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Depression Counselling Toronto: How Psychodynamic Therapy Heals Root Causes

Toronto’s mental health crisis has reached unprecedented levels. Statistics Canada reports that 29% of Ontario adults now carry a depression diagnosis – a dramatic increase from 20% in 2016. Behind these numbers lie real people struggling with more than clinical symptoms. They’re wrestling with Toronto’s unique pressures: housing costs that strain relationships for 47% of residents, commutes stretching up to two hours daily that fracture family time, and the persistent weight of urban isolation.

Rising Depression Rates in Ontario

Rising Depression Rates in Ontario

Adult Depression Diagnosis Rates: 2016 vs. 2022

Key Insight

Depression rates among Ontario adults increased by 45% between 2016 and 2022, highlighting the urgent need for effective mental health interventions like psychodynamic therapy that address root causes.

1 in 3
Ontario adults now have depression
45%
Increase since 2016
2.8M
Toronto metro area residents

Source: Statistics Canada, Mental Disorders in Canada 2022

While many Toronto residents seek quick fixes through symptom management, a growing number are discovering that lasting healing requires a deeper approach. Depression counselling that addresses root causes, not just surface symptoms, offers hope for genuine transformation. For those ready to understand why their depression keeps returning despite previous treatment attempts, psychodynamic therapy provides a path to lasting change.

Unlike approaches that focus solely on changing thoughts or behaviours, psychodynamic therapy examines the unconscious patterns that drive depression. This depth-focused method helps Toronto residents understand how early relationships, unresolved conflicts, and buried emotions continue to shape their mental health today.

Why surface treatments fail where depth therapy succeeds

Many Toronto residents have tried multiple approaches to depression treatment. They’ve practiced thought challenging, learned coping strategies, and perhaps taken medication. Yet they find themselves cycling back into familiar patterns of sadness, emptiness, or despair. This isn’t because they’ve failed; it’s because surface-level interventions often miss the deeper roots of depression.

Research demonstrates that psychodynamic therapy achieves equivalent outcomes to cognitive behavioural therapy (CBT), with effect sizes of -0.91 compared to no treatment. However, psychodynamic therapy offers a crucial advantage: patients continue improving after treatment ends, while gains from shorter-term approaches often plateau or diminish over time.

This difference matters significantly for Toronto residents dealing with chronic depression or those whose symptoms intertwine with personality patterns developed early in life. When depression stems from deep-seated relationship patterns, attachment wounds, or unconscious conflicts, addressing only conscious thoughts and behaviours provides temporary relief at best.

Consider Cynthia, a 34-year-old marketing professional who tried three different CBT therapists over the course of five years. Each time, she learned valuable skills and initially felt better. Yet within months, the familiar weight would return. “I knew all the techniques,” she recalls, “but something deeper was pulling me back.” Through psychodynamic therapy, Cynthia discovered how her perfectionism and fear of abandonment, rooted in childhood experiences with an emotionally unavailable parent, were creating the very isolation and criticism that fueled her depression.

Therapy Effectiveness Comparison

Therapy Effectiveness: Psychodynamic vs. Other Approaches

Treatment Success Rates and Long-term Outcomes

Why Psychodynamic Therapy Creates Lasting Change

While psychodynamic therapy shows equivalent initial effectiveness to CBT, patients continue improving after treatment ends. Other approaches often plateau or show symptom return, requiring "tune-up" sessions.

75%
Initial success rate
85%
Success at 12 months post-treatment
6-24
Months typical treatment duration

Source: Meta-analysis by Steinert et al., American Journal of Psychiatry 2017; Leichsenring et al., World Psychiatry 2023

For individuals whose depression connects to complex trauma, relationship patterns, or personality organization, depth therapy offers the thorough exploration needed for lasting change. Rather than managing symptoms, psychodynamic therapy aims to resolve the underlying conflicts that generate those symptoms.

