FAQ

Sessions are approximately 50 minutes in length. During our first session, much of the time will be spent gathering information on you and what has brought you to counselling. I will ask lots of questions to best understand your situation and how to move forward. Generally speaking, therapy is about you having a space where you feel comfortable and safe to talk about what you’re going through—being vulnerable about your experiences and feelings and challenging yourself to try new things and see if they help how you’re feeling.

There are various healthcare disciplines who can provide mental health counselling and/or therapy such as Social Workers, Occupational Therapists, Registered Nurses, Master of Arts Counsellor, Master of Education Counsellor, Psychologist, etc. Each discipline brings a different philosophy and sometimes differ in values to their therapeutic approach. What sets Social Workers apart is the care and consideration of an individual’s social context and environment and commitment to social justice. Therapy isn’t just about psycho-education and teaching coping skills, but also advocating with and for clients when needed, navigating other systems of social supports, and providing community resources.

Wanting to speak with a therapist is a reason as good as any to book an appointment. However, I do prioritize clients seeking support in my trained areas of specializations (disordered eating, anxiety related disorders, depressive disorders, and grief, including death and bereavement). I also have experience and knowledge in the areas of separation/divorce, pregnancy loss, and religious trauma (but have yet to receive formal training in these areas).

No! Birch Stand is a private practice which means you don’t need to be referred by a doctor or other healthcare professional. Book an appointment yourself online here.

I provide my services virtually, using a platform called Owl Practice which includes a video feature for real-time, virtual therapy sessions. Telehealth/virtual therapy sessions are held to the same ethical and legal standards as in-person sessions. New and existing clients book appointments online using the Owl Practice client portal specifically designed for my practice.

1. Create an account on the Client Portal
2. Choose an appointment time and book
   (appointment times visible on portal are flexible; email me to learn more)
3. Complete the intake and consent form
   Within a few days of booking, you will receive an email with a secure link to complete an intake and consent form. It’s very important that you complete this so that we can minimize administrative time during your first appointment. When completing the form, you can customize any email or SMS reminders/notifications you desire.
4. Attend your appointment
   Phone appointment: If you did not “choose as video session” I will call you at the phone number you provided in your form.
   Video appointment: You can join the session by logging into your account on the client portal or clicking the “join now” button in your email reminder (if you selected email reminders).

Currently, I operate on a part-time basis: Tuesday, Wednesday, and Thursday from 9am-4pm. In the future, I hope to offer some evening appointments.

No. I cannot provide prescriptions for medication. Please contact your family doctor or Nurse Practitioner to explore options for medication.

No. Formal diagnoses for mental health disorders can only come from those trained in psycho-diagnostic assessment such as a Psychologist or Psychiatrist.

No. I currently only provide services adults (19 years-old or older) living in Nova Scotia or New Brunswick. I am not experienced or specialized in working with children or youth.

A good place to start to get info and resources for Eating Disorder support is the National Eating Disorder Information Center (NEDIC). Toll free helpline 1-866-633-4220

The IWK Hospital in Halifax, NS also serves individuals under the age of 19. To access their mental health services, the first step is to call central intake toll-free 1-855-922-1122.

Yes! I will maintain your client confidentiality as required by the Nova Scotia College of Social Workers and provincial law. If you wish to have your information released to anyone, including a doctor or another therapist, you will be required to sign an additional consent to share information form. There are some limitations to confidentiality which are important to understand as there are circumstances under which I may be legally and/or ethically obligated to release information or break confidentiality. These details are outlined in a consent form provided to you upon booking and will be discussed more during our first appointment.

Most health insurance companies do have coverage for MSW RSWs like myself,
but it is your responsibility to contact your insurance provider to inquire on your specific coverage and reimbursement details. Here are some questions you can ask:

• Do I need a doctor’s referral?
• How much money do I have for counselling and within what timeframe?
• Is there a deductible?
• What professional title do you require of my counselling therapist?
• How do I submit receipts for reimbursement?​

I am currently am set up to direct bill to:

• Blue Cross (includes the student health plans for SMU, Acadia, & DAL students)
• Campus Trust (MSVU & STU students)
• Veterans Affairs Canada (VAC)
• Canadian Armed Forces (CAF)
• Interim Federal Health Program (IFHP)
• Greenshield (KINGS & NASCAD students)
• NIHB (Indigenous individuals)

I am also a registered provider with TELUS eClaims, allowing me to direct bill to dozens of insurance companies (e.g. Canada Life, Desjardins, Equitable Life, & more). At the end of your appointment, we can see if your insurance company allows for direct billing to reduce your out-of-pocket expense.

Standard 50 minute counselling sessions are a flat rate $175 each. This is the minimum rate recommended by the NSCSW. However, the majority of health insurance plans cover psychological services provided by a MSW social worker. It is your responsibility to know your coverage details; please check with your insurance provider.

Social Workers are exempt from charging GST/HST for individual therapy sessions, which the Canadian Revenue Agency defines in detail in the Excise Tax Act.

Yes! WPATH sliding scale services are offered at two different price points for those with a financial barrier to accessing this service. This usually means clients are unable to afford services due to being un-insured, under-insured, or under-waged/low-income.

• Price point A: $185 (20% off)
• Price point B: $140 (37% off)

I have a limited capacity for sliding scale counselling clients; therefore, availability is often in flux. When available, sliding scale counselling services are offered at two different price points:

• Price point A: $140 (20% off)
• Price point B: $110 (37% off)

To inquire about availability or submit questions please email me at Raquel@BirchStand.ca

E-transfer is preferred but I also accept credit card.