Frequently Asked Questions About Therapy & Psychological Assessments
Sometimes you know exactly what you’re looking for. Other times, you know something isn’t working, but you’re not sure why—or what kind of help would make a difference.
You may be wondering whether therapy could help you feel less overwhelmed, whether your child needs a psychoeducational assessment, or whether longstanding difficulties with attention, learning, or relationships have an explanation.
Since 2012, Toronto Psychology Centre has helped individuals and families navigate questions like these. We’ve brought together answers to some of the questions we hear most often, drawing on our clinical experience and the concerns people share with us.
Whether you’re considering therapy or a psychological assessment in Toronto, or online therapy across Ontario, we hope these answers help you understand your options.
Getting Started & Finding the Right Care
Therapy and psychological assessments serve different purposes, although they can complement one another.
Therapy helps you understand and address difficulties through an ongoing relationship with a therapist. It may involve developing coping strategies, exploring emotions, or changing patterns that are affecting your life.
A psychological assessment is a structured evaluation designed to answer specific questions about attention, learning, development, emotional functioning, or other concerns.
For example, someone struggling with attention and organization might benefit from therapy, an ADHD assessment, or both.
You don’t need to know which service is right for you before contacting us. Our initial consultation can help clarify your concerns and explore the available options.
Both psychologists and registered social workers can provide psychotherapy in Ontario, although their professional training and scopes of practice differ.
Psychologists receive specialized graduate training in psychological assessment, diagnosis, research, and treatment. Registered social workers who provide psychotherapy bring clinical training and experience in addressing emotional, behavioural, interpersonal, and social difficulties.
Both are regulated professionals who must practise within their areas of competence.
At Toronto Psychology Centre, we value the expertise of both professions. When recommending a therapist, we consider their experience with your concerns, therapeutic approach, and suitability for your needs—not simply their professional designation.
We believe effective therapy depends on clinical knowledge and judgment, as well as the ability to develop a collaborative, responsive therapeutic relationship.
Formal psychological assessments and diagnoses are provided by appropriately qualified psychology professionals.
Finding the right therapist matters. It’s not only about a clinician’s experience and expertise, but also about finding someone whose approach fits your needs and preferences.
At Toronto Psychology Centre, we take time to understand what brings you to therapy, what you’re hoping to achieve, and what matters to you in a therapeutic relationship. During our complimentary 15-minute introductory call, our care coordination team will learn about your concerns, goals, and preferences. Following the call, we’ll review this information and recommend clinicians whose experience and approach may be well suited to your needs. You’ll have the opportunity to consider these options and choose the therapist you feel most comfortable starting with.
Our psychologists and registered social workers do not offer separate complimentary meet-and-greet appointments. Instead, your first therapy session provides an opportunity to explore your concerns more deeply and begin building a therapeutic relationship. Our background questionnaires also help your therapist understand your experiences, goals, and preferences so that treatment can be tailored to your needs.
Trust and connection develop over time, and no matching process can guarantee the right fit. We encourage open communication throughout therapy and welcome feedback about what’s working and what may need to change. If we don’t believe we have a clinician who can appropriately address your needs, we’ll let you know.
No. You can contact Toronto Psychology Centre directly to arrange an initial consultation. A physician’s referral is not required to access our private therapy or psychological assessment services.
Some extended health insurance plans may require a physician’s referral for reimbursement, so we recommend checking your policy before booking.
Toronto Psychology Centre is a private practice. Our therapy and psychological assessment services are not covered by OHIP.
Some extended health insurance plans reimburse services provided by registered psychologists, psychological associates, or registered social workers.
Coverage varies by plan, including the types of services covered, annual limits, and whether psychological testing is eligible.
We provide receipts for reimbursement, but we do not bill insurance companies directly.
We recommend checking your benefits before booking so you understand your coverage and any out-of-pocket costs.
For more information, please visit our Fees & Policies page.
The first step is a complimentary 10–15-minute telephone consultation with our intake team.
We’ll ask about your concerns, what you’re hoping to understand or address, and any preferences that may help us recommend an appropriate service or clinician.
For therapy, we’ll consider which of our clinicians may be a good fit for your needs.