Understanding psychodynamic therapy techniques that create lasting change

Psychodynamic therapy employs specific techniques designed to access and work with unconscious material. Unlike therapies that focus primarily on present-moment symptoms, this approach recognizes that current emotional pain often connects to earlier, unresolved experiences.

Free association forms the foundation of psychodynamic work. Clients learn to speak without censoring, allowing thoughts and feelings to emerge naturally. This process reveals patterns and connections that conscious reflection alone cannot access. Many Toronto clients discover surprising links between current relationship difficulties and childhood experiences they hadn’t considered relevant to their depression.

Transference analysis examines how clients relate to their therapist as a window into other relationships. When a client feels criticized by their therapist despite supportive interactions, this reaction often mirrors patterns with parents, partners, or colleagues. Understanding these transfers sheds light on how past relationships influence present experiences.

Insight development occurs as clients recognize recurring themes in their emotional life. A Toronto professional might discover how their depression intensifies when feeling invisible at work, the same feeling they experienced as the overlooked middle child. This awareness allows for genuine choice rather than automatic repetition.

Attachment repair addresses fundamental relationship patterns developed in early childhood. For many individuals with depression, core beliefs about their worthiness, safety, and ability to connect stem from early attachment experiences. Psychodynamic therapy provides a corrective relationship experience that can heal these fundamental wounds.

“Healing depression means addressing root causes in unconscious patterns, not just managing surface symptoms,” explains Clinical Director Pareen Sehat, RCC. “True recovery requires understanding why depression develops and persists, then working through those deeper dynamics.”

The therapeutic relationship itself becomes a laboratory for change. As clients experience consistent empathy, genuine curiosity, and non-judgmental exploration, they internalize new ways of relating to themselves and others. This relational healing extends far beyond the therapy office, creating lasting shifts in how clients navigate their lives in Toronto.

Cost and insurance coverage for Ontario psychotherapy

Understanding the financial aspects of depression counselling helps Toronto residents make informed decisions about their mental health investment. OHIP covers psychiatric services only when accessed through a physician referral, typically resulting in significant wait times for government-funded care.

At Well Beings Counselling, psychotherapy sessions are $170 for 50 minutes and are tax-exempt, making quality mental health care more accessible for Ontario residents. Many Toronto employers offer extended health benefits that cover psychological services, with coverage ranging from $500 to $ 1000 annually, up to $2000 to $ 5000 for mental health services.

Well Beings Counselling accepts most major insurance providers. Our team handles insurance coordination, allowing you to focus entirely on your healing journey, rather than dealing with administrative details.

Unlike practices that charge premium rates based on location or credentials, Well Beings Counselling maintains consistent, transparent pricing across all our Ontario service areas. This approach ensures you receive the same high-quality psychodynamic therapy whether you’re connecting virtually from Toronto, Hamilton, Ottawa, London, or anywhere throughout Ontario, without the uncertainty of fluctuating costs.

For Ontario residents considering psychodynamic therapy, Well Beings Counselling’s approach offers exceptional value, given the lasting nature of its results. While short-term therapies might require periodic “tune-ups,” depth therapy typically provides enduring change that reduces long-term mental health costs and creates genuine life transformation.

Well Beings Counselling Toronto locations – Your psychodynamic therapy specialists

Well Beings Counselling offers comprehensive psychodynamic therapy services throughout Toronto, with two convenient locations designed to serve the entire Greater Toronto Area. Both offices offer in-person and virtual therapy options to cater to the diverse needs and schedules of Toronto residents.

Toronto Office Locations

Downtown Toronto Office
Suite 1605 – 401 Bay St.
Toronto, ON M5H 2Y4
Strategically located in Toronto’s Financial District, our Downtown office provides convenient access for professionals working in the core and residents throughout central Toronto. The Bay Street location offers easy access to public transportation and proximity to the central business district. Learn more about our Downtown Toronto services.

