress?
Has the clinician given you a choice of alternative therapy approaches?
Has the clinician explained possible side effects of the therapy?

In evidence-based treatment you should expect an initial consultation/assessment session during which your therapist will ask you questions about your personal history and your background before asking you about the problem that brings you to therapy. At your initial consultation with CBT Associates, your clinician may ask you a lot of questions about symptoms based on a semi-structured interview that will enable an accurate diagnosis of your problem. At the end of the initial appointment you should have a better understanding of your problem and begin to work collaboratively with your therapist to set initial goals for treatment.

In subsequent treatment sessions, you and your therapist should work towards the goals that you have identified for treatment. Your clinician should be able to describe and discuss one or more approaches for helping you achieve those goals and should introduce specific tools and strategies for you to try between sessions. In evidence-based treatment, your therapist should give you specific tools and techniques to use and experiment with between sessions. If your therapist isn’t doing this, you are not getting evidence-based treatment.

In CBT you should begin to notice some progress after two to four sessions. If you do not, then your clinician should start a discussion about why treatment isn’t working as expected and suggestions some ways to change the approach to treatment.

How many sessions will it take to get better?

For most problems, cognitive behavioural therapy (CBT) involves between eight and 20 individual, couples, or group psychotherapy sessions. Individual therapy typically consists of weekly 50-minute sessions. In circumstances where a person requires more intensive treatment, we may recommend longer sessions, meeting more than once per week, and/or scheduling house calls or videoconferencing to provide in-home therapy in our clients’ homes (an approach we have found to be efficient, effective and convenient).

What is the frequency of sessions?

Most individual treatment sessions are scheduled for once each week and usually last 50 minutes (leaving the psychologist ten minutes between clients for record-keeping and any additional business, such as completing insurance forms). Couples and group sessions usually last longer.

We are flexible about how we deliver treatment and the level of intensity we offer. Fifty-minute sessions once per week at our office don’t work for everyone, so we also offer video sessions and options for more intensive treatment. More intensive treatment may include longer sessions; multiple sessions per week; treatments in which a senior psychologist provides the psychotherapy and an MA-level person helps out with in vivo exposure (which are helpful in the treatment of severe OCD); and, in extreme cases, home visits, which involve added costs for our travel time.

What about medication?

For most mood and anxiety problems, CBT is at least as effective as medication. In addition, CBT is often more effective than medication in maintaining wellness and preventing relapse over the long term. However, many people benefit from a combination of medication and CBT. Often, medication is used to provide some relief from symptoms while CBT is used to provide long-term strategies for getting well and staying well.

Advantages of medications include the fact that they can provide significant symptom relief without a lot of effort. Disadvantages include side effects and the significant risk of a return of symptoms when a person stops taking the medication.

Advantages of CBT include the fact that it appears to be more effective than medication in maintaining wellness and preventing relapse. Disadvantages include the cost and the time and effort required to attend therapy sessions and do the homework.

How much does therapy cost?

The Ontario Health Insurance Plan (OHIP) does not pay for psychologists’ private services. We set our fees according to the guidelines set by the Ontario Psychological Association.

Some extended health insurance plans will reimburse all or part of the fees paid to a psychologist. Also, the Canada Revenue Agency has ruled that non-reimbursed fees paid to a registered psychologist in Ontario may be claimed as medical expenses on your income tax return.

Extended healthcare insurance plans differ considerably in the types of coverage they provide. Please check your plan carefully to see what coverage it provides for psychological services, the claim procedure, details required on receipts, payment options, and if you require a letter of referral from your physician.

How do I pay?

Payment for services is due at the end of each session, and a receipt is given when payment is received. Please retain these receipts for your insurance or income tax claims, if applicable. We accept payment by cash, cheque, Visa, MasterCard, or debit.

In some circumstances, we will bill a third party directly for the services you receive (e.g., your insurance company). However, this option is available only if the third party authorizes the treatment in advance and agrees in writing to pay for it.

