Frequently Asked Questions

Good questions deserve honest answers.

Fees, insurance, confidentiality, and what actually happens if you reach out.

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Larry walking hand in hand with his three daughters

Answers, organized by where you are.

Before You Book

Is therapy right for me?

If you’re asking the question, it’s usually worth a conversation to find out — you don’t need a diagnosis, a crisis, or even a clearly named problem to qualify. Many of the men I work with show up because something feels slightly off, or because someone they trust suggested it, not because they arrive with a specific complaint ready to describe. That uncertainty is normal, not a sign you’re wasting anyone’s time. I’d rather you find out early, in a low-stakes conversation, than wait until things feel unmanageable — there’s no version of “doing it wrong” when you’re new to this.

How do I choose a therapist?

Fit matters more than credentials alone, though credentials are worth checking too. Look for someone who’s a regulated health professional in Ontario — the specific designation (RSW, RP, psychologist, psychiatrist) matters less than the fact that they’re accountable to a College and trained specifically in psychotherapy. Beyond that, pay attention to how you actually feel talking to them: judged, rushed, or genuinely heard. Most people can sense within a session or two whether the fit is right. I offer a free consultation for exactly this reason, so you can gauge it before committing to anything.

What’s the difference between a social worker, a psychotherapist, and a psychiatrist?

In Ontario, Registered Social Workers (RSW) and Registered Psychotherapists (RP) are regulated professionals who can legally provide psychotherapy — the designations come from different regulatory colleges, but the scope of practice for talk therapy overlaps significantly. Psychiatrists are medical doctors regulated by the College of Physicians and Surgeons of Ontario; they can diagnose and prescribe medication, and while some also provide therapy, their role tends to focus more on diagnosis and medication management. RSW stands for Registered Social Worker — I hold an MSW and am a member of the Ontario College of Social Workers and Social Service Workers, with additional training in couples and men’s work. I’m glad to walk through what that means, or whether a referral to a psychiatrist might also be useful, on a consult call.

Does therapy actually work?

For most people, yes. Decades of research show psychotherapy produces meaningful, measurable improvement for anxiety, relationship conflict, low mood, and general life dissatisfaction, often on par with or better than other interventions. But it isn’t instant or automatic — it depends on fit, consistency, and being willing to look at things honestly. What I can say from experience is that most men who stick with it past the first few sessions say the same thing: they wish they’d started sooner.

Is therapy worth it?

That depends on what you’re looking for, but for most people, yes — not because therapy is a quick fix, but because having a consistent, confidential space to think out loud with someone trained to notice patterns tends to pay off, in the relationship, at work, and in how you feel day to day. It’s a real investment of time and money, and I’d rather you make that decision with clear information than a sales pitch, which is exactly what the free consult is for.

How do I know if we’re a good fit?

You’ll usually get a sense within the first conversation — whether you feel comfortable being direct, whether the pace feels right, whether you leave feeling heard rather than managed. The free consult exists specifically to test that before any commitment. And if it’s not the right fit, I’ll tell you directly and, where I can, point you toward someone who might be a better match.

What happens in the first session?

The first full session is mostly about understanding what’s bringing you in and getting a clearer picture of the bigger context — your history, what’s been tried before, what you’re hoping changes. It’s less formal than people expect; there’s no clipboard checklist, just a conversation with some structure to it. By the end, you should have a sense of what working together would actually look like, decided together rather than handed to you.

Do you offer a consultation?

Yes. Every new client starts with a free 10-minute phone consultation before booking a first paid session. It’s a chance for you to ask questions and for both of us to get a general sense of fit, with zero obligation either way. If after that we decide to go ahead, we’ll schedule regular weekly meetings, at least to start.

Do I have to be in crisis to start therapy?

Not at all. Many of the men I work with are functioning well on the outside — they’re working, parenting, and showing up for everyone else. What brings them to therapy isn’t a crisis; it’s the feeling that they’ve become disconnected from themselves or the people they love. Therapy can help long before things reach a breaking point, and in my experience, starting earlier usually means an easier, shorter path forward.

What’s the difference between individual therapy, couples therapy, and the men’s group?