For assessments, we’ll discuss the questions you’re hoping to answer and the type of evaluation that may be appropriate.
You don’t need to know exactly what kind of help you need before contacting us.
Understanding Therapy
You don’t need to be in crisis or have a mental health diagnosis to consider therapy.
Some people seek help for anxiety, depression, OCD, trauma-related difficulties, or other psychological concerns. Others feel overwhelmed, persistently self-critical, disconnected, or caught in patterns they don’t fully understand.
You might notice that the same difficulties keep appearing in your relationships, that you’re struggling to manage emotions, or that things which once felt manageable have become increasingly difficult.
Therapy offers an opportunity to understand what’s happening and consider what might help.
If you’re uncertain whether therapy is appropriate, our initial consultation is a place to begin that conversation.
Your first appointment is an opportunity for your therapist to begin understanding you, the concerns that brought you to therapy, and what you’re hoping to change.
You’ll have time to discuss your current difficulties, relevant personal history, and strengths. Your therapist will also explain their approach, review confidentiality, and answer your questions.
The initial assessment process may take one or two sessions. As your therapist develops a clearer understanding of your needs, you’ll work together to identify goals and consider an appropriate treatment approach.
You don’t need to arrive with a perfectly organized explanation of what’s happening. Part of therapy is developing that understanding together.
Knowing why something happens doesn’t always change how we feel or respond.
You may recognize that you’re overly self-critical, avoid conflict, or repeatedly seek reassurance. Yet when a familiar situation arises, you find yourself responding in much the same way.
Emotional and behavioural patterns can become deeply learned. Some may once have helped us cope, protect ourselves, or manage difficult relationships.
Therapy can help you recognize these patterns as they occur, understand what maintains them, and develop different responses.
Depending on your needs, this might involve practising new behaviours, working through difficult emotions, or experiencing new ways of relating to yourself and others.
Insight can be an important beginning. Change often requires opportunities to respond differently.
Different difficulties respond to different forms of treatment, and what helps one person may not be the best approach for another.
Our clinicians draw on psychological research, clinical expertise, and an understanding of your concerns, experiences, and preferences when developing a treatment plan. For some difficulties, such as OCD, research supports specific treatments that should play an important role in care. For other concerns, several approaches may be appropriate.
Your therapist will consider what the research suggests, what you’re hoping to achieve, and how you’re responding to treatment. Evidence-based practice involves more than selecting a treatment supported by research; it also means applying that knowledge thoughtfully to the person receiving care.
An earlier experience of therapy that wasn’t helpful doesn’t necessarily mean therapy cannot help you.
Sometimes the approach wasn’t well matched to your needs, the relationship didn’t feel comfortable, or important aspects of your difficulties weren’t adequately understood.
Your circumstances and goals may also have changed.
If you’ve attended therapy before, we’d be interested in understanding what you found helpful, what didn’t work, and what you might want to be different this time.
Those experiences can provide valuable information when considering a therapist and treatment approach.
Progress in therapy isn’t always dramatic, and it doesn’t necessarily mean difficult feelings disappear.
Sometimes the first changes are subtle.
You may begin noticing your reactions before acting on them. Situations that previously overwhelmed you may become easier to manage. You might recover more quickly after setbacks or communicate more openly in relationships.
For some people, progress means fewer symptoms. For others, it involves greater self-understanding, improved functioning, or more freedom in how they respond to difficult experiences.
Your therapist should be willing to discuss your goals, review progress, and consider whether the approach is helping.
Feeling persistently worse or unable to identify a helpful direction deserves attention rather than being dismissed as an inevitable part of therapy.
The length of therapy depends on your concerns, goals, circumstances, and response to treatment.
Some people benefit from relatively brief, focused therapy for a particular difficulty. Others find that longer-term therapy is helpful for understanding recurring emotional or relationship patterns.
Your therapist will work with you to identify goals, review progress, and discuss whether the approach is helping. As your needs change, you can discuss reducing the frequency of sessions or bringing treatment to a close.
A trauma-informed approach recognizes that difficult, overwhelming, or frightening experiences can influence how people feel, respond to stress, and relate to themselves and others.
