FAQs

Therapy FAQs | Jayati Singh, RP

Frequently Asked QuestionsTherapy FAQs | Jayati Singh, RP | Toronto & Kitchener

If you don’t find what you’re looking for, please reach out. I’m happy to answer any questions directly.

Not who you might think.

In my practice, a high performer is not necessarily defined by job title, income, or achievement. It’s a way of moving through the world.

A high performer is someone who has built a life that looks , from the outside, like it’s working. They meet deadlines, hold responsibility, show up for others, and keep moving. They are often the person others lean on. The capable one. The one who figures it out.

But high performance, as I use it, is also an orientation. It describes people who are deeply invested in growth : professionally, relationally, personally. People who think carefully, feel things intensely, and hold themselves to standards that are often invisible to everyone around them.

It includes the executive carrying the weight of a team. The entrepreneur who hasn’t stopped since they started. The physician holding life-and-death decisions by day and coming home to hold everyone else together by night. The lawyer who is always on. The teacher or nurse who gives everything to others and has little left for themselves. The parent managing everything at home while leading everything at work. The person who was always the responsible one in their family long before they had a title.

What brings them to therapy isn’t necessarily a crisis , maybe not. It’s more often a quiet feeling… that the way they’ve been operating is starting to cost them something. Rest doesn’t restore them. Success doesn’t satisfy them. Relationships feel stretched. And underneath all the doing, something is asking to be looked at.

That is who I work with.

About Therapy

I will respond within 1–2 business days to acknowledge your message and, if appropriate, arrange a free 15-minute consultation call. This call is an opportunity for you to ask questions, share a little about what you’re looking for, and get a sense of whether we might be a good fit , with no obligation to proceed.

The first session is an opportunity for us to get to know each other. I will ask questions about what has brought you to therapy, your history, what you are hoping for, and what has and hasn’t worked in the past. You are not expected to share everything at once . We move at a pace that feels right to you. By the end, we will have a clearer sense of what we are working toward and how we might work together.

This depends on what you are bringing to therapy, how long the patterns have been in place, and what you are hoping to change. Some people come for a focused period of 12–20 sessions. Others engage in longer-term work over months or years, particularly when the goals involve deep patterns rooted in early experience. We will revisit this question as we go, and you are always free to decide when the work feels complete.

Most clients begin with weekly sessions, which tends to build momentum and continuity. Over time, some people shift to biweekly meetings. We discuss the rhythm that works best for you and adjust as needed.

This is more common than you might think , and it is worth exploring what happened. Sometimes the timing wasn’t right. Sometimes the approach wasn’t the right fit. Sometimes previous therapy offered useful tools but didn’t go deep enough to address the underlying patterns. If you are willing to share what your previous experience was like, I will do my best to understand what might be different this time.

Registered Psychotherapist (RP) is trained and regulated to provide psychotherapy , the kind of talk-based therapy we do together. RPs are regulated in Ontario by the College of Registered Psychotherapists of Ontario (CRPO). Psychologist holds a doctoral degree (PhD or PsyD) and can provide both assessment/diagnosis and therapy. Psychiatrist is a medical doctor who specializes in mental health. They primarily prescribe and manage medication, though some also provide therapy. RPs often have more focused training in specific therapeutic modalities and provide excellent, evidence-informed therapy. Many people find that working with an RP is equally effective as working with other mental health professionals , and often more accessible.

Couples Therapy

Ideally, yes: couples therapy works best when both partners are willing to engage. That said, it is common for one partner to be more hesitant than the other. If your partner is uncertain, it can help to start with the free consultation together so they can get a sense of the process before committing. I also work with individuals on relationship concerns when couples work is not possible or desired.

Couples therapy can be meaningful even in relationships that are in significant difficulty , and sometimes especially so. However, therapy is not a guarantee that a relationship will survive, and in some cases, the work helps partners make a thoughtful, dignified decision to separate rather than stay together in ways that cause harm. Whatever the outcome, the goal is greater clarity, honesty, and intentionality.

Yes, absolutely. I work with 2SLGBTQ+ individuals and couples and affirm all relationship structures, including non-monogamous relationships. My practice is an inclusive, affirming space.

Fees & Logistics

Therapy sessions range from $175–$200 per session. Many extended health benefit plans in Ontario cover Registered Psychotherapist (RP) services — check with your provider or HR department. I provide an official receipt after each session for direct submission to your insurer.

