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Frequently Asked Questions 

Parent/Guardian Information

Answers for parents and guardians who have children and youth seeking mental health support in Nova Scotia.

Formal

Complaint Process

Filing a complaint with a regulatory body is a formal way to raise concerns about the conduct, competence, professionalism, or ethical behaviour of a regulated health professional. Regulatory bodies exist to protect the public, ensure safe practice, and uphold professional standards.

What to Expect

Common questions clients have for therapists and administrators.

Regulatory Body Contact Information

Contact Information for each of the regulatory bodies (colleges) of Compassionate Connection Clinicians. 

CCInc

Internal Complaint Process

We are committed to providing a safe, respectful, and professional environment for all our clients.
Because our practitioners are independent contractors—not employees of the practice—they are each responsible for their own professional conduct and are accountable to their respective governing bodies.
This document explains how our internal complaint review process works and what options are available to you if you have concerns.  

Parent/Guardian Information

1.  Is there a legal age of consent for mental health treatment in Nova Scotia?

No, there is no specific legal age of consent for mental health treatment in Nova Scotia. Instead, a young person's ability to consent is based on their capacity to understand the nature, benefits, and risks of treatment.

2. What does "capacity to consent" mean?

Capacity means that the young person can:

  • Understand what the treatment involves

  • Appreciate the possible benefits and risks

  • Make a voluntary choice without pressure

A youth who meets these criteria can legally consent to their own mental health treatment, regardless of age.

3. At what age are youth generally considered capable of consenting?

In many cases, youth aged 12 and older, are deemed capable of consenting to mental health treatment. However, capacity is assessed on an individual basis-some younger children may have capacity, while some older. youth may not.

4. Can a capable youth receive mental health care without a parent's permission?

Yes, If a clinician determines that a youth has the capacity to consent, they can begin or continue treatment without parental consent.

5. Will parents be informed if their child seeks help?

If a youth is capable and requests that their treatment remain confidential, the clinician MUST respect their privacy unless there is a safety concern (e.g. risk of harm to self or others).

Clinicians encourage youth to involve parents or guardians whenever possible, but, cannot require if the youth has capacity.  

6. How can parents be involved if the youth consents?

If the youth agrees, parents may:

  • Receive updates about treatment progress

  • Participate in family sessions

  • Support treatment goals at home.

7. What if the youth is not capable of consenting?

If a clinician determines that the youth does not have capacity, a parent or legal guardian will be asked to provide consent for treatment.

Consent may be revoked at any time, except under the mandate of Courts or Department of Opportunities and Social Development.

8. Are there exceptions to confidentiality?

Yes, Information may be shared without consent if:

  • There is an immediate safety risk

  • The law requires disclosure (e.g. child protection concerns).

9. How can parents support their child's mental health journey?

  • Encourage open, non-judgmental conversations

  • Respect their privacy while showing interest in their well-being

  • Offer to help them access resources

  • Learn about the signs of mental distress. 

10. Where can I learn more? 

  • IWK: iwk.nshealth.ca

  • Nova Scotia Health. Mental Health & Addictions: mha.nshealth.ca

  • Kids Help Phone (available 24/7: Call 1-800-668-6868 or text CONNECT to 686868)

What to Expect
 

1. What type of therapy do you offer?

We offer individual, couples, and family therapy, using evidence-based approaches such as CBT, DBT, trauma-informed therapy, EMDR, solution-focused therapy, and more. Your therapist will work with you to choose the approach that best fits your needs.

2. Do I need a referral from a doctor?

For a therapist, No. In Canada, you do not need a physician referral to see a clinical social worker, psychologist, or counsellor in private practice. You can self-refer at any time. Though in rare instances, some insurance plans to require a referral for billing purposes.

For a psychiatrist, YES. Psychiatry services are billed directly to MSI (not the patient) and a referral from a physician is required to be seen.