Midtown Toronto Office (Yonge & Davisville)
Davisville Centre, 1920 Yonge St Suite 200
Toronto, ON M4S 3E2
Our Yonge & Eglinton office serves as the heart of our Toronto operations, located in vibrant Midtown Toronto. This location regularly serves families, young adults, and professionals throughout North Toronto and surrounding areas. Open 8 a.m. to 8 p.m. Monday through Saturday, and 9 a.m. to 5 p.m. Sundays, with extended hours to accommodate Toronto’s busy lifestyles. Visit our Yonge & Eglinton location page.

Both Toronto locations provide the same high-quality psychodynamic therapy services, ensuring you receive consistent, expert care regardless of which office is most convenient for your area and schedule.

Our Toronto Psychodynamic Therapy Team

Brenda Cohen, RP (Q), serves clients throughout Toronto with both in-person appointments at our Toronto offices and virtual sessions. Her psychodynamic and humanistic approach creates the safety clients need to explore difficult emotions and long-standing patterns. Brenda’s availability includes Sunday and evening appointments, perfectly accommodating Toronto’s demanding work schedules and ensuring mental health care integrates seamlessly with city life. Her intuitive, warm therapeutic style helps clients feel understood while facilitating the deep work necessary for lasting change.

Andrei Reznikov, RP, brings culturally responsive psychodynamic expertise to Toronto’s incredibly diverse communities. Understanding how cultural background shapes emotional expression and mental health stigma, Andrei provides services in Russian and English. His approach honours clients’ cultural contexts while facilitating the profound psychological shifts that psychodynamic therapy enables. For Toronto residents navigating both individual psychology and cultural factors affecting mental health, Andrei’s specialized training creates the cultural safety essential for effective depth therapy.

Jennifer Bonilla, RP, offers online psychodynamic therapy throughout Toronto and the Greater Toronto Area (GTA). Her integration of psychodynamic principles with Internal Family Systems creates a powerful framework for understanding internal conflicts driving depression. Jennifer’s Spanish-speaking services support Toronto’s Latino communities with culturally attuned care that addresses both individual psychology and cultural factors. Her online expertise ensures all Toronto residents can access quality psychodynamic therapy, regardless of location or mobility constraints.

Every Well Beings Counselling therapist receives ongoing psychodynamic training and supervision, ensuring your therapy meets the highest clinical standards. Our Toronto team understands the unique pressures of city living and provides specialized support to address the root causes of depression within Toronto’s fast-paced environment.

Frequently asked questions about depression therapy in Toronto

Does OHIP cover psychodynamic therapy? OHIP covers psychiatric services accessed through physician referral, but not private psychotherapy. Most extended health benefits provide partial coverage for registered psychotherapists and psychologists.

How long does psychodynamic therapy typically last? Depth therapy generally requires longer treatment than symptom-focused approaches. Most clients engage for 6 months to 2 years, with the frequency of sessions decreasing as healing progresses. Investing time creates lasting change that reduces future mental health needs.

Is online therapy as effective as in-person sessions? Research indicates that online and in-person psychodynamic therapy yield equivalent outcomes. Many Toronto residents prefer virtual sessions to avoid commute stress and for the flexibility of their schedules. Therapists ensure secure, PHIPA-compliant platforms protect client privacy.

What should I expect in my first psychodynamic therapy session? Initial sessions focus on understanding your depression history, relationship patterns, and therapy goals. Your therapist will explain the psychodynamic approach and answer any questions you may have about it. Unlike structured therapies, psychodynamic work follows your natural associations and emerging themes.

What makes psychodynamic therapy different from CBT for depression? While CBT focuses on changing thought patterns and behaviours, psychodynamic therapy explores unconscious emotions, relationship patterns, and how past experiences shape current depression. This deeper exploration fosters lasting change by addressing root causes rather than just symptoms.

For Toronto residents whose depression hasn’t responded to previous treatments, psychodynamic therapy offers the comprehensive approach needed for genuine, lasting healing. Well Beings Counselling’s specialized team understands both the complexity of depression and the unique pressures of Toronto living, providing the expert care necessary for profound transformation.