Speaking engagement rates are custom. Get in touch to discuss.

In most cases, yes. Most extended health benefit plans in Ontario — including those held by teachers, nurses, public servants, university staff, and employees of large organisations — cover Registered Psychotherapist (RP) services. No physician referral is required. I provide an official receipt after each session for direct submission to your insurer. Check with your insurance provider or HR department to confirm your coverage. Many employers also offer an Employee Assistance Programme (EAP) that may cover sessions at no cost to you.

I have a small number of reduced-fee spots available for clients who would otherwise not be able to access therapy. If cost is a barrier, please mention this when you reach out and we can discuss further.

I offer in-person sessions in Toronto (60 Atlantic Avenue, Toronto ON M6K 1X9) and Kitchener (7 Duke Street W, Kitchener ON N2H 6N7), as well as virtual sessions via a secure, PIPEDA-compliant video platform for clients anywhere in Ontario. Many clients find virtual therapy just as effective as in-person work; others prefer the ritual and presence of coming in. We can discuss what would work best for you.

I ask for at least 48 hours’ notice to cancel or reschedule a session. Cancellations with less than 48 hours’ notice, and missed sessions, are charged at the full session fee. This policy allows me to offer the time to someone else who may need it.

This varies depending on the approach we are using and what feels right for you. Some clients find it helpful to reflect between sessions, journal, or practice specific skills. Others find that the work happens primarily in the room. I take my cues from you . Therapy should support your life, not add to an already full plate.

About Therapeutic Approaches

Psychodynamic therapy is rooted in the idea that much of what drives our feelings, behaviours, and relationships operates outside our conscious awareness. It explores how early experiences, formative relationships, and unconscious patterns shape the way we live today. Rather than focusing only on managing symptoms, psychodynamic work seeks to understand their meaning , so that lasting change becomes possible.

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy for trauma. It works on the premise that traumatic memories are sometimes stored in the nervous system in ways that remain raw and unprocessed , causing them to continue affecting us as if the event is still happening. EMDR uses bilateral stimulation (most commonly eye movements) to help the brain process and integrate these memories so they lose their charge.

IFS is a model that understands the mind as made up of distinct "parts" – each with its own perspective, feelings, and purpose. Some parts protect us (often in ways that cause problems), others carry pain from the past, and at the core is a “Self” that is naturally calm, compassionate, and wise. IFS helps you develop a compassionate relationship with all parts of yourself, including the ones you might be most inclined to push away.

Attachment theory explores how our earliest experiences with caregivers shape the internal templates we carry about relationships, whether others are reliable, whether we are worthy of love, how close or distant it is safe to be. Attachment-based therapy uses this framework to understand relational patterns, intimacy concerns, and the ways early experiences continue to shape how we show up with the people we love.

Cognitive Behavioural Therapy (CBT) is a structured, evidence-based approach that examines the relationships between thoughts, feelings, and behaviours. It can be particularly useful for identifying unhelpful thinking patterns and developing more adaptive responses. I draw on CBT tools when they are helpful, typically integrated alongside deeper relational or trauma-focused work.

No single approach works for every person or every concern. I draw from several modalities and integrate them based on what you bring to therapy, what resonates with you, and what the work requires at a given moment. The foundation is always psychodynamic and relational, understanding the patterns beneath the presenting problem. Other tools (EMDR, IFS, CBT, attachment-based work) are woven in as needed.

Privacy & Safety

Yes. Everything you share in therapy is held in strict confidence. There are a small number of exceptions required by law: if there is a risk of serious harm to yourself or others, if there is a concern about child abuse or neglect, or if records are subpoenaed by a court. I will review confidentiality with you fully at the start of our work together.

Yes. Your privacy is protected under the same legal and ethical framework as all clients. I do not share information with employers, insurers, or any third parties without your explicit written consent (except in the rare legal exceptions noted above). Many senior professionals and executives seek therapy, and doing so does not create any record that is accessible to their organizations or boards.

If you are in crisis, please reach out to one of the following resources. Therapy is not a crisis service, and if you are in immediate danger, please call 911.

