FAQ
What can I expect in my first session?
The first session is a chance for us to get to know each other and decide whether working together feels like a good fit. We’ll talk about what brought you to counselling, what you’re hoping for, and any questions or concerns you have. I’ll ask some background questions, but there’s no pressure to share more than you’re comfortable with. Many people feel nervous before their first session — that’s completely normal. My goal is to create a safe, respectful, and supportive space from the start.
How do I know if counselling is right for me?
Counselling can be helpful if you’re feeling overwhelmed, stuck, anxious, low, or simply wanting to understand yourself better. You don’t need to be in crisis to start therapy. If you’re unsure, the first session can help clarify whether counselling — and working together — feels like a good fit.
Does virtual counselling work as well as in-person therapy?
Yes — research shows that virtual counselling can be just as effective as in-person therapy for many concerns. Virtual sessions offer added flexibility, accessibility, and comfort, especially for people with busy schedules, mobility challenges, or those who prefer being in their own space. All you need is a private location and a stable internet connection.
What do you charge?
Sessions are $150 per hour. Payment is due at the time of the session. Many extended health insurance plans cover counselling services — I recommend checking with your provider to confirm your coverage.
What is informed consent?
Informed consent means you have the right to understand how counselling works before and during our work together. This includes knowing the benefits and risks of therapy, your rights and responsibilities as a client, limits of confidentiality, and how your personal information is handled. I’ll review informed consent with you in your first session and you’re always welcome to ask questions or revisit it at any time.
Is counselling confidential?
Yes. Counselling is confidential, with a few legal and ethical limits. These limits include situations where there is a risk of serious harm to you or someone else, or where disclosure is required by law (such as concerns about child safety). I’ll explain these limits clearly as part of informed consent and you’re always welcome to ask questions about confidentiality.
How is my information kept private?
Confidentiality is a core part of therapy. All personal information and session details are securely stored and only shared when required by law (for example, if there is a risk of harm). Attuned Therapy uses Owl Practice as its online system, all files are encrypted, and any records are maintained in accordance with professional ethical standards to protect your privacy. Video sessions PIPEDA and PHI-compliant.
What ages do you work with?
I work with individuals 13 years and older. For clients under 18, counselling includes additional considerations around consent and confidentiality, which we will discuss together in a clear and transparent way.
How long does counselling last?
There’s no set timeline. Some people come for short-term support around a specific issue, while others choose longer-term therapy for deeper or ongoing work. We’ll regularly check in about your goals and what feels most helpful for you.
What issues do you work with?
I support clients with a range of concerns, including stress, anxiety, depression, life transitions, relationship challenges, identity exploration, self-esteem, and burnout. If something comes up that’s outside my scope, I’ll talk with you about appropriate referrals.
What platform do you use for virtual sessions?
Sessions are held through a secure, privacy-compliant video platform designed for healthcare use. You’ll receive a link before your session — no downloads or special software required.
What do I need for a virtual session?
You’ll need a reliable internet connection, a device with a camera and microphone, and a private, quiet space where you feel comfortable speaking openly. Headphones can help increase privacy and sound quality.
What is your cancellation policy?
I ask for at least 24 hours’ notice for cancellations or rescheduling. Late cancellations or missed appointments may be charged the full session fee, except in cases of emergency. This policy helps protect time set aside specifically for you.
Do you offer direct billing or receipts?
At this time, payment is self-pay. I provide receipts that you can submit to your insurance provider for reimbursement, if eligible.
What if I’m in crisis?
Virtual counselling is not a crisis service. If you are in immediate danger or need urgent support, please call 911 or go to the nearest emergency department. If you’re in Manitoba, I can also help you find local crisis resources. See Crisis Support for more information.
Can I switch to in-person sessions?
At this time, my practice is fully virtual. If your needs change or you’re looking for in-person therapy, I’m happy to help you explore referral options.
Are you a licensed therapist or counsellor?
In Manitoba, there is currently no provincial licensing body for therapists or counsellors. To ensure professional standards and ethical practice, Tricia Sullivan holds certification through the Canadian Counselling and Psychotherapy Association (CCPA). This certification demonstrates that she has met rigorous education, training, and practice requirements and adheres to a high standard of professional ethics and ongoing professional development.
What is professional supervision and why is it important?
Professional supervision is when a therapist meets regularly with an experienced clinician to review cases and reflect on their work. It helps ensure safe, effective, and ethical care while supporting the therapist’s growth and ongoing professional development. Tricia engages regularly with a professional supervisor to ensure she is providing the best care to her clients.
What is the Canadian Counselling and Psychotherapy Association (CCPA)?
The CCPA is a national professional organization that certifies counsellors and psychotherapists across Canada. Certification through the CCPA demonstrates that a therapist has met rigorous standards for education, training, ethics, and ongoing professional development, ensuring safe and high-quality care.
What does CCC stand for?
CCC stands for Canadian Certified Counsellor, a professional designation granted by the CCPA to individuals who meet their standards for education, supervised practice, and ethical conduct.
What does MACP stand for?
MACP stands for Master of Arts in Counselling Psychology, the graduate degree Tricia earned, which provides advanced training in counselling theory, assessment, and evidence-based therapeutic practices.
What is Person-Centered Therapy?
Person-Centered Therapy is a supportive, non-judgmental approach that emphasizes empathy, understanding, and collaboration. Clients are seen as the experts in their own lives, and therapy focuses on helping them connect with their emotions, build self-awareness, and develop personal strengths.
What is CBT?
Cognitive Behavioural Therapy (CBT) is an evidence-based therapy that helps people identify and change unhelpful thought patterns, beliefs, and behaviours. It is commonly used for anxiety, depression, and other mental health challenges, providing practical tools to manage difficult emotions and situations.
What is Emotion-Focused Therapy?
Emotion-Focused Therapy (EFT) helps individuals identify, understand, and process emotions in a safe and supportive environment. By exploring emotions deeply, clients can resolve inner conflicts, increase self-awareness, and develop healthier ways to respond to emotional experiences.
What is Attachment Theory?
Attachment Theory explores how early relationships with caregivers influence emotional bonds, self-perception, and how people relate to others. Understanding attachment patterns can help individuals build healthier relationships, cope with stress, and navigate emotional challenges more effectively.
