Roma Villa Counselling

FAQs

Frequently asked questions

Fees, insurance, online sessions across BC, and what the different kinds of therapy actually involve.

Getting started

How do I get started?

Book a free 20-minute consultation. We will talk about what is bringing you in, answer your questions, and see whether working together feels like the right fit. There is no obligation to book a session afterwards.

Is this an emergency or crisis service?

No. Counselling here is booked in advance and is not a substitute for emergency care. If you are in immediate danger, call 911. For urgent mental health support anywhere in Canada, call or text 988, the Suicide Crisis Helpline, at any hour. In British Columbia you can also call 310-6789, with no area code, to reach the Mental Health Support Line.

Do I need a referral from my doctor?

No. Counselling with a Registered Clinical Counsellor in British Columbia does not require a physician referral. You can book directly.

What are your hours?

Every day, 8am to 8pm. Evening and weekend appointments are available, which suits people who cannot take time away from work during the day.

How long is a session?

Sessions are 50 minutes.

How often will we meet?

Most people start weekly to build momentum, then move to every other week or monthly as things improve. We decide the pace together, and it can change as your needs change.

What happens in the first session?

The first session is mostly about understanding your history, what you want to be different, and what has already been tried. You set the pace. Nothing is pushed before you are ready.

I have never been to therapy before. Is that a problem?

Not at all. Many people arrive unsure what therapy even involves. You do not need to arrive with the right words or a clear diagnosis, only a sense that something needs attention.

What if I am not sure therapy is what I need?

That is a good reason to use the free consultation. If counselling is not the right support, or if a different specialist would serve you better, we would rather tell you that and point you somewhere useful.

Fees, insurance, and direct billing

Do you direct bill to insurance?

Yes. Roma Villa direct bills AGA Financial Group, Alberta Blue Cross, Beneva, Benefit Plan Administrators (BPA), Canada Life (including PSHCP), Canadian Construction Workers Union, Chambers of Commerce Group Insurance, CINUP, Manulife, Pacific Blue Cross and TELUS AdjudiCare. Where your plan covers a Registered Clinical Counsellor, you pay only the portion your coverage does not, rather than paying up front and claiming it back.

Is counselling covered by extended health benefits in BC?

Most extended health plans in British Columbia include coverage for a Registered Clinical Counsellor, though the annual limit varies widely between plans. It is worth asking your provider two specific questions: whether they cover an RCC, and what your yearly maximum is.

What does a session cost?

Individual sessions are $170 for 50 minutes, $255 for 75, and $340 for 100. Couples sessions are $210 for 50 minutes, $315 for 75, and $420 for 100. Counselling with a Registered Clinical Counsellor is exempt from GST, so the price shown is the price you pay. The full list, with a direct booking link for each option, is on the booking page. The first 20 minute consultation is free.

Will I get a receipt for my insurance?

Yes. Every session generates an official receipt showing the RCC registration number, which is what insurers require.

Does MSP cover counselling?

BC Medical Services Plan does not cover counselling with a Registered Clinical Counsellor. Coverage generally comes through extended health benefits, an employee assistance program, or paying privately.

Online therapy across BC

Do you offer virtual sessions?

Yes. Sessions are available in person in Langley and virtually across British Columbia.

Do I need to live in Langley to work with you?

No. Online sessions are open to anyone physically located in British Columbia at the time of the appointment, which is a requirement of the registration rather than a preference. That covers the Lower Mainland, the Interior, the Island, and the North.

Is online therapy as effective as meeting in person?

For most concerns the research shows online therapy performs comparably to in-person work. What matters more is the fit between you and the therapist. Some people prefer the privacy of being at home; others find that leaving the house helps them focus.

What do I need for an online session?

A private space where you will not be overheard, a reliable connection, and headphones if anyone else is home. Sessions run on a secure video platform, not on a general-purpose video app.

Therapy in Farsi

Do you offer therapy in Farsi?

Yes. Sessions are available in English and Farsi, and you can move between the two in the same session if that is more natural for you.

Why does therapy in my first language matter?

Emotion, memory, and metaphor tend to live in the language you grew up with. Translating as you go adds a layer between what you feel and what you can say, and it often flattens the parts that matter most. Working in Farsi removes that layer.

Can I bring a partner who speaks only English?

Yes. Couples sessions can run bilingually where one partner is more comfortable in Farsi and the other in English.

Will you understand the cultural side, not just the language?

Language and culture are not the same thing, and speaking Farsi is only part of it. Expectations around family, privacy, shame, and what is acceptable to discuss outside the home all shape what therapy needs to look like.

Couples therapy

Who can benefit from couples therapy?

Couples therapy is for any partners who want to strengthen their relationship, whether you're dating, engaged, married, or in a long-term partnership. You don't need to be in crisis to benefit; many couples use therapy as a proactive way to grow closer, navigate transitions, and build a healthier, more resilient connection.