It involves paying attention to emotional safety, trust, collaboration, and each person’s readiness to explore difficult experiences.
This doesn’t mean that everyone needs to discuss their past or that all psychological difficulties are caused by trauma.
Our clinicians consider how past and present experiences may be affecting you while working collaboratively to identify your needs and goals.
Depending on the concerns, treatment may focus on developing coping skills, understanding emotional responses, addressing trauma-related symptoms, or exploring experiences that continue to affect everyday life.
You don’t need to share everything at once. Your therapist will work with you to consider what is appropriate and helpful.
We believe therapy should be a place where people feel respected, understood, and comfortable being themselves.
Our clinicians recognize that sexual orientation, gender identity, relationships, family experiences, and social circumstances can all be important parts of a person’s life.
We aim to provide an inclusive and affirming environment where LGBTQ+ clients can explore their concerns without judgment or assumptions about their identity.
Therapy may focus on anxiety, depression, relationships, self-esteem, identity-related experiences, or other difficulties.
As with all our services, we consider each clinician’s experience and areas of expertise when helping clients find an appropriate match.
We recognize that people with ADHD, autism, and other neurodevelopmental differences may experience the world in ways that influence their emotions, relationships, learning, and everyday functioning.
Our approach considers each person’s strengths, developmental history, individual needs, and the challenges they may be experiencing. Therapy may focus on concerns such as anxiety, emotional regulation, self-esteem, executive functioning, or relationships, with strategies adapted to the individual.
Being neurodiversity-affirming means recognizing and respecting these differences rather than assuming that everyone should think, communicate, or behave in the same way.
Our goal is not to change who someone is, but to help them better understand themselves, navigate difficulties, and develop approaches that support their well-being.
Common Concerns: Anxiety, Depression & OCD
Yes. Worrying can sometimes feel like a way to prepare for problems, prevent mistakes, or protect yourself and the people you care about.
You may find yourself reviewing conversations, anticipating everything that could go wrong, or feeling responsible for making sure nothing is overlooked.
Although worry can create a temporary sense of preparedness, excessive worry often leaves people feeling more anxious and less certain.
Therapy can help you understand what keeps worry going, recognize when it’s no longer useful, and develop a different relationship with uncertainty.
The goal isn’t to stop caring or planning. It’s to help worry take up less room in your life.
Yes. Depression doesn’t always mean being unable to get out of bed or carry out everyday responsibilities.
Some people continue working, caring for others, and meeting expectations while feeling emotionally exhausted, disconnected, or unable to enjoy things that once mattered.
You might find yourself going through the motions, becoming increasingly self-critical, or wondering why ordinary tasks require so much effort.
Depression can affect people in different ways, and outward functioning doesn’t always reflect how someone feels internally.
Therapy can help you understand what you’re experiencing, explore contributing factors, and identify approaches that may support recovery.
Recognizing that a fear is unlikely doesn’t necessarily make the anxiety or urge to respond disappear.
With obsessive-compulsive disorder (OCD), checking, reassurance-seeking, or mental reviewing may briefly reduce distress. That relief can make the behaviour more likely to happen again, even when you recognize that it’s unnecessary.
Over time, this cycle can strengthen doubt and make uncertainty increasingly difficult to tolerate.
Effective OCD treatment, including exposure and response prevention (ERP), helps people respond differently to obsessive fears and resist rituals that keep the cycle going.
The goal isn’t to achieve absolute certainty. It’s to become less dependent on rituals and reassurance to feel safe.
Children & Adolescents
Children and teenagers sometimes experience difficulties that go beyond the everyday challenges of growing up.
You may notice persistent worry, emotional outbursts, withdrawal, irritability, difficulties with friendships, or increasing struggles at home or school.
Some children express distress through behaviour rather than words. A child who becomes angry, avoids school, or repeatedly seeks reassurance may be having difficulty managing feelings they cannot easily explain.
Therapy may help when these difficulties cause distress or interfere with daily life.
Not every concern requires individual therapy. Sometimes parent consultation or another form of support is a better starting point.
Emotional outbursts can have many explanations.
