Ontario Psychotherapy
What Does Therapy Actually Cost and What Can You Get Back?
A straightforward look at session rates, insurance, HST exemptions, and tax deductibility in Ontario.
The short answer: $130–$250 per session, depending on who you see, but it can vary based on benefits coverage.
Cost is often one of the first questions people have when they're considering therapy, and it's a fair one. Ontario has no standardized fee schedule for psychotherapy. Rates vary based on the provider's designation, experience, and location. There's also a real difference between what you pay out of pocket and what you might recover through insurance or the tax system.
This page gives you the actual numbers, explains what your benefits plan may cover, and walks through the HST exemption and tax deductibility questions that often get glossed over elsewhere.
$150 per session at 365 Psychotherapy & Counselling
with Shelby Doherty-Sirkovich
Sessions run 50–60 minutes. No HST.
Payment is due at the end of each session. A receipt is issued immediately after payment, ready for insurance submission.
How Does $150 Compare to the Ontario Market?
The table below shows typical private-pay rates across different provider types in Ontario. These are general ranges and individual practices vary.
What regulated means for you:
Registered Psychotherapists are regulated by the College of Registered Psychotherapists of Ontario (CRPO). That means there are mandatory training standards, ongoing professional development requirements, a code of ethics, and a complaints process. None of that applies to unregulated counsellors or coaches. It's not just a title difference.
What Your Benefits Plan Might Cover
A lot of people assume their insurance won't cover therapy from a Registered Psychotherapist. That assumption is increasingly wrong, but the details of your plan matter.
Check the Exact Wording
Your plan document should list eligible providers. Look specifically for "Registered Psychotherapist" or "RP." Some older plans say "psychologist only." Newer plans typically include RPs.
Annual limits vary widely
Coverage typically ranges from $500 to $2,500+ per year. At $150 per session, $1,500 in coverage gets you 10 sessions annually.
No Direct Billing
This practice does not bill insurers directly at the moment. You pay at the end of each session and receive a receipt to submit yourself.
Your receipt has everything
Receipts include the provider's name, credentials, registration number, date of service, and amount. These are the standard fields insurers require.
How to check your coverage before booking
Call the member services number on the back of your benefits card. Ask these specific questions:
Do you cover services from a Registered Psychotherapist (RP)?
What is my annual maximum for psychotherapy?
Is a doctor's referral required for reimbursement?
What percentage of each session fee is reimbursed?
Do I need to meet a deductible first?
No referral required to book with Shelby.
You can reach out directly without a GP referral. Some insurance plans may ask for one before they reimburse you, but that's a benefits question, not a clinical one. If your plan requires it, a brief call to your doctor's office is usually all it takes.
How the reimbursement process works:
Attend your session and pay at the end - Payment is processed after each session. E-transfer and most major payment methods are accepted.
Receive your receipt immediately - A detailed receipt is issued right after payment. It includes everything your insurer needs.
Submit to your insurer - Log into your insurance provider's portal or app, or submit by mail, depending on your plan.
Get reimbursed - Most insurers process claims within a few business days to a couple of weeks. Reimbursement goes directly to you.
HST and Tax Deductibility: What the Rules Actually Say
HST exemption
Psychotherapy services delivered by a Registered Psychotherapist for health care purposes are generally exempt from HST under the Excise Tax Act. This is not a discount or a promotional offer. It's a legislated exemption that applies to regulated health care services in Canada.
What this means practically: the $150 session fee is $150. There's no additional 13% Ontario HST on top. If you're accustomed to paying HST on personal services, this is a meaningful difference. An HST-inclusive session would be $169.50.
This exemption is specific to regulated providers. An unregulated counsellor or coach would typically charge HST. One more reason the distinction between regulated and unregulated providers matters.
Tax deductibility: the Medical Expense Tax Credit
The Canada Revenue Agency (CRA) allows certain psychotherapy fees to qualify as medical expenses for the federal Medical Expense Tax Credit (METC). Following federal legislation to formally recognize psychotherapy as a regulated health profession, the eligibility of RP services under the METC has been clarified and expanded in recent years.
The METC is a non-refundable tax credit calculated at 15% federally on eligible medical expenses that exceed a threshold. The threshold is the lesser of 3% of your net income or a set dollar amount that adjusts annually. Ontario has a parallel provincial credit as well.
This isn't something most people factor in when thinking about the true cost of therapy, but it can reduce what you actually pay at tax time.
Talk to your accountant. Tax rules evolve and individual circumstances vary. This information is provided as general context, not tax advice. A tax professional can confirm whether your specific situation qualifies and help you claim it correctly.
Putting it together: What you might actually pay
To illustrate how insurance/benefits coverage and tax interact, consider a straightforward scenario: a client with $1,500 per year in RP benefits coverage, attending bi-weekly sessions.