Individual therapy is one-on-one, for anything you’re carrying on your own. Couples therapy is for the two of you together, focused on the relationship itself. The men’s group, Break the Pattern, is a structured 6-week program in a small group of men, built around real-time feedback rather than one-on-one conversation. If you’re not sure which fits, mention that in your first email — it’s worth talking through on the free consult call.

How is this different from regular therapy?

The focus here is specifically on men, partners, and fathers — the pressures of being a provider, the transition into fatherhood, communication patterns in relationships, and the things men are rarely given space to say out loud. It’s direct and practical rather than purely reflective, and it’s built around what actually shows up for men and couples navigating those stages, not a one-size-fits-all approach.

What actually happens if I reach out?

You send a brief email or fill out the contact form. That’s followed by a short, confidential 10-minute phone call — no charge — where you share a bit about what’s going on and ask anything you’d like about how the work goes. If it feels like the right fit, we’ll schedule the first session from there and settle into regular weekly meetings, at least to start. Nothing about that first email commits you to anything.

Sessions

How long is each session, and how often do we meet?

Individual and couples sessions run 50 minutes. If after the initial consult we decide to go ahead, we’ll schedule regular weekly meetings, at least to start — that gives us enough continuity to build momentum and actually track what’s changing, and I don’t have weekend availability, so sessions are scheduled Monday through Friday. Once things stabilize, many clients shift to a bi-weekly cadence; there’s no fixed formula, we adjust based on what’s happening in your life. The men’s group, Break the Pattern, runs 6 sessions of 2 hours each, once a week for 6 weeks.

How long does therapy last overall?

There’s no set endpoint, and I’d be skeptical of anyone who promises one. Some people come for a focused stretch of 8 to 12 sessions to work through something specific; others stay longer because the work keeps evolving. What I aim for is clarity along the way — checking in periodically about what’s shifted and whether it still makes sense to continue, rather than an open-ended commitment with no reference points.

What if I don’t know what to say?

That’s more common than people think, and it’s not a problem to solve before you arrive. Some of the most useful sessions start with “I don’t really know what to talk about today” — that itself is often worth exploring. Part of the work is mine: asking questions, noticing patterns, and helping the conversation find its way, so you don’t have to arrive with an agenda.

What if therapy isn’t helping?

Tell me — directly, if you can. It’s useful information, not an inconvenience. Therapy that isn’t working after a reasonable stretch usually means something about the approach, the pace, or the fit needs to change, and that’s worth naming rather than quietly disengaging. If we can’t find a way to make it work together, I’d rather help you find someone who’s a better match than have you stay somewhere that isn’t serving you.

Can therapy help with burnout?

Yes — burnout is one of the more common reasons men reach out, even when they don’t initially call it that. It often shows up as irritability, exhaustion that sleep doesn’t fix, or a sense of going through the motions at work and at home. Therapy can help you understand what’s actually driving it — workload, unspoken expectations, a lack of real recovery time — and figure out what needs to change, rather than just pushing through it.

What if I cry?

That’s welcome here, not a problem to manage or apologize for. Plenty of men come in expecting to stay composed and find that once there’s actually space for it, something surfaces — and that’s usually a sign the work is doing something real, not a sign it’s going wrong.

What if I don’t click with my therapist?

That happens sometimes, and it’s worth naming rather than pushing through. Fit matters more than most people expect in therapy — if something feels off after a few sessions, I’d rather hear it directly so we can talk about it, or so I can help point you toward someone who might be a better match. Saying it isn’t working is not a failure on your part.

Can I stop at any time?

Yes. Therapy isn’t a contract you’re locked into — you can pause or stop whenever it makes sense for you. If you’re thinking about stopping, I’d just ask for one conversation about it first, mostly so we can close things out deliberately rather than leaving it open-ended, but the decision is always yours.

Fathers

Can therapy help fathers?

Yes — this is the specific focus of my practice. Fatherhood changes almost everything: how you see yourself, how you relate to your partner, how much of your own upbringing you find yourself repeating without meaning to. Generic therapy doesn’t always make room for that. The work here is built around what actually shows up for men navigating those changes — provider pressure, the shift in identity, the exhaustion, the moments you catch yourself reacting the way your own father did.