How long does couples therapy usually last?

The length of couples therapy varies depending on your unique goals and challenges. Some couples find meaningful progress in just a few sessions, while others benefit from ongoing support over several months or longer. Typically, sessions are weekly or biweekly and last about 50 minutes.

How often should we attend couples therapy?

Most couples start with weekly sessions to build momentum and create a consistent space for healing and growth. As progress is made, sessions may shift to every other week or monthly to maintain the gains and continue strengthening your relationship.

What if only one of us wants to come?

That is common, and it is still workable. Individual sessions can address relationship patterns, and it is not unusual for a reluctant partner to join later once they see what the work actually involves.

Will you take sides?

No. The relationship is the client. That means neither partner is the problem to be fixed, and neither leaves the session feeling ganged up on.

EMDR and trauma therapy

What is EMDR trauma therapy, and how does it differ from traditional therapy?

EMDR (Eye Movement Desensitization and Reprocessing) is a specialized, evidence-based approach to trauma therapy. Unlike traditional talk therapy, EMDR uses bilateral stimulation such as guided eye movements to help the brain process and reframe distressing memories, often with faster and longer-lasting results.

Do I have to describe my trauma in detail?

No. EMDR does not require you to narrate what happened. You need to bring the memory to mind, but you are not asked to recount it blow by blow. For many people that is the difference between being able to start trauma work and avoiding it for years.

How do I know if EMDR trauma therapy is right for me?

EMDR therapy may be a good fit if you are struggling with the lingering effects of trauma, anxiety, negative self-beliefs, or emotional reactivity, especially if these issues are impacting your relationships or day-to-day life. In a consultation, we can explore your needs and determine if EMDR is the right approach for your healing journey.

Will trauma therapy make me relive the traumatic event?

Sessions are paced to ensure you feel safe and supported, and you're never asked to relive trauma in detail, only to notice what comes up and gently work through it.

Does trauma have to be a single dramatic event?

No. Ongoing experiences such as childhood neglect, a long difficult relationship, medical events, or migration and displacement can leave the same imprint as a single incident. You do not need a dramatic story to qualify for trauma therapy.

How many EMDR sessions will I need?

It depends on whether we are working on one contained memory or a longer pattern. Some people notice shifts within a handful of sessions; complex or repeated trauma usually takes longer. We review progress as we go rather than committing to a fixed number up front.

Intimacy and desire

Is this the same as sex therapy?

The concerns overlap, but the title does not. Mahsa is a Registered Clinical Counsellor who works with intimacy, desire and closeness as part of relationship and trauma work. She is not a certified sex therapist, and where a concern calls for that specialisation or for medical assessment, the right step is a referral rather than a session.

What specific concerns does intimacy counselling address?

Common reasons people come in include mismatched desire between partners, low or absent libido, pain during sex, anxiety about performance, rebuilding closeness after trauma, and reconnecting after a long period of distance.

How long does intimacy counselling usually last?

The duration varies depending on your unique goals and challenges. Some individuals or couples experience meaningful progress in just a few sessions, while others benefit from ongoing support over several months. Sessions typically last about 50 minutes.

Is it just talking, or is there physical examination?

It is talk therapy. There is no physical examination and no undressing, ever. If something appears to have a medical cause, the right next step is a referral to a physician alongside the therapy work.

I find this embarrassing to talk about. Is that normal?

Extremely. Most people arrive having avoided the conversation for years, sometimes with their own partner. Part of the work is building enough safety that the subject stops feeling unspeakable.

Credentials and confidentiality

What does RCC mean?

Registered Clinical Counsellor. It means registration with the BC Association of Clinical Counsellors, which sets minimum education, supervised practice, continuing education, and a code of ethics. Mahsa Hamedanizadeh is RCC #21647.

What training and experience do you have?

Master of Counselling Psychology, with 9 years of clinical experience, and training in EMDR, Gottman Method, Satir Transformational Therapy, Internal Family Systems (IFS), among other approaches.

Is what I say confidential?

Yes, with a small number of legal exceptions that apply to every counsellor in British Columbia: risk of serious harm to yourself or someone else, concerns about the safety of a child or vulnerable adult, and a court order. These are explained at the start so there are no surprises.

Do you work with LGBTQ+ and BIPOC clients?

Yes. The practice is BIPOC and LGBTQ+ affirming. You should not have to explain or defend your identity in order to get help with what you actually came in for.

What if we are not a good fit?

Say so. Fit matters more than any technique, and a referral to someone better suited is a better outcome than continuing out of politeness.

Still have a question? Get in touch and we will answer it directly, or book a free 20-minute consultation.

Still wondering if this is the right fit?

Or get in touch with a question first.