3. Are therapy sessions covered by insurance?

Many extended health insurance plans cover services provided by registered, social workers, or counsellors. Coverage varies by provider, so please check your plan to confirm:

  • Which professionals designations are covered

  • Annual maximums

  • Whether you need a doctor's note

  • Direct billing availability

We provide receipts you can submit for reimbursement.

4. Do you offer direct billing?

Some plans allow direct billing while others require you to pay first and submit receipts. Please contact us to confirm whether your insurance provider supports direct billing.

5. What can I expect during my first session?

Your first session focuses on:

  • Discussing your goals and reason for seeking therapy

  • Getting to know your therapist

  • Reviewing confidentiality and clinic policies

  • Creating a preliminary treatment plan

It's normal to feel nervous--your therapist will guide you through the process at your pace.​

6. How long are sessions?

Sessions are typically 50-60 minutes. Some specialized sessions (e.g., DBT, EMDR, couple's therapy) may run 75-90 minutes depending on your needs.

7. Is therapy confidential?

Yes. Your therapist is required to follow Nova Scotia's privacy laws, including the Personal Health Information Act (PHIA).

Your information is confidential except in situations where disclosure is legally required, such as:

  • Serious and imminent risk of harm to yourself or others

  • Suspected abuse or neglect of a child or vulnerable person

  • Court orders requiring the release of records

These limits to confidentiality will be reviewed during your first session.​

8. Do you offer virtual/online therapy?

Yes. We offer secure virtual therapy through encrypted platforms that comply with Canadian privacy requirements. Many clients find online therapy convenient, flexible, and equally effective.

9. What issues do you treat?

We support clients with a wide range of concerns, including:

  • Anxiety, depression, stress

  • Relationship issues

  • Trauma and PTSD

  • Self-Esteem

  • Grief and Loss

  • Life transitions

  • Emotional dysregulation

  • Workplace stress and burnout

  • Sexual Health (incl., erectile dysfunction, women's health, pre/postpartum, loss)

  • ADHD and neurodiversity support

If you're unsure whether we can help, contact us for a consultation.​

10. How much do sessions cost?

Fees vary depending on session length.

  • $175 per 50-minute session

  • $262.50 per 90-minute session

Sliding-scale options may be available.​

11. What is your cancellation policy?

We require 24 hours notice for cancellations or re-scheduling. Missed appointments or late cancellations may be billed at the full session fee.

12. How do I book an appointment?

You can book by:

We aim to respond to all inquiries within 1-2 business days, excluding holidays.​

13. Do you offer services for children and teens?

Yes, a number of our clinicans are trained in child and youth mental health. We also provide parent support and family counselling where appropriate.

14. Are your therapists regulated?

Yes. Our therapists are registered with the appropriate regulatory bodies in Nova Scotia, such as:

  • Nova Scotia College of Counselling Therapists (NSCCT)- for RCTs

  • Nova Scotia College of Social Workers (NSCSW)- for RCSWs

  • Nova Scotia Occupational Therapy Regulator (NSOTR)- for OTs

  • Nova Scotia College of Registered Dieticians (NSRD)- for dieticians

  • College of Physicians and Surgeons of Nova Scotia (CPSNS)- for physicians

This ensures safe, ethical, and high-quality practice.​

15. What if I don't connect with my therapist?

A strong therapeutic relationship is crucial. If you feel your therapist isn't the right fit, we will help you transfer to another clinician without judgement.

16. What if I have a complaint about my therapist?

If you have a concern or complaint about your therapist, we want to ensure you feel heard and supported. Our clinic follows an internal complaints policy designed to address issues promptly and respectfully. We encourage clients to first bring any concerns directly to their individual clinicians, as many matters can be resolved through open conversation.

However, if you are uncomfortable speaking with your therapist directly, or if the issue is not resolved after doing so, you are welcome to contact our clinic's leadership team to continue the process. Your comfort, safety, and quality of care are our top priorities, and we're committed to working with you toward a solution. If you are still not satisfied with the disposition of your complaint, you are welcome to take it to the appropriate governing body.

