Virtual Therapy in BC

Online counselling with Registered Clinical Counsellors across British Columbia

You do not have to live near our Coquitlam office to work with a therapist at Kayda Health.

We offer virtual therapy throughout British Columbia, so you can meet with a Registered Clinical Counsellor from home, your office, or another private space that works for you.

Online counselling can be a good fit if you want more flexibility, have a busy schedule, live outside the Tri-Cities, prefer the comfort of your own space, or simply connect better virtually.

Book a consult or find a therapist who offers virtual sessions.

Virtual therapy and online counselling with a Registered Clinical Counsellor in British Columbia

What can virtual therapy help with?

Virtual therapy can support many of the same concerns people bring to in-person counselling. Our therapists work with adults, couples, parents, young adults, and families experiencing concerns such as:

Anxiety, stress, and overwhelm
Burnout and emotional exhaustion
Depression and low motivation
ADHD and executive functioning challenges
Perfectionism and self-doubt
Grief and life transitions
Trauma and difficult past experiences
Relationship and family stress
Parenting and caregiver strain
Immigration, identity, and belonging
Work stress and return-to-work challenges
General Support or Maintenance

You do not need to know exactly what is wrong before starting therapy. Sometimes life feels harder than it used to, or coping strategies are no longer working as well, or you simply have the sense you need a place to talk.

Is virtual therapy effective?

For many people and many common concerns, research suggests that it can be. Studies comparing live video therapy with in-person psychotherapy have generally found similar outcomes for concerns such as anxiety, depression, and PTSD. Research has also found comparable levels of therapeutic connection, satisfaction, and treatment completion in many studies. The best format still depends on the person, the concern being treated, and the type of therapy being used. Some people feel more comfortable and focused at home, while others prefer the structure and separation of being in a therapy office. What seems to matter most is finding a qualified therapist who you connect well with, using an approach that fits your needs, and being able to engage meaningfully in the work.

Who is virtual counselling especially helpful for?

Virtual therapy may be worth considering if:

Your work or family schedule makes appointments difficult
You live outside Coquitlam or the Lower Mainland
You want more choice in which therapist you see
You prefer being at home during therapy
You travel frequently within British Columbia
You have mobility, transportation, or health barriers
You find transitions and commuting draining
You want therapy that fits more easily into your day

It can also make ongoing therapy easier when life gets busy. A one-hour virtual appointment may genuinely take one hour of your day rather than requiring additional travel time before and afterward.

Virtual therapy for women experiencing burnout

Burnout does not always look like being unable to function. Sometimes it looks like continuing to work, parent, organize, remember, care for everyone, and keep things moving while quietly feeling exhausted, irritable, disconnected, or unlike yourself. Women may also be navigating several overlapping pressures at the same time, including work, caregiving, parenting, relationship responsibilities, ADHD, changing hormones, perfectionism, and the mental load of managing a household. Virtual therapy can make support easier to access when adding another appointment, commute, or obligation feels almost impossible. Our therapists can help you look at what is contributing to the burnout, what needs to change, and what might help you feel more like yourself again.

Learn more about therapy for women and burnout.

Virtual therapy for anxiety, stress, and overthinking

Anxiety can show up as racing thoughts, constant planning, second-guessing yourself, physical tension, difficulty sleeping, avoidance, panic, or feeling as though your brain never fully switches off. Therapy can help you understand what keeps the anxiety going and develop ways to respond differently to thoughts, physical sensations, uncertainty, and stress. Virtual therapy can be particularly useful when anxiety itself makes leaving home, commuting, or attending an unfamiliar office feel difficult.

Learn more about therapy for anxiety, stress, phobias, and panic attacks.

Virtual therapy for ADHD and neurodivergent adults

For some neurodivergent people, online therapy removes several barriers at once. There may be less transition time, less sensory input, fewer social demands around arriving and waiting, and more control over your environment. Therapy may focus on executive functioning, emotional regulation, burnout, shame, perfectionism, relationships, self-understanding, or finding strategies that actually work with your brain. A neuroaffirming approach does not treat difference as something that needs to be corrected.

Virtual relationship and couples counselling

Couples can also attend therapy virtually.

Online couples counselling may be helpful when schedules are difficult to coordinate, one partner travels for work, childcare is limited, or attending an office together is inconvenient. Your therapist can help you look at communication patterns, recurring conflict, emotional connection, trust, boundaries, parenting stress, and other concerns affecting the relationship. Both partners usually attend from a private location where they can speak openly.

Meet some of our therapists who offer virtual counselling

Ashley Gossen, RCC

Ashley offers virtual counselling to adults and couples throughout British Columbia. Her areas of focus include relationships, parenting, family concerns, life transitions, and the emotional challenges that can come with trying to manage many roles at once. She can also support clients experiencing anxiety, low mood, stress, overwhelm, and relationship difficulties even when those concerns are not the main reason they initially seek therapy.

Meet Ashley

Vanessa Thomson - Virtual Counselling - Lifespan Integration Therapy

Vanessa Thomson, RCC

Vanessa offers virtual counselling across British Columbia and works with adults navigating stress, burnout, trauma, relationships, parenting, and performance pressures. Her work may be particularly helpful for people who are accustomed to functioning at a high level but are finding that stress, expectations, or life circumstances are beginning to take a toll. She also supports clients experiencing anxiety, low mood, self-doubt, and emotional overwhelm.