Can therapy make me a better father?

That’s often exactly what brings men in, even when they can’t quite name it that way at first. Becoming a better father rarely comes down to learning new parenting techniques — it usually comes down to understanding your own patterns well enough to respond instead of react, especially under stress. That kind of shift tends to ripple outward, changing how you show up not just with your kids but with your partner too.

Why do dads wait so long to ask for help?

Because most men were never given permission to. The messaging is usually some version of push through it, handle it yourself, don’t burden anyone — and fatherhood adds a new layer of pressure to hold everything together for the people depending on you. Waiting isn’t weakness or denial; it’s often just following the only script you were given. Therapy offers a different one.

I don’t want to complain — does that matter?

No — and this comes up more than you’d think. A lot of men worry that talking about what’s hard means they’re ungrateful, or that someone else has it worse. But naming a difficulty isn’t the same as complaining, and it isn’t a competition. You can love your life and still find parts of it genuinely hard. Both things are allowed to be true at the same time.

I’m functioning, but I don’t feel like myself. Can therapy help?

Yes, and this is one of the most common reasons men reach out. On paper, everything looks fine — the job, the family, the responsibilities are all being handled. But underneath, something feels flat, disconnected, or off, without a clear cause. Therapy can help name what’s actually going on beneath the functioning, before it turns into something harder to manage.

Can therapy help if my relationship isn’t falling apart?

Yes — in fact, that’s often the best time to start. Waiting until a relationship is in crisis makes the work harder and the stakes higher. Coming in while things are stable, but you sense a gap forming — less connection, more tension, growing distance — means there’s more room to work with and less to repair.

I don’t like talking about feelings. Is therapy still for me?

Yes. You don’t need to walk in fluent in emotional language for this to work — most men aren’t, and that’s fine. A lot of the work is actually about building that vocabulary over time, starting from wherever you are, including “I don’t really know how to talk about this.” Therapy here tends to be more direct and practical than the stereotype of sitting quietly and reflecting; we work with what’s actually useful to you.

Can therapy help with anger, irritability, or shutting down?

Yes — these are often the surface signs of something underneath that hasn’t had anywhere to go: stress, grief, resentment, exhaustion, or old patterns from how you learned to cope growing up. Anger and shutting down are both ways of managing something, even if they’re not working well anymore. Understanding what’s actually driving them tends to be more useful than just trying to control the reaction itself.

What if I’m successful professionally but struggling at home?

This is one of the more common patterns I see. Skills that work well at work — staying composed, solving problems, pushing through — don’t always translate to a relationship or to parenting, and can sometimes get in the way. Struggling at home doesn’t cancel out what you’ve built professionally; it often just means a different set of skills is needed there, and those can be learned.

Can I come because my partner asked me to?

Yes, and it’s a completely valid way to start. Plenty of men who end up finding real value in therapy didn’t originally choose it themselves — someone they trust suggested it, and they were willing to try. Once you’re here, the work is genuinely yours; it’s not about proving anything to anyone else.

How do I become a calmer dad?

Calm usually isn’t a personality trait you either have or don’t — it’s a skill built by understanding what triggers your reactions and creating a bit of space before you respond. For a lot of fathers, the loss of patience isn’t really about the kids; it’s exhaustion, unspoken resentment, or old patterns surfacing under pressure. Once you can see what’s actually driving the reaction, calm becomes something you can build toward rather than something you’re failing at.

Why do fathers struggle after having children?

Because almost nothing prepares you for how much having a child changes — your identity, your relationship, your sleep, your sense of control, all at once. Add the pressure to hold it together for everyone else, and it’s a lot to carry with little space to process it. This struggle is common, not a sign you’re doing it wrong, and it’s exactly the transition my New Dads & New Parents work is built around.

Couples

Should we come together or separately?

That depends on what you’re working through. If the concern is mainly about the relationship itself — communication, conflict, distance — couples therapy together is usually the better starting point. If it’s more about something individual that’s affecting the relationship, like stress, mood, or old patterns, individual therapy can be the better fit, sometimes alongside couples work. We can talk through which makes more sense on the consult call.

What if my partner isn’t interested?

