The work
The work I do is relational and focused on pattern. I don't run intake checklists. I don't assign homework. I pay attention to what happens in the session. The moments when something shifts or goes flat. The pattern that keeps showing up underneath the problem. Most people already know their own story. They still keep landing in the same place. What's missing is someone watching in real time, someone who can name what you cannot see from inside it. More on how I work, and how I work with couples.
What people bring to online therapy
The people I work with in English come for a wide range of reasons: anxiety, depression, stress and burnout, anger management, grief and loss, relationship difficulties, loneliness, self-esteem issues, procrastination, sleep problems, attachment patterns, self-sabotage, perfectionism, identity questions, and existential concerns. Online counseling makes this work possible from wherever you are, whether you need an English-speaking therapist, a virtual counselor, or simply someone who can work in your language at a depth that matters.
How it works
Sessions are online via secure video call. I work with individuals and couples (60 minutes). Before your first session, we have a free 15-minute call to see if this feels like the right fit for you.
What I see from Toronto
Half of Toronto was born somewhere else. That makes it the rare city where being new is the norm and still lonely. The streams I see. The Bay Street and tech workers whose benefits cover eight sessions and whose problems run longer than that. The Americans who moved for work or politics. They found Canadian reserve a softer wall than they expected, but a wall. The newcomers running the points-system marathon. Staying becomes a second job. The condo-tower loneliness that winter turns from a phrase into a floor plan. And the returnees and second-generation kids who carry family hopes across two worlds at once. The city is decent, orderly, and busy. It will let you stay alone in it forever without ever being rude about it.
Why people here look outside the city
Toronto therapy is private-pay either way, so my clients chose on other grounds: a psychodynamic orientation that is scarcer locally than the directories suggest, a practice built entirely around cross-cultural and expat lives, distance from Toronto's surprisingly small professional circles, and continuity, because the consulting posting ends, the US transfer comes through, and the work travels intact. The fee is comparable to a Toronto RP. Sessions sit in the Toronto evening, one hour off my own. For benefits-eligible receipts or Ontario-registered care, a local RP or psychologist is the right choice, and I will tell you that without hedging in the first conversation.
The Toronto therapy market, decoded
Ontario's system sorts cleanly once someone explains it. OHIP covers psychiatrists, who run six-to-twelve-month waits and largely do assessment and medication rather than weekly talk therapy, plus some hospital programs. It does not cover private psychotherapy with Registered Psychotherapists, psychologists, or social workers; that market is out of pocket or through workplace benefits, which typically cap at 500 to 2,000 dollars a year and cover specific credentials. Rates in Toronto run about 140 to 225 dollars for an RP and 200 to 250-plus for psychologists, with no regulated fee schedule. Ontario does regulate the profession itself: psychotherapy is a controlled act here, and the Registered Psychotherapist title runs through the CRPO. The provincial title map, and where I stand on it, is spelled out on my Canada page, and the short version belongs here too: I am a US-trained therapist working online, the Canadian provincial registers do not govern my practice, and anyone needing an Ontario-registered clinician, a prescriber, or insurance-eligible receipts should see one; many benefits plans reimburse only CRPO, CPO, or OCSWSSW registrants.
Questions people ask from Toronto
Selected research on this approach
My work is psychodynamic and depth-oriented. These are some of the studies on the effectiveness of that kind of therapy. They describe research on the method in general, and are not claims about any individual outcome.
- Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109. doi:10.1037/a0018378
- Steinert, C., Munder, T., Rabung, S., Hoyer, J., & Leichsenring, F. (2017). Psychodynamic therapy: as efficacious as other empirically supported treatments? A meta-analysis testing equivalence of outcomes. American Journal of Psychiatry, 174(10), 943-953. PMID 28541091
The full reading list is on the approach page.