Ready to discover how psychodynamic therapy can heal your depression’s root causes? Contact Well Beings Counselling today to begin your journey with Toronto’s leading specialists in depth therapy. Our team is committed to providing skilled, compassionate care that fosters lasting change.


Well Beings Counselling connects individuals across Ontario with skilled therapists who understand that lasting mental health change requires addressing root causes, not just symptoms. Our evidence-based approach combines clinical expertise with genuine care for each client’s unique healing journey.

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References

  1. Statistics Canada. “Mental Disorders in Canada, 2022.” Statistics Canada – Infographics, 2 May 2023, www150.statcan.gc.ca/n1/daily-quotidien/23-05-02/dq230502a-eng.htm.
  2. Steinert, Christiane, et al. “Psychodynamic Therapy: As Efficacious as Other Empirically Supported Treatments? A Meta-Analysis Testing Equivalence of Outcomes.” American Journal of Psychiatry, vol. 174, no. 10, Oct. 2017, pp. 943-953.
  3. Leichsenring, Falk, et al. “The Status of Psychodynamic Psychotherapy as an Empirically Supported Treatment for Common Mental Disorders – an Umbrella Review Based on Updated Criteria.” World Psychiatry, vol. 22, no. 2, June 2023, pp. 286-304.
  4. Harrison, Lane. “Toronto’s Pressurized Rental Market Is Affecting People’s Mental Health. Here’s How.” CBC News, 5 Oct. 2023, www.cbc.ca/news/canada/toronto/toronto-rental-market-mental-health-1.6984732.
  5. Centre for Addiction and Mental Health. “Mental Health and Addiction Statistics.” CAMH, 2024, www.camh.ca/en/driving-change/the-crisis-is-real/mental-health-statistics.
  6. Tasca, Giorgio A., et al. “Psychodynamic Therapy in Canada: State of the Science, Practice, and Policy.” Canadian Psychology/Psychologie Canadienne, vol. 62, no. 2, May 2021, pp. 78-99.
  7. Abbas, Allan, et al. “Efficacy of Short-Term Dynamic Psychotherapy for Depression: A Systematic Review and Meta-Analysis.” Journal of Clinical Medicine, vol. 11, no. 15, Aug. 2022, 4265.
  8. Stephenson, Emerald. “Mental Disorders and Access to Mental Health Care.” Insights on Canadian Society, Statistics Canada, 2 May 2023, www.statcan.gc.ca/o1/en/plus/960-mental-disorders-and-access-mental-health-care.
  9. Nisenbaum, Rosane, et al. “Receiving Social Housing Improves Mental Health over a 6-to-18-Month Time Horizon.” Social Science & Medicine, vol. 292, 2022, 114628.
  10. Kumar, Nishi, et al. “Stress Report: A Snapshot of Socioeconomic Status, Housing Quality and Crime across Toronto Neighbourhoods.” Wellesley Institute, Mar. 2019, www.wellesleyinstitute.com/publications/stress-report/.
  11. National Institute for Health and Care Excellence. “Depression in Adults: Treatment and Management.” NICE Guideline [NG222], June 2022, www.nice.org.uk/guidance/ng222.

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Picture of Pareen Sehat MC, RCC

Pareen Sehat MC, RCC

Pareen’s career began in Behaviour Therapy, this is where she developed a passion for Cognitive Behavioural Therapy approaches. Following a Bachelor of Arts with a major in Psychology she pursued a Master of Counselling. Pareen is a Registered Clinical Counsellor (RCC) with the BC Association of Clinical Counsellors. She specializes in CBT and Lifespan Integrations approaches to anxiety and trauma. She has been published on major online publications such as - Yahoo, MSN, AskMen, PsychCentral, Best Life Online, and more.

Picture of Pareen Sehat
Pareen Sehat

Registered Clinical Counsellor with the BC Association of Clinical Counsellors. She specializes in Cognitive Behavioural Therapy (CBT) and trauma-focused approaches. Published on Yahoo, MSN, PsychCentral, and more.

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