What is the policy for cancelled or missed appointments?

To help us reliably meet the needs of all our clients, we must ask you to provide 24 hours’ notice when cancelling or rescheduling an appointment. Appointments without sufficient notice will be charged the full fee.

What is supervised practice?

People in supervised practice are registered as such with the College of Psychologists of Ontario and have nine years of clinical training and 3,500 hours of supervised clinical experience. While most of our Associates may have more years of clinical training and clinical experience, our Associates in Supervised Practice are young, bright, highly-motivated, trained in the most up-to-date treatments, and supervised by a senior psychologist with decades of experience. They are often an ideal fit for younger people or those who want a current, energetic, and youthful perspective.

What if I am dissatisfied with my therapist?

Psychotherapy can be difficult, distressing and frustrating for a lot of different reasons. If things are not changing in the direction that you would like and/or you feel that your therapist is not effectively helping you work towards specific goals, you may get frustrated and dissatisfied. If that happens, hopefully you feel comfortable enough in the relationship to speak with your clinician about your concerns.

It is important to have a good fit and sometimes people just decide that they would be more comfortable speaking with someone else. Competent therapists should not be threatened by your concerns and should be open to this discussion. Good therapists know that they are not the best fit for every person and problem. A discussion of your concerns could in fact lead to a better relationship and more effective psychotherapy.

However, it is also acceptable to switch psychotherapists. If you are working with CBT Associates, contact our Clinical Director and ask for a transfer to another clinician. The Clinical Director will encourage you to speak to your clinician to address your concerns. However, if you want to switch clinicians, the Clinical Director will arrange for you to be seen by another clinician at CBT Associates. With your written permission your file can be transferred to your new therapist, so that you do not have to re-invent the wheel and repeat the entire assessment process.

If you and/or your clinician are feeling stuck and not making progress in treatment as expected, consider getting a second opinion. A consultation with another psychologist who has expertise in your area can sometimes lead to helpful advice and direction. Often your clinician may have another expert to recommend for a second opinion. Good therapists know that they can sometimes get stuck and appreciate peer scrutiny. At CBT Associates, our size and scope of expertise allow us to provide excellent in-house consultation services.

About Psychotherapy

What is a psychologist?

Psychologists:

Are registered healthcare professionals who are regulated like physicians, surgeons, and dentists.
Work with individuals, groups and organizations to promote positive change by assessing and treating psychological problems.
Are trained to assess problems accurately using psychological tests and semi-structured interviews. These scientifically validated techniques enable us to understand people’s problems and provide informed, evidence-based solutions.
Use psychological treatments (evidence-based talk therapy) to help people overcome their problems.

Why choose a psychologist?

In Ontario, psychologists are regulated health professionals. We have more training in the assessment and psychological treatment of mental health problems than any other profession – at least nine years – before we join the College of Psychologists of Ontario. Unlike many other mental health professionals, psychologists can perform the controlled act of making an accurate diagnosis, which is essential to effective treatment for most problems.

What is the difference between a psychologist and a psychiatrist?

Psychologists are closely aligned with psychiatrists as both are highly-trained professionals. Psychiatrists are oriented toward pharmaceutical solutions (some illnesses in fact lend themselves to medication versus talk therapy, such as severe depression or schizophrenia); while psychologists are oriented toward talk therapy as a solution.

Psychologists and psychiatrists both undertake about the same number of years of education and training. Some of their training is similar (e.g., regarding diagnosis) and some is quite different.

Psychologists have doctoral degrees in psychology and specialize in the assessment, diagnosis and treatment of human emotion, thought and behaviour. They have advanced training in psychotherapy and the science of behaviour change. Although they may be trained in understanding the use of medication to treat mental illness, in Ontario they are not as yet licensed to prescribe medications. Psychologists are the only professionals qualified to use certain kinds of psychological tests to assess intelligence as well as emotional and behavioural problems and neuropsychological dysfunction (that is, mental dysfunction arising from a physical cause).

