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Couples Therapy in Etobicoke & Online Across Ontario
For the things you keep ending up arguing about.
Therapy for partners — dating, married, separated, or somewhere in between — to break out of the cycles, rebuild trust, and figure out what you actually want from each other.
- Session
- 50 minutes
- Starting at
- $190
- Format
- In-person & virtual
Couples therapy & marriage counselling in Etobicoke
Therapy for what keeps coming up.
For the patterns that affect both of you.
Couples therapy is a confidential space where two people work with a registered clinician to understand what keeps happening between them. It's not about deciding who's right — it's about seeing the cycle clearly, together, and learning to interrupt it.
Some couples come to repair a specific rupture. Others come because something has felt off for a long time and they can't quite name it. Pacing, structure, and goals are set with both of you in the room.
Therapy for communication, conflict, infidelity & life transitions
What couples actually bring in.
You don't need a crisis to come to couples therapy. If something below sounds familiar, that's reason enough.
- The same argument, on repeat. It feels like you keep ending up in the same fight from a different angle. The topic changes; the dynamic doesn't.
- Trust that has to be rebuilt. After infidelity, broken promises, or a slow erosion of faith — and a real wish to repair, not just paper over it.
- A transition that's straining the seams. Parenthood. Relocation. A new job. A blended family forming. The relationship structure is being asked to hold more than it used to.
- Feeling unheard or unseen. Like you're talking past each other instead of to each other. Conversations that end without anything having actually landed.
- Two family scripts, clashing. Cultural expectations or family-of-origin patterns colliding — and neither of you sure how to bridge them.
- Wanting closeness back. The spark, the affection, the day-to-day warmth that's slipped — and a quiet want to find each other again.
EFT, CBT & attachment-based couples therapy
Approaches that match where you are.
Couples work draws on well-researched frameworks, selected based on what's getting in the way for the two of you. Here's what shows up most often.
EFT
Emotionally focused therapy
Working at the level of emotion to help you actually be heard by each other — not just understood.
Family systems
Family-systems work
Looking at the roles, rules, and patterns between you — to shift what plays out, not just within each person.
CBT
Cognitive behavioural therapy
Notice the trigger, name the pattern, choose a different response. Concrete tools you can use between sessions.
Attachment
Attachment-based work
Understanding how each of you was shaped to expect closeness — or distance — and how that plays out now.
Cultural
Cultural & intergenerational lens
When the conflict isn't just between you — it's between two family scripts that don't fit each other.
Online couples therapy across Ontario or in-person in Etobicoke
Same work, two ways in.
In person at our Etobicoke clinic, or by secure video anywhere in Ontario — Toronto, Mississauga, Brampton, and the wider GTA. Both partners can join from the same room or from different locations.
Sessions are 50 minutes either way, on a PHIPA-compliant video platform when online. Many couples mix the two depending on the week.
What to expect in your first couples therapy session
The shape of the first few sessions.
The early sessions have a predictable rhythm. Both of you are present unless we explicitly agree otherwise.
Week 0 — Free consult
Your free 20-minute consultation
Tell us what's been going on. Ask questions. Hear how we work. No paperwork, no commitment.
Week 1 — Intake
Your first joint couples therapy session
A longer conversation. Each of you shares what's been going on from your side. Together we set a direction.
Weeks 2+ — The work
Settling into a weekly rhythm
Most couples land on weekly sessions for the first few months, then space out. Pacing is yours.
Calm, structured, and culturally fluent — both bring family-systems and emotion-focused training and a steady hand for high-conflict moments.
Lissa Busgith
RP(Q) · Clinician
Couples, emotion regulation, relationship dynamics. Online only. From $190.
Read moreCouples therapy fees, OHIP & insurance coverage
What it costs — and what's covered.
Sessions are 50 minutes. All fees include HST. We don't direct-bill, but provide detailed receipts after every session.
Standard
Couples therapy
$190
Per 50-minute session. Both partners in the room (or on the call).
Free
Consultation
20 min
No paperwork, no commitment. Both of you on the call.
Does OHIP cover couples therapy in Ontario?
Short answer: no. Psychotherapy provided by Registered Psychotherapists (RP) and Registered Social Workers (RSW) isn't covered by OHIP. It is, however, covered by most extended health benefit plans — look for "psychotherapist," "registered social worker," or "mental health" coverage in your benefits booklet.
What about extended health insurance?
Most workplace and student plans cover RP services. Per-session limits and annual maximums vary by plan. We provide detailed receipts you can submit for reimbursement directly — same-day, no portal. We don't currently direct-bill insurers.
Are reduced rates available for couples therapy?
The reduced-rate program is for individual therapy only — couples therapy is billed at the standard $190 rate. If cost is a real barrier, mention it on the consult and we'll talk through options.
Is couples therapy only for married couples?
No. Dating, engaged, married, separated, polyamorous — any partnership working through something is welcome. Some people call this work 'marriage counseling' and some call it 'couples therapy'; the work is the same, and the legal status of the relationship doesn't change it.
Can we do couples therapy virtually?
Yes. Sessions run on a PHIPA-compliant secure video platform — both of you can join from the same room, or from different locations. We work with couples across Ontario via virtual sessions, including Toronto, Mississauga, Brampton, and surrounding areas. Many couples mix in-person and virtual depending on the week.
How long does couples therapy take?
Most couples find a weekly rhythm settles things in 8–12 sessions. Some stay longer for deeper work; some come back for tune-ups when life gets bumpier.
What if my partner is hesitant?
Common. Many partners come reluctantly and end up finding it useful. The consult is low-stakes — just a conversation about whether this could help. No pressure to commit.
How does it work after infidelity or broken trust?
Carefully. Trust rebuilding is its own arc — we work in stages, with both partners' consent on the pace. We name what happened. We don't paper over it.
Is couples therapy covered by insurance?
Many extended health plans cover RP services. We don't direct-bill insurers; we provide detailed receipts for reimbursement.
What if we're not a good fit?
The consult is where we figure that out. If we're not the right match for what you need, we'll say so honestly and point you toward someone who is.
Ready when you are
Start with a free consultation.
No paperwork, no commitment, no sales pitch. A short conversation about what's been going on between you, and whether we're a fit. Both of you on the call.