Psychotherapy services are covered under most insurance plans. It is important to clarify with your Insurance provider to ensure coverage is accepted for Master of Social Work.  Please note our rates do not coincide with insurance coverage, just something to keep in mind. We also ask that you provide your Group Policy and Member ID prior to starting your session so we can also verify your coverage.   We want to ensure that you have insurance coverage prior to the start of your session.  We also like to encourage clients/patients to check with their HR and ensure that Master of Social Work is in their employee insurance coverage.  Call our office and we are also more than happy to assist you.  In order to avoid paying for sessions out of pocket, please ensure that you verify your insurance coverage prior to any sessions taking place.

All our Registered Social Worker, Psychotherapists are at least at a Master’s level of education with extensive clinical training and expertise. Clinical supervision for all therapists in our practice is a requirement.  They all have liability insurance and are members in good standing with their respective regulatory bodies. Registered Social Worker, Psychotherapists are members of the Ontario College of Social Workers and Social Service Workers. Please also note rates will vary based on levels of certification for providing specialized treatment.

It is common for those new to therapy (or returning) to feel both eager to get going and uncomfortable about starting the process (again). Coming prepared for your sessions is expected, and may include identifying major current and past issues in your life, identifying therapy goals.  The client is expected to take some responsibility for their treatment progress beyond simple attendance, including being honest with their communication, to keep the therapist well-informed about relevant life events, to provide prompt communication about conflicts and difficulties, and that to carry out assigned work between sessions.

During the intake phase, questions pertaining to your coverage will be asked prior to sessions taking place and it is very important that you are clear on what you are covered for.  This question comes up periodically since coverage for employee does vary so understanding the terminology is very important so there is no out of pocket expense for your sessions.  The forms sent to you are required within 24 hours of the documentation sent to you.  Appointments will only be confirmed once forms are completed and credit card on file.

While we make all attempts to verify your insurance coverage through the intake phase and forms that are sent out, if you decide to only provide this information after your session has taken place, we cannot take responsibility if your insurance company does not reimburse you for sessions due to incorrect coverage. In order to avoid out of pocket expenses for therapy sessions, be sure to have your insurance card handy during intake process.

Yes, we do accept all major credit cards along with e-transfer and PayPal.  We require secure credit card on file prior to session taking place.  We offer a secure form for you to create an account and input your credit card information in our portal.  You may also create an account to get started by selecting the Client Portal at the top righthand corner of the website.

Typically, clients attend therapy once weekly. However, with specific reference to Transference Focused Psychotherapy for Severe Personality Disorders, mainly with Borderline Personality Disorders, twice weekly is the recommended frequency. Research has shown that the difference between once and twice weekly is far more significant in favor of the latter than it is between two, three, four and five times a week. Of course, simple versus complex, and co-morbid diagnoses, as well as client motivation, readiness, available support system and funding, are all factors to take into consideration. In some cases, depending on the type of therapy being conducted, as few as 5 to 6 sessions can be very helpful with alleviating some concerns and anxiety as an example. With diagnosed psychiatric conditions, use of medications and other psycho-social factors, length of treatment will vary. Sessions are 50 minutes in length for most individuals and utilize 10 mins for clinical note taking. Couples sessions are scheduled at 1.5 hours and Family sessions are 2 hours or longer if needed.

Issues of how long is treatment expected to be, how long will various steps take, when should they be taken, as well as how and when will you know that you are moving toward your outcome, are all relevant concerns that will be addressed throughout the length of the treatment.

‘Psychotherapy’ is a professional relationship between a regulated, professionally-designated individual and a client (you!). The relationship exists only and solely for the purpose of helping the identified client. The therapist is there for the client and expects nothing in return but payment for the time used and services provided. Through this professional relationship, the therapist and the client make a contract for a learning process to occur, where the client learns to develop effective skills and techniques for managing and improving their troublesome emotional life, in order to gradually and ultimately continue those practices beyond therapy.

Our psycho-therapeutic services aim to maximize your learning in order to achieve specific emotional and psychological objectives. Our clients include teens, adults, couples and families. Our services address a multitude of issues that impact your life, including but not limited to yourself and others in relation to your health, work, family and social relationships, as well as past events, present circumstances and future concerns.

We use Zoom and Microsoft Teams for conducting video sessions.

We understand how important privacy is and the platform we use is end-to-end encrypted, PHIPA and PIPEDA compliant video sessions. However, it is important to be aware that there is always the possibility that security could be breached.

For phone sessions, unfortunately there are no formats that provide added security, so this is something to be aware of. In addition, we will conduct all sessions in a private room and use headsets to ensure that no one can overhear what the individual is saying to the therapist. It is important to ensure that the individual takes some measures as well and select a room or area that provides privacy that you are comfortable with for the entire length of the session.

Prior to the beginning of the session, there should be an agreed upon alternate mode of communication to conduct the session if the video session is interrupted, and we are unable to resume it.

If there is a bad connection during the telephone session and it cannot be easily resolved, the session will be rescheduled.

One possible arrangement would be to communicate via telephone for the audio part of the session and our secure video software for the visual; so that if either the audio or video is compromised, we can continue to communicate with the other mode.

We typically require greater than 2 full business days notice by contacting our office at 289-815-2261 . Advance notice of planned treatment interruptions, and arrangements for emergency coverage as needed, pertains to both the client and the therapist. Notices less than 2 business days are subject to late fee charges. “No Shows”, that is, cancellations without prior notice are subject to the full fee charged for the session.  Please take special note that we are not available on the weekends so if you do wish to reschedule your session, you can send us an email and we will respond to you during business hours.  While we do understand that unforseen circumstances can happen and illness so kindly give us a call at your earliest convenience, thank you.

You will want to qualify first that you are dealing with a registered social work psychotherapist and that you have coverage with your insurance.  For example, there are therapists that are seeking clinical hours to qualify and you will notice a small q beside their designation.  We are all qualified and Registered Social Workers.

Another key question to ask is how many hours or years have they worked in treating for this type of diagnosis?  Often times, you will see a modality of treatment that has come highly recommended and you might also want to ask if they have been certified in that specific modality of treatment they offer?  If they are not certified in providing, you will want to know if they are obtaining Clinical Supervision with a Senior Registered Therapist who is certified.

It is a regular requirement of psychotherapists at Spiler Psychotherapy that they participate in regular clinical supervision.  Please also reference our Professional Associations and Memberships to give you our full listing.