Psychologists’ fees in Ontario are covered by private payment, extended medical plans, employee assistance programs, and/or government services and agencies or other special programs. They are licensed by the College of Psychologists of Ontario.

When you choose a psychologist, you can be assured that this professional has received extensive formal training and supervision in her or his area of expertise, will adhere to a strict code of ethics and professional standards, and is governed and regulated by the College of Psychologists.

Similar to your family physician, a psychiatrist has a degree in medicine. This degree is quite different than psychology degrees and also involves additional specialized training in the diagnosis and treatment of mental illness. In Ontario, psychiatrists tend to focus on the biological aspects of mental health while psychologists tend to focus on the cognitive, emotional and behavioural. Psychiatrists are licensed by the Government to prescribe medication. The practice of most psychiatrists in Ontario is focused on prescribing medications and consulting with family physicians, psychologists and other health professionals. In fact, psychologists and psychiatrists often work closely together.

In Ontario, psychiatrists’ fees are covered by the Ontario Health Insurance Plan (OHIP). As with psychologists, you can be assured that psychiatrists have extensive formal training and supervision in their areas of expertise and will adhere to a strict code of ethics and professional standards. Psychiatrists are governed and regulated by the College of Physicians and Surgeons of Ontario.

Psychologists and psychiatrists are regulated health professionals. Other mental and behavioural health professionals might not be regulated and might not be trained in the assessment, diagnosis, and treatment of mental health issues.

Source: The Ontario Psychological Association – http://opajoomla.knowledge4you.ca/

What is the difference between a psychotherapist and a psychologist?

The first important difference between psychotherapists and psychologists is the number of years of education and training required to register by each college. The College of Registered Psychotherapists of Ontario requires members to complete any recognized training program in psychotherapy, with 450 hours of direct client contact, and 100 hours of clinical supervision. In contrast, to become a psychologist in Ontario the College of Psychologists requires:

An undergraduate degree in psychology
A masters degree in psychology
Doctoral-level education and training equivalent to a PhD in Clinical Psychology or PsyD from a CPA or APA accredited program
Completion of at least two 500-hour clinical practicum placements
Completion of a year-long (1,500-hour) clinical residency; and
Completion of a year-long period (1,500 hours) of supervised practice while registered with the College of Psychologists as a psychologist in supervised practice (CPsych, Supervised Practice).

In summary, on average, to register with the College of Psychologists of Ontario Psychologists need to have nine years of academic and supervised clinical training in assessment and treatment of mental health problems. In fact, Psychologists have more training in psychotherapy by far than any other regulated health professional.

The second important difference is that psychologists are able to perform the controlled act of communicating a diagnosis of mental illness whereas psychotherapists are not. This is an important difference because, before you can treat a problem effectively, you need to be able to identify it accurately through a rigorous assessment process, name the problem (i.e., to diagnose it) and then have a discussion about options for evidence-based treatment. If you want to speak to someone about a problem, you probably want a person who can assess and diagnose your problem accurately before beginning any psychotherapy.

While psychotherapists’ fees may be eligible for coverage by insurance companies and employee programs, they don’t have nearly the same training as psychologists and cannot diagnose problems.

Personal Information

What is personal information?

Personal information is information about an identifiable individual. It includes information that relates to:

Personal characteristics (e.g., gender, age, home address, personal phone number, education and training, family circumstances)
Health (e.g., health history, health conditions, health services received
Activities and views (e.g., occupation/profession, ideas and concerns)

Personal information differs from business information (e.g., an individual’s business address and business phone number), which is not protected by privacy legislation.

Our main purposes for collecting personal information

For clients:

CBT Associates collects, uses, and discloses personal information only to provide psychological services to our clients. For example, we collect information about clients’health history (including their family history, physical condition and functioning) and social situation to help us assess their mental health needs, to advise them of their options, and then to provide the psychological services they choose.

