Frequently Asked Questions
Do I need to see a psychologist?
Most people can benefit from therapy at some point in their lives. Even if your problem is not overwhelming or a full-blown crisis, you may still benefit from psychological help. Obtaining a clear and comprehensive understanding of an area of difficulty is important. A psychologist can assess and diagnose mental health problems and provide treatment options. Participating in evidence-based therapy has been shown to prevent symptoms from worsening, prevent a relapse, enhance insight, increase motivation to change, and help people cope more effectively with their struggles.
Who is on your team?
Dr. Federici works with a team of highly trained. Licensed mental health clinicians including those with Masters Degrees in Social Work and Counselling Psychology. Please see our team for more information.
What’s the difference between Psychology and Psychiatry?
One of the advocacy issues that OPA has been working on is raising awareness about the difference between “psychology” and “psychiatry”. Psychiatrists and psychologists have separate and overlapping areas of expertise. Collaboration between the two disciplines and the provision of their joint knowledge and skills in the delivery of comprehensive assessments, accurate diagnosis, effective medication management and psychotherapeutic treatment modalities has proven to be the most effective model of mental health care.
- Psychologists and psychiatrists are regulated health professionals and are highly regarded mental and behavioural health professionals.
- Psychologists, psychiatrists and family physicians are the only professionals who are legally allowed to diagnose mental health issues.
- Psychologists who have a PhD are one of only five health care professionals legally allowed to use the title of “Doctor”.
- Psychologists and Psychological Associates are registered with the College of Psychologists of Ontario and have declared areas of specialization following advanced training (internship, residency).
- Psychologists have doctoral degrees and psychological associates have masters degree in psychology and specialize in the assessment, diagnosis, care planning and treatment of impairment in cognition, emotion, thought, personality, and behaviour.
- Psychologists and Psychological Associates have advanced training in psychotherapy and the science of behaviour change. They adhere to a biopsychosocial model of mental health.
- Psychiatrists, by contrast, have a degree in medicine and advanced training (internship, residency) in their area of specialization. They focus on the biological aspects of mental health. In Ontario, their practice is largely focused on medication management and consulting with family physicians, psychologists and other health professionals. Psychologists and psychiatrists are colleagues and often work closely together.
While psychiatrists are covered by OHIP, the fees for psychologists in private practice are covered by extended health plans, employee assistance programs, government services and agencies, or self-pay. An advocacy initiative for OPA is improving access by expanding funding for psychological services.
What is a Social Worker?
A Social worker has specific education, training and expertise which make them uniquely qualified to deliver a range of counselling and psychotherapy services. They help people of all ages, backgrounds, and income levels resolve problems that affect their day-to-day lives, helping to find answers to questions, offering problem-solving tools and resources, and providing psychotherapy and counselling. Social workers help people recognize and use their own strengths so they can confidently manage real-life issues.
Social Workers provide psychotherapy and counselling services associated with relationship problems, adjusting to life crises, abuse, stress management, anxiety and depression, addictions, caregiver burden and elder care, grief and loss, bullying, and suicide prevention. Social workers also connect individuals and families to important resources.
These services are available through numerous publicly funded health and social service agencies and organizations. Many social workers also have private practices and can be hired privately.
For additional information, please visit: https://www.oasw.org/Public/About_Social_Workers/Services_and_Scope_of_Practice.aspx
What is a Psychotherapist?
A Psychotherapist is a licensed healthcare provider who assesses and treats cognitive, emotional or behavioural disturbances via psychotherapeutic means, delivered through a therapeutic relationship based primarily on verbal or non-verbal communication. They work in a wide range of settings, including private practice, hospitals, clinics, care facilities, rehabilitation centres/programs, employee assistance programs, universities, and more. Registered Psychotherapists are accountable to the College of Registered Psychotherapists of Ontario (CRPO), for the quality of care they provide and for their professional conduct. Only individuals who are registered with the CRPO are able to use the title “psychotherapist”, “Registered Psychotherapist” or any abbreviation or variation thereof in any language, or to hold themselves out as qualified to practise as a psychotherapist in Ontario.
When you seek the services of a Registered Psychotherapist, you can expect to receive competent, ethical, quality care from a qualified professional who is registered with College of Registered Psychotherapists of Ontario.
For additional information, please visit: https://www.crpo.ca/about-psychotherapists-professional-regulation/
Are you licensed?
Dr. Federici is a registered member of the College of Psychologists of Ontario (CPO), the governing body for Psychologists. The mandate of the CPO is to protect the interests of the public through monitoring and regulating the practice of psychology. Dr. Federici is also a Member of the Ontario Psychological Association (OPA). The therapists who work with Dr. Federici are licensed and regulated healthcare providers or are supervised by Dr. Federici.
