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Clear Information Before You Begin

Starting counselling can bring up many questions.

This page provides helpful information about appointments, counselling options, fees, insurance coverage, privacy, and what you can expect from the process. Every person’s circumstances are different. If your question is not answered below, you are welcome to get in touch before booking an appointment.

Getting Started

How do I know whether counselling is right for me?

You do not need to be in crisis to benefit from counselling. People seek support for many reasons, including anxiety, stress, depression, grief, relationship difficulties, chronic pain, significant life changes, or simply feeling that something in their life is no longer working.

Counselling provides a private and supportive environment where you can better understand what you are experiencing and begin working toward meaningful, sustainable change.

What happens during the first appointment?

The first appointment is an opportunity to discuss what has brought you to counselling, what you hope to gain from the process, and any concerns or questions you may have.

Andrew will also explain his approach and work with you to begin identifying appropriate goals for counselling. There is no expectation that you share everything immediately. The process can move at a pace that feels manageable for you.

Do I need a referral?

Private counselling clients generally do not require a referral. However, referrals or prior authorization may be required when counselling is funded through an insurance provider, workplace program, disability claim, or other third party.

Please confirm the requirements of your specific plan or contact Andrew before booking.

Who do I work with?

Andrew provides counselling for adults aged 18 and older. He works with individuals and couples experiencing a range of emotional, psychological, relational, and life challenges.

How often will I attend counselling?

The frequency of appointments depends on your needs, goals, availability, and circumstances. Some clients begin with weekly or biweekly sessions, while others attend less frequently.

Andrew will discuss a schedule with you and review it as counselling progresses.

Individual Counselling

What concerns can individual counselling help with?

Individual counselling may be helpful for concerns such as:

  • Anxiety and persistent worry
  • Stress and emotional overwhelm
  • Depression or low mood
  • Grief and loss
  • Chronic pain and illness
  • Difficult life transitions
  • Relationship or family challenges
  • Reduced confidence or motivation
  • Returning to daily life or work following injury, illness, or emotional difficulties

Counselling is adapted to your individual circumstances rather than following a single, predetermined formula.

What counselling approaches does Andrew use?

Andrew uses an integrative approach, drawing from evidence-based therapies such as Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, Solution-Focused Therapy, Positive Psychology, and mindfulness-based approaches.

The methods used will depend on your needs, preferences, circumstances, and treatment goals.

Will counselling focus only on talking about the past?

Not necessarily. Understanding past experiences can sometimes be helpful, but counselling can also focus on present-day concerns, practical coping strategies, emotional patterns, relationships, and the changes you would like to make moving forward.

Couples Counselling

What can couples counselling help with?

Couples counselling can support partners experiencing communication difficulties, recurring conflict, emotional distance, loss of trust, major life changes, or uncertainty about the future of their relationship.

It can also help couples strengthen an already healthy relationship by developing better ways to communicate and respond to one another.

Does couples counselling take sides?

The goal of couples counselling is not to determine who is right or wrong. Andrew works to create a balanced environment where both partners have an opportunity to feel heard and where the relationship itself becomes the focus of the work.

 

Do both partners need to attend?

Couples counselling generally involves both partners attending together. In some circumstances, individual appointments may form part of the process. Andrew will explain the recommended structure based on your situation.

What approach is used for couples counselling?

Andrew incorporates Emotionally Focused Couples Therapy and other evidence-based approaches to help couples recognize recurring patterns, improve communication, and develop a stronger emotional connection.

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Appointments

Are appointments available in person?

Yes. In-person counselling appointments are available in Comox at the West Coast Collective, located at:

618 Anderton Road, Unit 109
Comox, British Columbia

Are online appointments available?

Yes. Secure online counselling appointments are available for clients located anywhere within British Columbia.

Online counselling can be a practical option for people who live outside the Comox Valley, have transportation or mobility limitations, travel frequently, or prefer to attend from home.

How long is a counselling session?

Session length and appointment options will be shown when booking. Couples counselling or more complex appointments may sometimes benefit from a longer session.

How do I book an appointment?

Appointments can be requested through the online booking system. Select the appointment type that best matches your needs and choose from the available dates and times.

What should I do if I need to cancel or reschedule?

Please provide as much notice as possible if you need to change your appointment. The full cancellation and rescheduling policy will be provided during the booking process.

Fees and Insurance

How much does counselling cost?

Current fees and appointment options are provided on the Insurance and Fees page and through the online booking system.

Is counselling covered by extended health benefits?

Many extended health plans provide coverage for services delivered by a Registered Clinical Counsellor. Coverage varies significantly between providers and individual plans.

Before booking, contact your insurer to confirm:

  • Whether Registered Clinical Counsellors are covered
  • The amount available each year
  • Whether a referral is required
  • Whether there are limits on session fees or appointment frequency
Do you offer direct billing?

Billing arrangements depend on the insurer or funding organization involved. Please contact Andrew before your appointment if direct billing is required.

Can counselling be funded by an insurance company or third party?

Some clients may be eligible for counselling funded through an insurer, disability provider, workplace program, or another approved organization. Authorization and eligibility requirements vary.

Please contact Andrew with the name of the funding provider and any referral or claim information before booking.

Will I receive a receipt?

Appropriate documentation can be provided for eligible counselling services. You are responsible for confirming whether the service qualifies under your insurance plan.

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Privacy and Professional Care

Is counselling confidential?

Counselling is private and confidential. Information discussed during appointments is not shared without your permission except in specific circumstances where disclosure is required by law or professional ethical obligations.

Andrew will explain confidentiality and its limits at the beginning of the counselling process.

Is online counselling confidential?

Online appointments should be attended from a private location where you feel comfortable speaking openly. Additional information about online privacy, technology, and informed consent will be provided before your appointment.

What if Andrew is not the right counsellor for me?

Finding the right therapeutic fit is important. The first few appointments provide an opportunity for both you and Andrew to determine whether his experience, personality, and counselling approach are appropriate for your needs.

If another type of support would be more suitable, Andrew may discuss alternative options or referral resources with you.

What should I do in an emergency?

Andrew Sumner Counselling is not an emergency or crisis service. If you or someone else is in immediate danger, call 911 or attend the nearest emergency department.

Still Have Questions?

Choosing a counsellor is an important decision, and it is reasonable to have questions before getting started. Contact Andrew for clarification about appointment options, counselling services, insurance, or whether his approach may be suitable for your needs.