Some children struggle to recognize or regulate strong feelings. Others become overwhelmed by frustration, anxiety, sensory demands, transitions, or situations they experience as unfair.
Therapy can help us understand what happens before, during, and after these reactions.
Depending on your child’s needs, treatment may involve developing emotional awareness, strengthening coping skills, and helping caregivers respond in ways that support regulation.
The goal isn’t simply to stop a behaviour. It’s to understand what’s contributing to it and help your child develop more effective ways of managing difficult experiences.
Reluctance about therapy is understandable, particularly when a young person feels that adults are more concerned about their behaviour than they are.
Some children worry that therapy means they’ve done something wrong. Teenagers may be concerned about being judged, losing privacy, or being expected to change when they don’t believe there’s a problem.
We consider a young person’s willingness and ability to participate when recommending individual therapy.
For some families, parent consultation may be a more useful starting point. It can help caregivers better understand the difficulties and consider how to respond, even when their child isn’t ready to attend.
Psychological Assessments
The most appropriate assessment depends on the difficulties you’re experiencing and the questions you’re hoping to answer.
An ADHD assessment explores attention, impulsivity, hyperactivity, executive functioning, and relevant developmental history.
A psychoeducational assessment examines learning and academic skills alongside relevant cognitive processes.
An autism assessment considers developmental patterns, social communication, restricted or repetitive behaviours and interests, sensory experiences, and related characteristics.
These areas can overlap. Similar difficulties may also have different underlying explanations.
During our initial consultation, we’ll discuss your concerns and goals to help determine which assessment may be most useful.
Yes. Academic or professional success doesn’t rule out ADHD.
Some people compensate for attention and executive functioning difficulties through considerable effort, rigid routines, last-minute pressure, or support from others.
They may achieve strong results while struggling with organization, procrastination, time management, or the effort required to keep up.
However, these difficulties aren’t specific to ADHD. Anxiety, sleep problems, mood difficulties, and other factors can produce similar experiences.
An ADHD assessment considers developmental history, symptoms, their impact across settings, and possible alternative explanations.
The question isn’t simply whether someone has succeeded. It’s also how they function and what difficulties they experience along the way.
Yes. Autism can sometimes go unrecognized in people who have friendships, communicate comfortably in familiar situations, or do well academically.
Autistic people vary considerably in their strengths, communication styles, sensory experiences, relationships, and support needs. Some develop ways of navigating social expectations that make their differences or difficulties less apparent to others. This can require considerable effort.
An autism assessment looks beyond outward appearances. We take time to understand your perspective, including how you experience the world, navigate relationships and daily life, and manage situations that may be challenging or exhausting.
We consider your experiences alongside your developmental history, strengths, and patterns across different areas of life. Our goal is to make the assessment a respectful, collaborative process that helps you develop a clearer understanding of yourself.
An assessment is intended to provide an accurate understanding of your difficulties, not to confirm a particular diagnosis.
Sometimes the findings support the diagnosis you suspected. Other times, they suggest a different explanation, identify several contributing factors, or indicate that diagnostic criteria aren’t met.
That doesn’t mean your difficulties aren’t real.
A useful assessment should help clarify what the findings mean, identify relevant strengths and challenges, and offer recommendations where appropriate.
The goal is to leave you with a better understanding of what’s happening and what may help—even when the answer is different from what you anticipated.
Online Therapy Across Ontario
Online psychotherapy can be effective for many psychological concerns, including anxiety and depression.
Research supports video-based delivery of several established psychological treatments, although effectiveness depends on the concerns being addressed, the treatment approach, and individual circumstances.
For some people, online therapy offers greater convenience and access to a clinician whose experience matches their needs.
For others, in-person appointments may be preferable because of privacy, safety, comfort, or the nature of the therapeutic work.
Toronto Psychology Centre offers secure online therapy across Ontario. We can help you consider whether online or in-person appointments are appropriate for your needs.
We’re Here to Help You Find a Way Forward
If you’re considering therapy or a psychological assessment but aren’t sure where to begin, we’re happy to help you explore your options. Our intake team can answer your questions and help you find a clinician or service that fits your needs.