CC Inc Internal Complaint Process
 

This section explains how our internal complaint review process works and what options are available to you if you have concerns.

Who This Applies to

  • Any client receiving services from a practitioner who operates within our premises or under our practice's name.

  • Practitioners may include counsellors, psychiatrists, social workers, or other regulated professionals.

Timeframes

  • Internal acknowledgement: 15 business days.

  • Initial review: typlically completed within 60 business days, unless more time is needed.

  • Complaints to governing bodies may take longer, depending on their process. 

Step One: Addressing Concerns Directly

If you feel comfortable, we encourage you to raise your concern directly with your practitioner. Many issues can be resolved quickly and informally through open discussion.

Step Two: Internal Review by the Practice

If you are not comfortable speaking with the practitioner or the issue is not resolved, you may submit your concern in writing to the attention of Alexandra Earle-Lambert at info@compassionateconnectiontherapy.com

Your written concern should include:

  • Your name and contact information

  • The name of the practitioner involved

  • Dates and a clear description of the concern

  • Any steps you have already taken to address it.

What happens next?:

  • The practices three owners- Shauna van Niekerk, Lisa Broadhurst, and Alexandra Earleo-Lambert will meet to review the complaint.

  • We will acknowledge receipt of your complaint.

  • We will review the information provided and may request additional details from you or the practitioner.

  • Because our practitioners are independent contractors, our role is limited to:

    • Reviewing concerns related to practice policies, billing, or the physical environment.​

    • Encouraging resolution between you and the practitioner where possible.

    • Supporting repair or addressing the concerns with the practitioner.

    • Determining if professional misconduct has occurred.

    • Referring matters involving professional conduct to the appropriate governing body.

Step Three: Contacting the Practitioner's Governing Body

If your complaint involves professional conduct, ethics, or standards or care, it must be addressed by the practitioner's professional regulator.

Each regulated profession has its own complaint process, which is separate from our practice's internal review.

We will provide you with:

  • The practitioner's full name and professional designation

  • The name and contact information for their governing body

**We will not tolerate any form of retaliation against clients who raise concerns in good faith.**​

Formal Complaint Process

1. Who can file a complaint?

Anyone may file a complaint- clients, family members, employers, other professionals, or members of the public-who believes that a regulated professional has engaged in misconduct, incompetence, unethical behaviour, or breached standards of practice.

 

2. Which professionals does this complaint process apply to?

This process applies to concerns involving:

  • Registered Counselling Therapists (RCT's)

  • Social Workers (SW)

  • Dieticians

  • Occupational Therapists (OT)

  • Psychiatrists

If you are unsure whether a professional is regulated, you can check their status with the relevant Nova Scotia regulatory college.

3. What types of concerns can be investigated?

The regulatory colleges review complaints related to:

  • Professional misconduct

  • Breaches of confidentiality

  • Ethical violations

  • Boundary crossings or exploitation

  • Incompetence or unsafe practice

  • Impairment affecting professional duties

  • Failure to maintain professional standards

  • Record-keeping issues

  • Sexual misconduct or harassment

 

Billing disputes or general dissatisfaction may not always fall under misconduct but may still warrant review.

4. How do I file a complaint?

Most colleges require complaints in writing, including:

  • Your name and contact information

  • The name of the professional

  • A clear description of your concerns

  • Dates, documents, or any relevant details

Complaints can typically be submitted by:

  • Web form

  • Email

  • Mail

  • In-person delivery

If assistance is needed due to accessibility concerns, accommodations are available.

5. Can I file a complaint anonymously?

Anonymous complaints may be reviewed but they are harder to investigate.

Some colleges require your identity to proceed with a formal investigation.

If you have safety concerns, speak with the complaints office for guidance.

6. What happens after I submit a complaint?

Although each regulatory college has it own process, the general steps are:

     1. Receipt & Review

         The college confirms the complaint has been received and determins if it falls with its jurisdiction.

     2. Preliminary Assessment

         Addition information may be requested. Some matters can be resoled early (e.g., clarification, misunderstanding, or                   referral to another body).

