What’s the difference between psychologist, therapist, psychiatrist, etc.?
What does the first session look like?
What is therapy like?
How much do sessions cost?
Is my information kept confidential?
Do you practice in French and English?
Are you available in the evenings or weekends?
All of these people offer some form of mental health service. However, the training is quite different for each group. Psychologists typically receive at least a Bachelor’s degree and a Master’s degree. Many also have a Ph.D., which is now required to become licensed in Quebec. Psychologists also typically undergo a year of focused clinical training, called an internship or residency. Psychology graduates must then become registered/licensed with a province to practice psychology. In Quebec, psychologists must be licensed by l’Ordre des Psychologues du Québec in order to use the title of “psychologist.”
Psychiatrists go to medical school, and then specialize in the practice of psychiatry, which tends to focus on the biological aspects of mental health. Psychiatrists are often sought to treat more severe cases of mental illness (e.g., Schizophrenia; Bipolar Disorder), and typically prescribe psychiatric medication. However, psychiatrists can also deliver psychotherapy, including CBT, to patients. Psychiatrists must also become registered to practice within Quebec as well.
The term therapist is not a protected title. This means that anyone can call themselves a therapist, or a life coach, or a self-esteem expert, etc. Before deciding to enter therapy with someone, you should ask for their qualifications to ensure you are getting the type of service that you want.
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In the first session, you will be asked to read a “Letter of Information” sheet, which provides you with information about me (Dr. Covin) and my services. This sheet can be found in my waiting room, and it is usually best if you read it before the session begins. It will also discuss things like confidentiality, payments, and other important issues. I will review this information with you, and you must decide whether you agree to continue with treatment.
When I work with someone, I do not have them lay on a couch, like in the movies. You sit in a chair across from me. In the first session, I will be asking a number of questions in order to learn more about you and your problems. Towards the end of the 50 minute session, I will discuss with you some of my initial thoughts, and offer a plan or course of action. I may request some additional time to finish my initial assessment. You will also likely be given a questionnaire(s) to complete as well. Once the assessment is completed, I will discuss with you how we can work together to address your concerns.
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After the initial assessment, I develop a treatment plan for each client and review it with them. After the initial assessment, and as treatment progresses, I develop a conceptual model or “theory” about why you are experiencing problems. I often use Cognitive Behavioural Therapy, and so we will typically discuss how your thinking, beliefs, and behaviour interact to cause problems. I consider it important for clients to improve self-awareness and develop a better understanding of themselves and their problems. In addition to talking about these issues, I tend to use various therapeutic techniques and strategies throughout treatment, depending on the problem. For example, treatment may also include exposure therapy for anxiety, meditation, imaginal exercises, writing exercises, role play, etc.
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My rates are comparable to other licensed psychologists in the Montreal area. I offer a discount to full-time CEGEP and university students.
Many health insurance plans offer some coverage for psychological treatment. Please read your policy to clearly understand the details of your coverage. Also, you may be eligible for coverage with SAAQ if you’ve been in a motor vehicle accident, or CSST if you are struggling with a work-related injury. Psychological treatment is also considered a medical expense which can be claimed with income tax.
Furthermore, I am a registered Blue Cross Health Care Professional, so individuals with certain federal programs (e.g., Canadian Forces; RCMP) are eligible to receive coverage.
All payments must be made at the end of each session. Receipts will be given upon payment, which can be used for reimbursement.
Cash and personal cheques are acceptable forms of payment. Credit cards and debit are not accepted at this time.
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Absolutely. An important part of being a psychologist is maintaining the confidentiality of each client’s information. Emails, voicemail and all information discussed in session are kept in confidence, according to the standards of l’Ordre des Psychologue du Quebec. I am not even allowed to indicate that you have inquired about seeking services.
However, there are instances where confidentiality must be broken. These exceptions are often necessary for protecting clients and the public. For example, if I were to learn that a client is intending to harm themselves or another person, I must take reasonable steps to prevent harm. Also, if I learn that a child is being neglected or abused, I am legally obliged to contact the Youth Protection Office. I will review limits of confidentiality during the first session.
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I practice only in English at this time.
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Yes. At this time, there are spaces available in the evenings and on Saturdays. These time slots are often very useful for individuals who cannot take time off during the weekdays.
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