Annual sessions (26 bi-weekly): 26 × $150 = $3,900
After insurance ($1,500 benefit): $2,400 out of pocket
Potential federal METC credit on eligible expenses: varies by income
Provincial tax credit may apply in addition
The point isn't a precise calculation. It's that the sticker price of $150 per session and the actual after-insurance, after-tax cost are often meaningfully different numbers.
Frequently Asked Questions
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Private psychotherapy in Ontario typically runs between $130 and $250 per 50-minute session, depending on the provider's designation and experience.
Registered Psychotherapists (RPs) generally sit in the $130–$175+ range.
Psychologists often charge $200–$250 or more.
At this practice, sessions are $150 for 50–60 minutes, with no HST.
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OHIP covers psychiatry when provided by a physician (psychiatrist), but not psychotherapy from Registered Psychotherapists or psychologists in private practice. Psychiatrists are medical doctors who typically focus on diagnosis and medication management, which is not the same thing as ongoing talk therapy. With that being said some psychiatrists may offer ongoing talk therapy.
If you're looking for publicly funded options, community mental health organizations and hospital outpatient programs offer some free or low-cost counselling, though wait times can be significant and the range of services is often more limited.
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Increasingly, yes, but you need to check the specific wording of your plan. Many group benefits plans now explicitly list "Registered Psychotherapist" or "RP" as an eligible provider. Older plans may specify "psychologist only." If your plan's wording is ambiguous, call member services and ask directly.
Coverage limits typically range from $500 to $2,500 per year. At $150 per session, $1,500 in coverage gives you 10 sessions annually.
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No referral is required to book. You can reach out directly. Some insurance plans ask for a referral before they'll reimburse you, so check your plan's requirements. If your insurer asks for one, most GPs can provide a brief referral letter without a lengthy appointment.
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Sessions are paid directly at the end of each appointment. A detailed receipt is issued immediately after payment. You submit that receipt to your insurance provider through their claims process, usually an online portal, app, or by mail. Reimbursement goes directly to you, typically within a few business days to a couple of weeks.
This practice does not bill insurance companies directly. Direct billing can create administrative bottlenecks that affect scheduling and the flexibility of the work. Keeping the billing straightforward means the focus stays on the sessions themselves.
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No. Psychotherapy services provided by a Registered Psychotherapist for health care purposes are exempt from HST under federal law. The $150 session fee is $150 with no tax added on top. This is a legislated health care exemption, not a practice-specific pricing choice.
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You may be able to claim psychotherapy fees under the federal Medical Expense Tax Credit (METC). The CRA has recognized RP services as eligible medical expenses in recent years. The METC is a non-refundable credit, meaning it reduces the tax you owe rather than giving you cash back directly. Ontario has a provincial equivalent as well.
Because tax rules change and individual circumstances vary, speak with your accountant or tax preparer about whether your specific situation qualifies and how to claim it correctly.
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Both are regulated health professionals in Ontario who provide psychotherapy, but with different training backgrounds. Registered Psychotherapists (RPs) are regulated by the College of Registered Psychotherapists of Ontario (CRPO), and the designation is specifically built around psychotherapy practice. Psychologists (C.Psych) hold doctoral degrees in psychology and are regulated by the College of Psychologists of Ontario.
Psychologists typically charge more and have historically been the more commonly covered designation under benefits plans. The gap in insurance coverage has narrowed significantly, with many plans now including RPs. Neither provides a better or worse therapy experience by virtue of the title alone. The quality of the work depends on the individual, not the letters after their name.
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That's a fair question, and it's worth being direct: this practice is not a sliding-scale service. The $150 rate is a private-pay fee positioned within the typical Ontario RP range.
If cost is a significant barrier, there are alternatives worth exploring. Open Path Collective connects people with lower-fee therapists. Community mental health organizations in most Ontario municipalities offer subsidized services. Some university counselling centers have reduced-fee clinics. Employee Assistance Programs (EAPs) through your employer may also provide a limited number of free sessions.
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There's no predetermined answer to that. It depends on what you're working on, how long it's been going on, and what you want from the process. Some people find meaningful traction in 8–12 sessions. Others are dealing with longer-standing patterns that take more time to understand and shift.
This isn't a practice that rushes toward a finish line or manufactures closure on a timeline. Progress is assessed together and you set the pace. The free 15-minute consultation is a good starting point. It's an opportunity to talk about what you're dealing with and get a realistic sense of what working together might look like.
Questions about cost or coverage? Start with a free consultation.
The 15-minute consultation is a no-pressure way to ask questions, get a sense of the work, and figure out if this is a good fit before committing to anything.
No referral required. Sessions available virtually across Ontario.