Another important reason we collect personal information is to obtain a baseline and ongoing record of psychological functioning. That way, we can monitor treatment progress and identify changes that occur over time.

In some situations, we collect personal information to conduct an assessment to provide a professional opinion about an individual’s psychological functioning. With the client’s informed and written consent, that opinion would be reported to the appropriate person or agency (e.g., an insurance company, Workplace Safety and Insurance Board, the Children’s Aid Society, or rehabilitation companies).

It would be rare for us to collect or disclose personal information without a client’s expressed consent; however, this might occur in an emergency (in which case the client would be notified in writing as soon as possible) or if we believed that the client would consent if asked and it was impractical to obtain consent (e.g., if a family member passed a message on from our client and we had no reason to believe that the message was not genuine).

For members of the general public:

For members of the general public, our primary reasons for collecting personal information (e.g., contact phone numbers) are to make them aware of the range of psychological services available in our clinics and to direct them to the appropriate psychologist.

Additional reasons:

Like most organizations, we must also collect, use, and disclose information for several other reasons. The most common examples include to:

Invoice clients for unpaid services, process credit card payments, or collect unpaid accounts
Allow our regulatory body, the College of Psychologists of Ontario (CPO), to inspect our records and interview our psychologists (by law the CPO may do these things as part of its regulatory activities in the public interest following its own strict privacy obligations)
Disclose the cost of some services we provide to clients that will be covered by third parties (e.g., insurance companies, Workplace Safety and Insurance Board, First Nations and Inuit Health Branch, Canadian Forces, or CUPE) to demonstrate a client’s entitlement to funding (e.g., through their Canadian Forces or First Nations identification). These third-party payers often have your consent or legislative authority to direct your private information to them.

Protecting personal information

CBT Associates understands the importance of protecting personal information. We have, therefore, taken the following steps:

Paper information is either under supervision or secured in a locked and restricted area.
Electronic hardware is either under supervision or secured in a locked and restricted area at all times. Encryption and passwords are used on computers.
Paper information is transmitted through sealed, addressed envelopes or boxes by reputable couriers or Canada Post.
Electronic information is transmitted through a dedicated line only to people and agencies that have a privacy policy.
All CBT Associates personnel are trained to collect, use, and disclose personal information only as necessary to fulfill their duties according to our privacy policy.
If your psychologist becomes incapacitated or dies, your records are placed in the care of another psychologist for protection, not examination. If you were to see another psychologist, your records could be sent to her or him at your written request.

Limits to the protection of personal information:

Limits to the protection of personal information include legally-mandated disclosure to the Children’s Aid Society and the College of Psychologists of Ontario, court orders to release information, search warrants for a file for a criminal or legal case, and subpoenas.

Retention and destruction of personal information:

We retain personal information for some time to ensure we can answer any questions clients might have about the services provided and to ensure our accountability to external regulatory bodies.

We also provide ongoing services for many clients; in such cases, previous records are helpful. We retain our client information for a minimum of ten years after the last contact to enable us to supply these services. The College of Psychologists of Ontario also requires us to retain client records for ten years. For clients who are seen before the age of 18, records are retained for ten years following their 18th birthday.

We destroy electronic information by deleting it and, when the hardware is replaced or discarded, we ensure that the hard drive is physically destroyed. Personal information that is not part of a client’s permanent clinical file is shredded at the end of treatment before the file is archived.

If CBT Associates were sold, none of our client records would be transferred to or accessed by the new owners.

Your right to look at your personal information:

With only a few exceptions, you have the right to see the personal information we hold about you. Often, all you have to do is ask. We will also help you understand any information that you do not understand (e.g., abbreviations or technical language).

Before providing you with such access, we will confirm your identity. We also reserve the right to charge a fee for such requests, and we may ask you to put your request in writing. If we cannot give you access, we will inform you of the reason within 30 days of receiving your request.

