Private therapists cost $150-250/session (may be covered by employer benefits).
๐ What to Say When You Call
"Hi, I'd like to access mental health services. I don't have a referral โ I'm self-referring."
"I've been feeling [anxious / depressed / overwhelmed] for about [timeframe]. It's affecting my [sleep / work / relationships]."
This is routine โ they ask everyone. Answer honestly.
Based on your assessment, they may connect you with a therapist or counsellor (for talk therapy โ CBT, DBT, etc.), add you to a short waitlist, or direct you to a group program. Many people get a first therapy appointment within 2-4 weeks.
๐ง Therapist vs. Psychiatrist vs. Psychologist
These three are different roles. Which one you need depends on your situation.
What they do: Talk therapy (CBT, DBT, EMDR, etc.). Help you develop coping strategies and work through issues.
How to access: Through Access Mental Health (1-877-303-2642), your PCN, or privately.
Cost: Usually free through public programs. Private therapists cost $150-250/session (may be covered by employer benefits).
Referral needed? No โ you can self-refer through Access Mental Health.
What they do: Medical doctor specializing in mental health. Can diagnose, prescribe, and adjust psychiatric medications. Treats complex conditions like bipolar disorder, schizophrenia, treatment-resistant depression, PTSD, and severe anxiety disorders.
How to access: You need a referral from your family doctor, NP, or through Access Mental Health's intake team (they can refer you if your assessment indicates a need).
Cost: Fully covered by AHCIP (they are medical doctors). No out-of-pocket cost.
Wait times: Typically weeks to months depending on urgency. Your referring doctor can flag urgency.
In the meantime: Your family doctor or NP can often start or adjust common psychiatric medications (antidepressants, anti-anxiety medications, sleep aids) while you wait for a psychiatrist. Say: "I've been referred to a psychiatrist but the wait is long. Can you help me with medication in the meantime?"
What they do: Can diagnose mental health conditions and provide specialized therapy. Cannot prescribe medication. Often do psychological assessments (ADHD, autism, learning disabilities).
How to access: Referral from your doctor, or self-refer to a private practice. Some PCNs have psychologists on staff (free).
Cost: Typically NOT covered by AHCIP. $200-275/session privately. May be covered by employer benefits. Some PCN programs offer limited free sessions.