Canada Online Therapy abides by regulatory guidance of all Canadian provinces to service clients nationally.
We comply under CCPA guidelines. We uphold standards dictated by our regulatory licensing board NSCCT and each provincial regulatory restrictions.
Below is made simple these guidelines.
CCPA interprovinical practice states:
"Inter-Provincial Practice is the provision and administration of ethically based counselling and/or psychotherapy between a practitioner and client; where the client lives/is visiting in one province or territory and the practitioner is in another province or territory. This cross-province practice occurs in a virtual setting.
Interprovincial practice has been around for years; however, the COVID-19 pandemic highlighted the need and constraints in regards to counsellors/psychotherapists being able to provide services to those in need, especially to those who may not have been located in the same province as their clients. This has led to a complex and confusing landscape for members.
In Canada, psychotherapy is regulated at a provincial level, but not all provinces are regulated. As of August 2023, Quebec, Ontario, Nova Scotia, New Brunswick, and Prince Edward Island that have regulated psychotherapy. In Alberta, the bill for regulation has passed but the college is not yet open. The other provinces and territories are unregulated."
- CCPA, Canadian Counselling and Psychotherapy Association
What CCPA interprovinical practice means in simpler language:
Inter-provincial practice means therapists who are providing therapy to clients over the internet when they live or visit different Canadian provinces or territories.
This type of online therapy has existed for years.
Since COVID-19 pandemic, we were showed both how much people needed therapy and how hard it is for therapists to work with clients in different provinces. This situation has created a confusing set of rules for therapists for them to understand to ensure we are protecting the public and our practice by legal guidelines.
In short: in Canada, rules for therapy are decided by each province, not the whole country.
Some provinces regulate therapy, while others do not.
As of August 2023, only Quebec, Ontario, Nova Scotia, New Brunswick, and Prince Edward Island have official rules for psychotherapy.
Alberta has passed a law to start regulating therapy, but their official regulatory office is not open yet. The remaining provinces and territories do not have regulations for therapy for therapy practices across borders.
✅ British Columbia
✅ Alberta
✅ Saskatchewan
✅ Manitoba
✅ Ontario *
✅ Quebec *
✅ New Brunswick *
✅ Nova Scotia
✅ Prince Edward Island *
✅ Newfoundland and Labrador
✅ Nunavut
✅ Northwest Territories
✅ Yukon
Ontario *
"CRPO does not require practitioners who reside in another jurisdiction to become registered in order to work with a client in Ontario providing: the therapist does not intend to advertise or otherwise promote their services in Ontario; and Ontario-based clients do not form a substantial proportion of the therapist’s workload. If any of these factors were to change, CRPO would revisit the facts and consider whether the therapist should apply for registration, even on a temporary basis."
Simple language for Ontario:
Canada Online Therapy cannot advertise we offer services in Ontario. However if a client initates services, we cannot deny them service if we are the best fit for this client, Yet, if our capacity of Ontario clients exceeds the majority of our roster, we may not ethically be able to accept you as CRPO ofcourse wants to protect their therapists livelihood. Currently our Ontario clients are low.
New Brunswick *
"Counsellors from other provinces are not prohibited from providing counselling to clients in New Brunswick as long as this is permitted by their own regulator. In New Brunswick, “Licensed Counselling Therapist” and its derivatives are protected and can only be used by CCTNB registrants. Therapists who are not regulated in New Brunswick should provide clear and succinct information to potential NB clients that details their licence number, in which province they are regulated and the name and contact information for the College with which they are registered. Therapists who are not CCTNB registrants should also clearly inform clients how and where they should report any concerns or complaints and advise them that the College of Counselling Therapists of NB would not be involved in the process."
Simple language for New Brunswick:
Canada Online Therapy cane accept New Brunwick residents. However we must be transparent upfront where our license is from (NSCCT) and how to raise a complaint if the unforunate case arise the client must protect themselves. Clients forward complaints to NSCCT [email protected]
PEI *
"This policy is for those practitioners that use the term Counselling Therapist and who wish to work with clients in PEI but are not members of the CCTPEI. The public is free to choose any practitioner with whom they wish to work. If a practitioner using the title of Counselling Therapist from another jurisdiction is providing services in PEI, they do not need to register with the CCTPEI if: 1. They do not advertise their services in PEI; 2. They do not maintain more than 3 clients at any time; and 3. Their PEI clients do not form a substantial portion of their client base (less than 20 %)"
Simple language for PEI:
Canada Online Therapy cannot advertise in PEI our services. However if a client approaches us for service we cannot deny them care if we are the best fit for this client. Yet, if our roster of clients exceeds 20% of PEI clients we are obliged to decline intakes as CCTPEI ofcourse would wish to protect their own residents of their livelihood.
Quebec *
"A psychotherapist located outside of Quebec can offer online services to clients located in Quebec. We recommend that the person located outside of Quebec who offers online services to the Quebec population be legally authorized to practice the profession of psychotherapist in his or her jurisdiction. This person must also be covered for professional liability. It is also required to notify clients that any disciplinary action must be brought before the regulatory body in the jurisdiction where the professional is registered, if applicable."
Simple language for Quebec:
Quebec licensing boards do not indicate on their websites their regulations for out of province practice therapists practicing remotely with QC residents, so it may be interpreted best practices these boards perferance is that Quebec residents should seek QC care. However, if a QC resident deems Canada Online Therapy as the best fit for their presenting concerns we are ethically commited to ensure you are cared for. We must be transparent where we are licensed (Nova Scotia, NSCCT) and how to submit a complaint if you experience your care has been compromised: [email protected]
Please note this is not for advertisement purposes but for information only.
References
Canadian Counselling and Psychotherapy Association. (2026). Inter-provincial practice.
Original CCPA link: https://www.ccpa-accp.ca/inter-provincial-practice/
Original link CCPA House of Commons: https://www.ccpa-accp.ca/wp-content/uploads/2021/02/CCPA-HESA-submission-2021-FINAL.pdf
Original link CCPA Pre-budget: https://www.ccpa-accp.ca/wp-content/uploads/2022/02/CCPA-2022-Finance-Pre-Budget-Consultation.pdf
Roles, S., & Kalia, K. (2024). Delivery of nurse psychotherapy: Public sector. In The nurses' guide to psychotherapy: A reference book for nurses providing psychotherapy (pp. 77–87). Springer. doi.org
Original link Schulz: https://www.acrjournal.com.au/resources/assets/journals/Volume-15-SW-Issue-2021/Manuscript1%20-%20Counselling%20Regulation%20Education%20Canada.pdf
Originial links Scientific Research: https://www.scirp.org/journal/paperinformation?paperid=137398
https://content.scirp.org/pdf/jss20241211_181769357.pdf
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