Canada-Wide & Ontario: 988 Suicide Crisis Helpline (call/text 988, 24/7) · Crisis Services Canada: 1-833-456-4566 · Kids Help Phone: 1-800-668-6868 (ages 5–25) · ConnexOntario: 1-866-531-2600 · Assaulted Women’s Helpline: 1-866-863-0511 · Trans Lifeline (Canada): 1-877-330-6366 · Blackline (BIPOC): 1-800-604-5841 · Hope for Wellness: 1-855-242-3310 (all Indigenous peoples)

Toronto & GTA: Distress Centres of Greater Toronto: 416-408-4357 · Gerstein Crisis Centre: 416-929-5200 · CAMH Emergency: 416-535-8501 · Toronto Rape Crisis Centre: 416-597-8808 · Spectra Helpline (multilingual): 416-920-0497

Kitchener-Waterloo: Here 24/7: 1-844-437-3247 · Distress Line KW: 519-745-1166 · Sexual Assault Support Centre of Waterloo Region: 519-741-8633 · Grand River Hospital: 519-749-4300

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy for trauma. It works on the premise that traumatic memories are sometimes stored in the nervous system in ways that remain raw and unprocessed , causing them to continue affecting us as if the event is still happening. EMDR uses bilateral stimulation (most commonly eye movements) to help the brain process and integrate these memories so they lose their charge.

IFS is a model that understands the mind as made up of distinct "parts" – each with its own perspective, feelings, and purpose. Some parts protect us (often in ways that cause problems), others carry pain from the past, and at the core is a “Self” that is naturally calm, compassionate, and wise. IFS helps you develop a compassionate relationship with all parts of yourself, including the ones you might be most inclined to push away.

Attachment theory explores how our earliest experiences with caregivers shape the internal templates we carry about relationships, whether others are reliable, whether we are worthy of love, how close or distant it is safe to be. Attachment-based therapy uses this framework to understand relational patterns, intimacy concerns, and the ways early experiences continue to shape how we show up with the people we love.

Cognitive Behavioural Therapy (CBT) is a structured, evidence-based approach that examines the relationships between thoughts, feelings, and behaviours. It can be particularly useful for identifying unhelpful thinking patterns and developing more adaptive responses. I draw on CBT tools when they are helpful, typically integrated alongside deeper relational or trauma-focused work.

No single approach works for every person or every concern. I draw from several modalities and integrate them based on what you bring to therapy, what resonates with you, and what the work requires at a given moment. The foundation is always psychodynamic and relational, understanding the patterns beneath the presenting problem. Other tools (EMDR, IFS, CBT, attachment-based work) are woven in as needed.

Privacy & Safety

Yes. Everything you share in therapy is held in strict confidence. There are a small number of exceptions required by law: if there is a risk of serious harm to yourself or others, if there is a concern about child abuse or neglect, or if records are subpoenaed by a court. I will review confidentiality with you fully at the start of our work together.

Yes. Your privacy is protected under the same legal and ethical framework as all clients. I do not share information with employers, insurers, or any third parties without your explicit written consent (except in the rare legal exceptions noted above). Many senior professionals and executives seek therapy, and doing so does not create any record that is accessible to their organizations or boards.

If you are in crisis, please reach out to one of the following resources. Therapy is not a crisis service, and if you are in immediate danger, please call 911.

Canada-Wide & Ontario: 988 Suicide Crisis Helpline (call/text 988, 24/7) · Crisis Services Canada: 1-833-456-4566 · Kids Help Phone: 1-800-668-6868 (ages 5–25) · ConnexOntario: 1-866-531-2600 · Assaulted Women’s Helpline: 1-866-863-0511 · Trans Lifeline (Canada): 1-877-330-6366 · Blackline (BIPOC): 1-800-604-5841 · Hope for Wellness: 1-855-242-3310 (all Indigenous peoples)

Toronto & GTA: Distress Centres of Greater Toronto: 416-408-4357 · Gerstein Crisis Centre: 416-929-5200 · CAMH Emergency: 416-535-8501 · Toronto Rape Crisis Centre: 416-597-8808 · Spectra Helpline (multilingual): 416-920-0497

Kitchener-Waterloo: Here 24/7: 1-844-437-3247 · Distress Line KW: 519-745-1166 · Sexual Assault Support Centre of Waterloo Region: 519-741-8633 · Grand River Hospital: 519-749-4300