     3. Formal Investigation

         If warranted, an Investigation Committee gathers evidence, interviews parties, and reviews documents.

     4. Decision

  • Possible outcomes include:

  • Dismissal (no misconduct found)

  • Recommendations or practice guidance

  • Remedial actions (training, supervision)

  • Conditions on practice

  • Referral to a disciplinary hearing

      5. Disciplinary Hearing

          A formal hearing determines whether professional misconduct occurred and what sanctions apply.

7. How long does the complaint process take?

Timelines vary based on the complexity of the case.

Straightforward matters may be resolved in weeks, while investigations or hearings may take several months.

8. Will the professional know I filed the complaint?

Yes. For fairness and transparency, the professional is notified and has the right to respond.

Your personal information is protected under privacy legislation, but it may be shared as necessary for the investigation.

9. Will my complaint remain confidential?

The process is confidential, but:

  • The professional receives the relevant details needed to respond.

  • Information may be shared with investigators, committee members, or legal counsel.

  • If the matter proceeds to a disciplinary hearing, some hearings and decisions may be public, depending on the profession's legislation. 

10. Does filing a complaint affect my current care?

A complaint should not negatively affect your care.

If you feel uncomfortable continuing with the same provider, the college can explain your options and you may seek a different practitioner at any time. 

11. Can I withdraw my complaint?

You may withdraw your complaint, however, the college may still proceed if the issue poses a risk to public safety or professional standards.

12. Is there fees to file a complaint?

No. Filing a complaint is free.

13. What if my issue is urgent or involves immediate harm?

If someone is in immediate danger, call 911.

For urgent mental health or safety concerns, contact the Provincial Mental Health Crisis Line at 1-888-429-8167 (Nova Scotia)

14. What if my concern does not fall under professional misconduct?

The college may:

  • Provide guidance

  • Refer you to another organization (e.g., employer, hospital, health authority)

  • Suggest other resolution options

Not all concerns require formal investigation.

15. How do I contact the relevant regulatory college?

Each profession has its own regulatory body. 

Regulatory Body Contact Information

Registered Counselling Therapists

Nova Scotia College of Counselling Therapists (NSCCT) 

  • 📞 Phone (902) 225-7531

  • ✉️ Email (General): info@nscct.ca

  • ⚖️ Email (Professional Conduct): professionalconduct@nscct.ca 

  • 📱 Sexual Misconduct Reporting Line: 902-579-8119 (call or text)

  • 📍 Address: 207-1 Kingswood Drive, Hammonds Plains, NS, B4B 0P4

  • 🔗 Website: nscct.ca/contact/

Social Workers

Nova Scotia College of Social Workers (NSCSW)

Dietitians / Nutritionists

Nova Scotia Regulator of Dietetics

Occupational Therapists

Nova Scotia Occupational Therapy Regulator (NSOTR) 

  • 📞 Phone: (902) 455-0556

  • ☎️ Toll-Free: (NS) 1-877-455-0556

  • ✉️ Registration Email: registration@nsotr.ca

  • 📍 Address: 202-1597 Bedford Hwy, Bedford, NS B4A 1E7

  • 🔗 Website: cotns.ca

Psychiatrists

College of Physicians & Surgeons of Nova Scotia (CPSNS)

We acknowledge that we are in Mi’kma’ki , the ancestral and unceded territory of the Mi’kmaq People. This territory is covered by the “Treaties of Peace and Friendship” which Mi’kmaq and Wolastoqiyik (Maliseet) People first signed with the British Crown in 1725. The treaties did not deal with surrender of lands and resources but in fact recognized Mi’kmaq and Wolastoqiyik (Maliseet) title and established the rules for what was to be an ongoing relationship between nations. 

© 2025 Compassionate Connections Incorporated

Info@compassionateconnectiontherapy.com

Phone: (902) 640-6565

Fax: (902) 600-2045

 

53 Falkland Street, 

Lunenburg NS

B0J 2C0

 

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