What Is EMDR Therapy and How Does It Work? A Therapist's Guide
Learn what EMDR therapy is, how it works, what conditions it treats, and what to expect in your first session. Written by an advanced EMDR-trained therapist in BC.
Read →Mohamad Shabib
MACP, CCC, Registered Psychotherapist (Qualifying) · August 6, 2026
Looking for a counsellor in British Columbia comes with a wrinkle most people don't expect: unlike "doctor" or "nurse," the title "counsellor" is not a government-regulated title in BC. Anyone can use it. That makes online counselling in BC both a real opportunity — you can work with a well-trained therapist from anywhere in the province — and something worth approaching with informed eyes.
This guide walks through how virtual counselling works, who actually provides it in BC, what the RCC and CCC designations mean, how to vet an online counsellor properly, and what to expect around cost and insurance.
Online counselling — also called virtual therapy, telehealth counselling, or e-counselling — is professional mental health support delivered through secure video (or sometimes phone) instead of an office visit. The structure mirrors in-person therapy: you meet one-on-one, or as a couple, with a trained professional for focused conversations about what you're carrying — anxiety, depression, trauma, grief, relationship strain, burnout — and how to work through it.
The therapeutic approaches themselves translate well to video. Cognitive behavioural therapy (CBT), EMDR, Internal Family Systems (IFS), and Gottman Method couples work are all delivered virtually by therapists trained in those models. What changes is the logistics. In a province the size of British Columbia, that matters: whether you're in Vancouver, Kelowna, Prince George, or a community with no counselling office at all, the therapist with the specific training you need no longer has to live within driving distance.
This is where BC differs sharply from provinces like Ontario, and it's the part of this guide worth reading twice.
In British Columbia, there is currently no regulatory college for counsellors or psychotherapists. The titles "counsellor," "therapist," and "psychotherapist" are not protected by law here — a person with no formal training can legally advertise counselling services. The Canadian Counselling and Psychotherapy Association (CCPA) tracks the regulation picture province by province, and BC's is changing: the provincial government has designated psychotherapy as a health profession, with regulation planned under the College of Health and Care Professionals of BC. But that regulation is not yet in force — so for now, the vetting work falls to you.
The good news is that strong voluntary designations exist, and they do much of the work a regulatory college would:
Because virtual care crosses provincial lines, some online practices serving BC clients include clinicians whose registration is with another province's regulator. For example, TEO Counselling — a virtual-only practice that works with clients in both BC and Ontario — lists two clinicians: Mohamad Shabib, MACP, who is a Registered Psychotherapist (Qualifying) with the College of Registered Psychotherapists of Ontario (CRPO), Ontario's regulatory college for psychotherapists, and who also holds the national CCC certification; and Alison Shaji, MA Clinical Psychology, who is an RCC with BCACC.
To be clear about what that means: CRPO registration is an Ontario credential — it does not make someone regulated in BC, because no such registration exists here yet. What it does mean is that the clinician is accountable to a regulatory college with education standards, a code of ethics, and a formal complaints process. In a province where the counsellor title itself is unprotected, checkable accountability of that kind — whether through CRPO, BCACC, or CCPA — is exactly what you're looking for.
Since BC's landscape puts the homework on you, here is how to do it in about fifteen minutes:
One red flag worth naming: guaranteed results. No ethical counsellor promises outcomes, because no honest one can.
BC's Medical Services Plan (MSP) does not typically cover counselling in private practice, so most people pay through extended health benefits, out of pocket, or a mix of both.
If cost is a barrier, say so during a consultation. Sliding scales exist because many counsellors believe therapy should be available to everyone who needs it.
Is counselling a regulated profession in British Columbia?
Not yet. There is currently no regulatory college for counsellors in BC, and the title "counsellor" is not legally protected. Regulation of psychotherapy has been announced but is not yet in force. In the meantime, voluntary designations — RCC through BCACC and CCC through CCPA — signal graduate-level training, supervision, and accountability to an ethics code.
Does online counselling work as well as in-person therapy?
For many common concerns — depression, anxiety, PTSD — research reviewed by CMHA Ontario found virtual mental health care to be efficacious in comparison to in-person care. Outcomes depend on your needs and your fit with the therapist, which is why a consultation call is a sensible first step.
Does MSP or insurance cover online counselling in BC?
MSP generally does not cover private-practice counselling. Many extended health plans cover RCCs or CCCs — check your plan's specific wording. You'll typically pay up front and submit your receipt for reimbursement.
What if I need help right now?
Online counselling is not a crisis service. If you're in crisis or having thoughts of suicide, call or text 9-8-8, Canada's suicide crisis helpline. For help navigating mental health services in BC, HealthLink BC offers information and connects residents to services — including by phone at 8-1-1.
Can I see an online counsellor based in another province?
Often, yes — some virtual practices serve multiple provinces. Ask where the clinician is registered or certified, confirm the practice works with BC clients, and verify the credential with the issuing body before you book.
Reaching out is usually the hardest part — harder than the sessions themselves. If you've read this far, some part of you is already weighing it, and that's worth paying attention to.
If you're in BC or Ontario, TEO Counselling is a virtual-only practice offering trauma therapy, couples counselling, support for first responders, addictions counselling, grief and loss support, and culturally responsive care — with evening and weekend availability and sessions in English, Arabic, Hindi, and Malayalam. You can book a free 15–20 minute consultation call to ask questions, check the fit, and verify anything in this article for yourself. No pressure to commit — just a conversation.
You don't have to carry it alone.
Book a free, no-pressure consultation. We'll talk about what you're going through and figure out together if we're the right fit.
Book Free ConsultationLearn what EMDR therapy is, how it works, what conditions it treats, and what to expect in your first session. Written by an advanced EMDR-trained therapist in BC.
Read →Everything you need to know about couples therapy in BC — what happens in sessions, how the Gottman Method works, costs, insurance, and how to find the right therapist.
Read →Unresolved trauma affects your daily life in ways you might not recognize. Learn the 7 most common signs and understand how trauma therapy can help.
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