Meet Vanessa

Other Kayda Health therapists offering virtual sessions

All members of our team offer online counselling across BC. Depending on what you are looking for, you may prefer a therapist who focuses on:

Anxiety and stress
Burnout
Trauma
Couples counselling
ADHD and executive functioning
Immigration and belonging
Grief
Parenting and family concerns
Young adults
Workplace stress and return to work
General support or maintenance

If you are not sure who would be the best fit, you can use our Therapist Matching Form and we can help you narrow it down.

What happens in an online therapy session?

Virtual sessions are similar to in-person counselling. Before your appointment, you receive a secure video link. At the scheduled time, you join from a private location using a phone, tablet, or computer with a reliable internet connection. Your therapist may ask about what has been happening recently, what brought you to therapy, and what you would like help with. Over time, sessions may include:

talking through current concerns
identifying patterns
learning practical strategies
exploring emotions and relationships
understanding past experiences
practicing new ways of responding
processing disturbing memories, thoughts, emotions, or sensations
setting goals
reviewing what is and is not helping

The exact approach depends on you and the therapist you choose.

How do I choose a virtual therapist in BC?

Credentials matter, but fit matters too. You may want to consider:

What does the therapist specialize in?
Do they regularly work with people experiencing concerns similar to yours?
Does their approach make sense to you?
Do you feel understood when reading their profile?
Do you prefer a more structured or conversational style?
Are you looking for individual, couples, or family therapy?
Do they offer the appointment times you need?

You do not have to find the perfect therapist. You are looking for someone who understands the concerns you are bringing in and feels like a person you could realistically talk to.

Read our guide: How to Choose a Virtual Therapist in BC.

Does insurance cover virtual therapy in BC?

Many extended health plans provide coverage for counselling with a Registered Clinical Counsellor, but coverage varies significantly between benefit plans, so you'll need to check yours specifically. Whether virtual sessions are covered, how much is reimbursed, and whether direct billing is available depends on your individual plan. Before booking, it is a good idea to check whether your benefits include services provided by an RCC or Registered Clinical Counsellor. We provide receipts for counselling services and offer direct billing to many insurance companies.

Is online counselling private?

Therapy sessions should take place somewhere you feel comfortable speaking freely. At home, this may mean using headphones, closing a door, sitting in your vehicle while parked, or choosing another private space. Your therapist will also meet with you from a confidential clinical environment. We use secure systems for appointments and clinical records and follow professional requirements related to privacy and confidentiality. If you are attending virtually, your therapist may confirm your physical location at the beginning of the session in case emergency support is ever required.

Do I have to be in British Columbia?

Our Registered Clinical Counsellors provide virtual counselling to clients located in British Columbia. If you are travelling, moving, or living outside BC for part of the year, speak with your therapist before your appointment. Professional regulations and insurance requirements can affect whether a therapist is permitted to provide services while you are physically located elsewhere.

Virtual therapy or in-person therapy?

You do not necessarily have to choose one forever. Some clients prefer virtual therapy all the time. Others prefer in-person sessions. Some use a mixture depending on their schedule, transportation, health, family responsibilities, or what they are working on. If you are unsure which format would work better for you, you can talk it through during a consultation.

Start virtual therapy in BC

If you have been considering therapy but finding the time, location, or right therapist has been difficult, virtual counselling may make it easier to begin. Kayda Health offers secure online counselling with Registered Clinical Counsellors throughout British Columbia. You can explore our therapists, book a consultation, or complete our Therapist Matching Form if you would like help deciding who may be the best fit.

Research on Virtual Therapy

Fernandez, E., Woldgabreal, Y., Day, A., Pham, T., Gleich, B., & Aboujaoude, E. (2021). Live psychotherapy by video versus in-person: A meta-analysis of efficacy and its relationship to types and targets of treatment. Clinical Psychology & Psychotherapy, 28(6), 1535–1549. https://doi.org/10.1002/cpp.2594 PubMed
Shaker, A. A., Austin, S. F., Storebø, O. J., Schaug, J. P., Ayad, A., Sørensen, J. A., Tarp, K., Bechmann, H., & Simonsen, E. (2023). Psychiatric treatment conducted via telemedicine versus in-person modality in posttraumatic stress disorder, mood disorders, and anxiety disorders: Systematic review and meta-analysis. JMIR Mental Health, 10, e44790. https://doi.org/10.2196/44790 PubMed
Cecagno, P. O. M., Polesello, N. D., Duque-Cartagena, T., Luz, P. M., Mundstock, E., Dalla, M. D. B., Sato, D. K., & Mattiello, R. (2025). Efficacy of remote psychological interventions for patients with anxiety and depression symptoms: Systematic review and meta-analysis. Telemedicine and e-Health, 31(2), 141–150. https://doi.org/10.1089/tmj.2024.0297 PubMed
Meyer-Keirath, C., Wallis, H., Kaus, M., Schenk, M., Holzhaus, J., Rometsch, C., Buntrock, C., Apfelbacher, C., & Junne, F. (2026). Comparing video-based and face-to-face psychotherapy: Systematic review and multilevel meta-analysis across mental disorders. Journal of Medical Internet Research, 28, e89177. https://doi.org/10.2196/89177