If you believe that there is a mistake in your personal factual information, you have the right to ask for it to be corrected. We may ask you to provide documentation proving that our files are wrong. If we agree that we made a mistake, we will make the correction and notify anyone to whom we sent this information. If we do not agree, we will nevertheless include in our file a brief statement from you on the point, and we will forward that statement to anyone else who received the earlier information.

If you have any questions about this Privacy Policy or the handling of your personal information, please contact the Privacy & Security Officer at privacyofficer@cbtassociates.com or Information Officer at informationofficer@cbtassociates.com.

If you wish to make a formal complaint about our privacy practices, you may make it in writing to our Privacy & Security Officer and/or Information Officer by e-mail or mail to

175 Bloor Street East
Suite 801, North Tower
Toronto, Ontario M4W 3R8.

For more information on your privacy rights, you may contact:

Office of the Privacy Commissioner of Canada
1-800-282-1376
www.priv.gc.ca/en/about-the-opc
30 Victoria Street
Gatineau, Quebec K1A 1H3

Information and Privacy Commissioner of Ontario

1-800-387-0073
www.ipc.on.ca/about-us
2 Bloor Street East,
Suite 1400
Toronto, ON M4W 1A8

Is my personal information private and secure?

Privacy of personal information is an important principle at CBT Associates. We are committed to collecting, using, and disclosing personal information responsibly, and only to the extent necessary for the services we provide.

Our policy was formed to comply with the Personal Information Protection and Electronic Documents Act and the Ontario Personal Information Act. Indeed, our policy to protect your privacy is more stringent than the legislation requires because of our psychologists’ ethical code.

What about confidentiality?

CBT Associates’ services are strictly confidential. The information you talk about with your therapist will be known only to you and your therapist. We do not release any information about you to anyone without your written permission, except as required by Ontario law.

Our policy regarding confidentiality is that no information we have about you (including all information contained in your clinical file) will be communicated directly or indirectly to any third party without your informed and written consent, except when we have the following legal obligations to release confidential information:

If your therapist believes that you pose an imminent danger to yourself or to someone else, he/she is required to contact the authorities – people who can intervene to help prevent harm to you or others, and any intended victims of harm.
If your therapist learns that you have been sexually or physically abused by another registered health provider (e.g., a physician, dentist, or psychologist), he/she is required to contact that person’s regulatory college and report what he/she knows; however, the therapist would not give your name without your permission.
If your therapist suspects or is informed that a child is at risk of being harmed in any way (e.g., through sexual or physical abuse or negligence), he/she must contact Child and Family Services and report all relevant information.
If your therapist suspects or is informed that an adult resident in a long-term care facility is at risk of being harmed in any way (e.g., through sexual or physical abuse, negligence), he/she must contact Child and Family Services and report all relevant information.
If the contents of your CBT Associates file are subpoenaed by a court of law, your therapist is required to release the file to the court.
If the College of Psychologists of Ontario (CPO) requests access to CBT Associates’ files for the purposes of assuring quality of care, we are obligated to allow them that access. The CPO is bound by its own strict confidentiality rules.

FAQ

Seeking Help

Why do I have this problem?

Should I see a psychologist?

Should my child see a psychologist?

How would a psychologist help?

How do I choose a psychologist?

Why should I see a regulated professional?

About CBT Associates

Why choose CBT Associates?

How will I know if CBT is right for me?

What can I expect during therapy?

How many sessions will it take to get better?

What is the frequency of sessions?

What about medication?

How much does therapy cost?

How do I pay?

What is the policy for cancelled or missed appointments?

What is supervised practice?

What if I am dissatisfied with my therapist?

About Psychotherapy

What is a psychologist?

Why choose a psychologist?

What is the difference between a psychologist and a psychiatrist?

What is the difference between a psychotherapist and a psychologist?

Personal Information

What is personal information?

Is my personal information private and secure?

What about confidentiality?

Can We Help You?

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