That’s common, and it doesn’t mean nothing can be done. Individual therapy can still help you understand your own patterns and how you show up in the relationship, which often shifts the dynamic even without your partner in the room. If they become open to joining later, that’s always an option — and sometimes seeing your own shift is what makes them curious.

Can therapy help after trust has been broken?

It can, though it takes time and both people being genuinely willing to do the work — rebuilding trust isn’t something that happens on a schedule. Therapy provides a structured, contained space to have the harder conversations that are difficult to have safely on your own, and to figure out honestly whether rebuilding is what both of you want, and what that would actually require.

Can therapy save my marriage?

Therapy can’t guarantee an outcome, and I’d be cautious of anyone who promises one — but it can give a struggling relationship a real chance by creating space for both people to be heard, name what’s actually going wrong, and decide together what they’re willing to change. Many couples who come in expecting the worst find the relationship had more life in it than they realized, once there was room to actually talk.

Practical Questions

What does it cost?

Individual and couples sessions run 50 minutes and cost $250 per session. I reserve a limited number of sliding-scale spots for clients where the full fee is a barrier — ask about availability during your consult. For Break the Pattern, the men’s group, the fee is published on that program’s page: $1,150 for the full 6-week cohort.

Is therapy covered by insurance?

Services aren’t covered by OHIP, but they’re usually covered up to some limit by private and group insurance plans, since I’m a Registered Social Worker (RSW) — check your plan for “psychotherapy,” “social work,” or “mental health counselling” coverage, or call your benefits provider directly and ask: “Does my plan cover appointments with a Registered Social Worker?” If you don’t have coverage, sessions can also be claimed as a medical expense on your income tax return. Invoices and receipts are provided for every session either way.

Do you direct bill?

No, I don’t offer direct billing to insurance providers. I provide a detailed invoice and receipt after every session, which you submit to your provider yourself for reimbursement.

Do I need a doctor’s referral?

No. You don’t need a referral from a physician to book a consultation or a session — I accept both self-referrals and physician referrals, so you’re welcome to reach out directly whenever you’re ready, or come through a referral if that’s how you found me.

Where is your office located?

In-person sessions are held in Midtown Toronto, at 425 Eglinton Avenue West, near Eglinton and Avenue Rd. Virtual sessions are available to anyone in Ontario over a secure, encrypted video platform, so location isn’t a barrier if in-person isn’t practical for you.

Is virtual therapy as effective as in-person?

Research supports virtual therapy as being as effective as in-person therapy for most individual and couples concerns. Sessions run over a secure, encrypted video platform, and many clients find the flexibility — no commute, easier to fit into a busy week — makes it easier to stay consistent, which matters more than the format itself.

Can I switch between online and in-person sessions?

Yes. Some clients start virtual and shift to in-person once it’s convenient, or move back and forth depending on the week — travel, childcare, or just what feels right for a particular session. We can adjust the format as needed; it doesn’t require restarting anything.

What’s the cancellation policy?

At least 48 hours notice is required to cancel or reschedule an individual or couples session. Late cancellations may be subject to the full session fee.

Is everything I share confidential?

Yes. Everything you share is completely confidential, in accordance with the ethical and legal guidelines of the Ontario College of Social Workers and Social Service Workers.

Are there exceptions to confidentiality?

Yes, and I review these with you directly in the first session. As a Registered Social Worker, I follow the legal and ethical guidelines set by the Ontario College of Social Workers and Social Service Workers, which means confidentiality has specific limits — most commonly around risk of serious harm to yourself or others, or where disclosure is required by law. These situations are rare in practice, and I aim to be transparent with you about them rather than acting without your knowledge wherever possible.

How is my information stored?

Session notes and personal information are kept confidential and stored securely, in accordance with Ontario’s privacy legislation and the standards of the Ontario College of Social Workers and Social Service Workers. Virtual sessions run on an encrypted, privacy-compliant video platform, and your records are never shared without your consent except where legally required.

If you’re in crisis

If you or someone you know is in immediate distress, please reach out to a crisis service or go to the nearest hospital emergency room. Help is available 24/7.

Still have a question? Just ask.

The first conversation is free. No commitment — just a chance to see if this feels like the right fit.