How do I get started?
The first step toward positive change is to set up an initial consultation. We offer a free 15-minute phone consultation to learn more about what you are looking for and to tell you more about services and availability. You can also contact us to schedule an initial intake appointment. Please contact us directly by telephone at 249-492-2673 or via email at Info@MidlandDBT.com.
Do I need a referral from my Family Physician?
A referral is not required to set up an appointment. Contact us directly by telephone at 249-492-2673 or via email at Info@MidlandDBT.com. If your doctor would like to send a referral letter, they can fax it to 249-492-2640.
Do you offer secure video sessions?
We do provide individual therapy and DBT skills sessions using a secure, PHIPPA compliant server.
What do the first few sessions look like?
The initial appointment consists of a detailed assessment to understand you and your particular situation. You will complete a brief intake form and we will review our treatment contract. One of the most reliable predictors of successful therapy is the therapeutic relationship, therefore, the first 2 to 4 sessions will involve an evaluation of your needs, an orientation to the treatment plan, and a chance for us to decide whether or not we want to work together. Therapy involves a significant commitment of time, money, and energy, so it is essential for you to be comfortable with the therapist you select and in agreement with the proposed treatment intervention.
Are there appointments available in the evenings or weekends?
Evening and weekend appointments are available.
How long are sessions? How often do we meet?
A typical therapy session is 50 minutes in duration; your therapist will spend 10 minutes after the session completing therapy notes. The frequency of sessions and the length of treatment will depend on your individualized needs and the type of treatment required. For example, CBT for panic disorder or depression is typically 10 to 14 weekly sessions. DBT is a longer-term treatment requiring one year of treatment on a weekly basis in addition to group skills training.
When will I start to feel better?
In many cases, patients report feeling better after the first session, citing increased feelings of control, not feeling so alone anymore, and having a concrete plan as beneficial. Most people can benefit from short-term, goal-oriented therapy to address a specific issue. Complex cases typically require more comprehensive treatment but we expect to observe changes in your thinking, feelings, and behaviour within the first few weeks.
What are your office hours?
Our office hours are Monday through Friday, 9:00 A.M. to 6:00 P.M.
What about confidentiality?
Except specific exclusions described below, you have the absolute right to the confidentiality of your therapy. We cannot and will not tell anyone what you have disclosed in treatment, or even that you are in therapy without your prior written permission. We will always act to protect your privacy even if you do sign a release to share information about you. You may direct us to share information with whomever you chose, and you can change your mind and revoke that permission at any time. You may request anyone you wish to attend a therapy session with you. You are also protected under the provisions of the Federal Health Insurance Portability and Accountability Act (HIPAA). This law ensures the confidentiality of all electronic transmission of information about you. When we transmit information to you electronically (for example, sending bills or faxing data), it will be done with special safeguards to ensure confidentiality.
Are there limits to confidentiality?
There are certain circumstances under which confidentiality may be broken. These are mandated by the Governing College of Psychologists and by Law in the Province of Ontario. Confidentiality may be broken in the following circumstances:
- Harm to Self or Others: If we believe that you or someone else is at imminent risk of harm, we are obligated to seek hospitalization for them, call an ambulance or police services, and/or contact family members or the potential victim, or others who can help provide protection.
- Harm to Children: In cases where we believe a child (16 years of age or younger) is at risk of/ is being sexually, physically, or emotionally abused or neglected, we are legally obligated to file a report with the appropriate agency.
- Inappropriate Sexual Behaviour by A Healthcare Professional: Should you disclose information about the inappropriate sexual behaviour on the part of another healthcare professional, we are legally obligated to report that information to their respective governing body.
- Legal Proceedings: In most legal proceedings, you have the right to prevent me from providing any information about your treatment. In some cases, involving child custody and those in which your emotional condition is an important issue, a judge may order my testimony.
How much does it cost?
Our fees are based on the recommended rates published by the Ontario Psychological Association. Please contact the clinic directly for rate information.
Are Psychologists covered by OHIP?
No, psychological services are not covered by OHIP.
Does insurance cover treatment?
Some extended health insurance plans will reimburse all or a percentage of the fees paid to a psychologist or social worker. Please check your policy carefully to see what coverage it provides for psychological services, the claim procedure, details required on receipts, payment options, and if you need a letter of referral from your physician.
How much notice do you need if I cancel an appointment? What if I miss a session?
Once an appointment has been scheduled, you will be expected to pay for it unless you provide 48 hours notice of cancellation. Missed sessions cannot be billed to insurance.
Where can I park?
Free three-hour parking can be found at the back of our building in the municipal lot. There is also metred parking along King Street.