Online Psychodynamic Therapy

Five Seas Integrative Therapy

Karen Baker, Registered Psychotherapist

Online Psychodynamic Therapy

Five Seas Integrative Therapy

Karen Baker, Registered Psychotherapist

Online Therapy in Ontario & BC

I provide secure online therapy (teletherapy) for clients across Ontario and BC who want to do deep, meaningful work from the comfort and privacy of their own space.

Video sessions, while not exactly the same as in-person (I probably can't see you tapping your foot or wringing your hands), can offer the same steadiness and attunement as in-person work. And, sometimes clients find it easier to open up from a familiar environment.

There is now promising research indicating that online therapy is just as effective as in-person for the treatment of depression, anxiety, and other common concerns. Much of that evidence comes from CBT-based studies, but the core mechanisms that make in-person therapy work (consistent relational presence, attunement, and a contained space for exploration) remain in this new medium, regardless of approach.

Wherever you're logging in from, I aim to offer a consistent, grounded presence you can rely on.

> Hear about experiences that bring people to therapy ...

Although now based in British Columbia, I work with clients located in both Ontario and BC. I am a Registered Psychotherapist (RP) in good standing with the College of Registered Psychotherapists of Ontario (CRPO).

Note: Psychotherapy in BC becomes regulated on November 29, 2027; licensure applications will be pursued at that time. Currently, my work in BC is still governed by the CRPO.

For those who like to know: Your personal health information is protected under the CRPO Code of Ethics and applicable provincial privacy legislation — British Columbia's Personal Information Protection Act (PIPA) and, for clients located in Ontario, Ontario's Personal Health Information Protection Act, 2004 (PHIPA), as well as Canada's federal  Personal Information Protection and Electronic Documents Act (PIPEDA) for inter-provincial data communication.

Common Questions about Online Therapy

  • How does online therapy work?

    Sessions take place over secure (encrypted) video (we can also do audio only, by turning off the camera). We use a private platform designed for confidential health conversations. I send you a link, there may be a few minutes of technical set up necessary, we connect, and then we talk. It feels the same as a FaceTime or Zoom call. Links to intake and consent forms are handled by an electronic health records platform, with links sent by email. Similarly payments are made online by credit card, or by e-transfer.

  • What do I need to do therapy online?

    You'll need a device with a camera and a microphone. As well as a quiet, private space and a stable internet connection. Beyond that, the process works much like in-person therapy - same structure, same attention, same relationship.

  • Is online therapy effective for trauma?

    Yes. Research has shown online therapy to be as effective as in-person therapy for a range of concerns, including trauma, anxiety, and depression. Many clients find that being in their own familiar space actually supports a felt sense of safety, which is an important foundation for trauma-related work.

  • Can you work with out-of-province clients?

    Short answer: It depends. I'm registered with the College of Registered Psychotherapists of Ontario (CRPO) and primarily work with clients located in Ontario. In some cases, depending on the specific rules of another province or territory, I may be able to work with clients located elsewhere in Canada - this is assessed on a case-by-case basis. If you're located outside Ontario, feel free to reach out and we can determine whether this is possible.

  • Is what we talk about confidential?

    What you share in our sessions stays strictly private. I won't discuss your work with anyone, or confirm that you're a client, without your consent - with a few exceptions, required by law. (See Privacy Policy for limits to confidentiality). If you have any questions about confidentiality, including how records are stored, or what happens if I need to consult with a colleague about our work, we can talk it through before we begin.

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