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Nitya Sahni
RP · Clinician
Family dynamics, parenting, neurodivergence, complex relationships. From $190.
Read moreFamily Therapy in Etobicoke & Online Across Ontario
For the patterns that started before any of you.
Therapy for parents and children together, blended families, and intergenerational households — a structured space to surface the dynamics and start changing them.
- Session
- 50–90 minutes
- Starting at
- $190
- Format
- In-person & virtual
Family therapy & counselling in Etobicoke
Therapy that holds the whole system.
For the patterns that affect all of you.
Family therapy is a structured space where members of a family work together with a registered clinician to understand the dynamics that have been quietly shaping daily life. Some patterns are obvious — the same argument, the same withdrawal. Others are inherited from generations back and only show up under stress.
The work fits the family. Sometimes everyone is in the room; sometimes parents alone; sometimes parents and one child. We figure out who needs to be present based on what's getting worked on.
Therapy for parent–child conflict, blended families & intergenerational tension
What brings families in.
You don't need everyone to agree it's a problem. If one person sees it, that's reason enough to start.
- Parent-child conflict that won't shift. Fights that escalate fast, repeat often, and end in withdrawal or apology cycles. Nothing seems to actually resolve.
- Blended-family stress. Step-parents, half-siblings, two households, layered loyalties — and no obvious roadmap for how it's all supposed to fit.
- A teen whose behaviour has changed. Pulling away, acting out, struggling at school, not opening up. The kid you knew, hidden somewhere behind the kid you're seeing.
- A transition no one's talking about. A death, a divorce, a move, an illness — and everyone coping differently, with the conversations everyone needs not happening.
- Intergenerational expectation weight. Cultural or family-of-origin scripts that don't fit anymore — and the friction of being the generation that has to renegotiate them.
- Communication that's broken down. Silence at the dinner table. Walking on eggshells. Or shouting matches that leave everyone exhausted.
Structural, EFT-F, CBT & narrative family therapy
Evidence-based tools, fit for a system.
Family work draws on well-researched frameworks selected based on what's playing out in the room. Here's what shows up most often.
Structural
Structural-strategic
Mapping the family system: who has the loudest voice, who keeps the peace, who carries the worry.
EFT-F
Emotionally focused family therapy
Reaching the underlying emotion before the pattern repeats — so the cycle has somewhere different to go.
CBT
Cognitive behavioural (family-adapted)
Concrete tools the family can use between sessions — for triggers, communication, conflict de-escalation.
Narrative
Narrative therapy
Re-authoring the family story so it's not just one person's version of events that wins.
Cultural
Intergenerational & cultural dynamics
When the rules nobody wrote down are the loudest ones — naming them, working with them, sometimes rewriting them.
Online family 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. Family members can join from the same room or from different locations.
Sessions are 50–90 minutes depending on how many people are in the room. Online sessions run on a PHIPA-compliant video platform. Most families mix the two depending on the week.
What to expect in your first family therapy session
The shape of the first few weeks.
Family therapy isn't linear, but the early pacing is predictable. Who needs to be in the room shifts as we go.
Week 0 — Free consult
A short call with whoever's reaching out
Usually a parent or both parents. Tell us what's been going on. Ask questions. See if we're a fit.
Week 1 — Intake
A first family session
Usually with whoever can come. We get the lay of the land — the dynamics, the goals, the pacing.
Weeks 2+ — The work
Finding the rhythm
Pacing varies. Some families come weekly for a stretch, then space out. We may meet with subsets between joint sessions.
Registered psychotherapists in Etobicoke
Nitya, Japnam, and Lissa offer family therapy.
See the full teamAll three bring deep family-systems training, cultural fluency, and steady presence in difficult conversations.
Family therapy fees, OHIP & insurance coverage
What it costs — and what's covered.
Sessions run 50–90 minutes depending on who's in the room. All fees include HST. We don't direct-bill, but provide detailed receipts after every session.
Standard
Family therapy
$190
Per 50-minute session. Longer sessions (up to 90 min) prorated.
Free
Consultation
20 min
Usually with whoever's reaching out. No paperwork, no commitment.
Does OHIP cover family 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 RSW and 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 family therapy?
The reduced-rate program is for individual therapy only — family 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.
Who needs to attend family therapy?
It depends. Sometimes the whole family. Sometimes parents alone. Sometimes parents and one child. We figure out who needs to be in the room based on what's getting worked on.
How long are family therapy sessions?
Sessions run 50–90 minutes depending on how many people are in the room and what we're working on. Longer sessions for full-family meetings; shorter for subset work.
What if one family member refuses to come?
Therapy can still work without them, often. Family-of-origin patterns can be worked on even with one or two members in the room. We talk through what's possible at the consult.
How is family therapy different from individual therapy for one of us?
Family therapy treats the system, not just the person. Individual therapy might feel like solving you; family therapy is solving the dynamic between you. Both can run alongside each other.
Will the therapist take sides?
No. The therapist's job is to hold the whole system — including the points of view that don't have a voice yet. No one gets ganged up on.
Is family therapy covered by insurance?
Many extended health plans cover RSW and RP services for family work. Coverage varies by plan. We don't direct-bill; 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 right for what your family needs, 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. A short conversation about what's been happening at home and whether we're a fit. Whoever's reaching out can call — others can come in later as we go.