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Regulatory Landscape of the Counselling and Psychotherapy Profession in Canada

The regulation of counselling and psychotherapy in Canada is the responsibility of provincial and territorial governments. While the professional titles used across jurisdictions may differ (e.g., Registered Psychotherapist or Registered Counselling Therapist), regulated professionals generally share comparable educational standards, ethical obligations, competency requirements, continuing professional development expectations, and disciplinary oversight.

Across Canada, two primary models of professional regulation exist:

1. Title Protection

Title protection restricts the use of designated professional titles to individuals who meet legislated registration requirements established by a regulatory college. While only registered professionals may legally use the protected title, other qualified mental health professionals may still provide similar counselling or psychotherapy services, provided they do not use the protected designation.

Provinces currently regulating the profession through title protection include:

  • Prince Edward Island
  • Nova Scotia
  • New Brunswick
  • Ontario
  • Quebec

2. Activity (Scope of Practice) Protection

Activity protection extends beyond protecting a professional title by legally restricting the performance of specified controlled or reserved acts to authorized regulated professionals. This approach provides an additional layer of public protection by ensuring that higher-risk psychotherapeutic interventions may only be performed by practitioners who have demonstrated the required competencies and are accountable to a regulatory body.

Currently, Ontario and Quebec regulate both the professional title and the controlled act (or reserved activity) of psychotherapy. The Atlantic provinces—Prince Edward Island, Nova Scotia, and New Brunswick—currently regulate the professional title but do not legislate a controlled act specific to psychotherapy.

Several other provinces continue to explore regulatory frameworks for the profession, while Yukon, the Northwest Territories, and Nunavut are not currently pursuing regulation.

In jurisdictions where the profession remains unregulated, the Canadian Certified Counsellor (CCC) credential, administered by the Canadian Counselling and Psychotherapy Association (CCPA), serves as a nationally recognized voluntary certification. The CCC designation requires graduate-level education, supervised clinical experience, adherence to a national Code of Ethics and Standards of Practice, participation in continuing professional development, and accountability through a formal complaints and disciplinary process. These requirements closely parallel those established by provincial regulatory colleges, helping to promote consistent standards of professional competence and public protection across Canada.

Professional Regulation

The landscape of the counselling/psychotherapy profession is rapidly evolving. Regulation is a provincial responsibility in Canada. Despite using different professional titles of ‘Psychotherapist ‘and ‘Counselling Therapist’ in different regulated provinces, these professions share similar scopes of practice, standards for professional preparation, continuing education requirements, code of ethics, and standards of practice.  

  In unregulated provinces/territories, CCPA’s Canadian Certified Counsellor (CCC) demonstrates qualifications and certification criteria that parallel the requirements of the regulated titles of Psychotherapist and Counselling Therapist in regulated provinces. These criteria include adherence to a code of ethics and standard of practice, a disciplinary procedure, and requirements to update their skills regularly to maintain their certification.  

  Provinces/Territories in RED currently regulate the profession of Counselling Therapy: Nova Scotia, New Brunswick, and Prince Edward Island. 

  Provinces/Territories in ORANGE currently regulate the profession of Psychotherapy: Ontario and Quebec.  

  Provinces/Territories in BLUE are currently unregulated or in the process of regulation.  

  *YT, NT and NU are not seeking regulation currently.  

  Click on each province to learn more about the regulatory status or activities underway:  

AB BC MB NB NL NT NS NU ON PE QC SK YT

Practitioners moving from one province or territory to another must understand and comply with any practice requirements where they are relocating. To learn more about inter-provincial practice, click here. 

FAQ

What is the purpose of regulation?

The goal of professional regulation is to reduce the risk of harm to the public while maximizing the well-being of clients who are seeking counselling and/or psychotherapy services. Professional regulatory bodies are required in law to protect and promote the public interest by regulating the profession’s practice. This ensures that the public can expect a certain level of professional standards from all professionals who are regulated, regardless of location. 

How does regulation work across Canada?

In Canada, regulation of a profession is the responsibility of provincial and territorial governments. With respect to the regulation of counselling/psychotherapy thus far, it has been the Ministries of Health that have been involved in the regulatory process because they view these professional activities as health services and those who provide them as health professionals. 

 The process by which regulation occurs can be different from province to province. For example, in British Columbia a regulatory body (known as a College) can be formed by an Order in Council – i.e. no new legislation is needed. In New Brunswick a private member’s bill had to be developed and introduced. In Ontario a new piece of legislation to regulate psychotherapy was introduced under the umbrella of the Ontario Regulated Health Professions Act. 

 In Canada, there is a national legislative statute entitled Canadian Free Trade Agreement (CFTA). All provinces and territories and the federal government are signatories to this Agreement. It mandates practices and policy with respect to the movement of services, products and people within Canada. Chapter 7 of the CFTA includes provisions to support the national mobility of all workers in Canada including those in the professions. 

 Currently there are six provinces in Canada that have legislation: PEI, QC, ON, NB, NS and Alberta (College is awaiting proclamation). 

 Each of the Provinces of Saskatchewan, British Columbia, Manitoba, Alberta, and Newfoundland have a federation of associations of counsellors and therapists (FACT) which are advocating for the regulation of counselling therapists and are doing the necessary work to be ready when it happens. 

What is the difference between title protection and activity protection?

Activity protection protects and restricts the professional activity that can only be provided by regulated health professionals authorized to do so.  

Title protection protects and restricts the use of the professional titles of Registered or Licensed Counselling Therapists and Registered Psychotherapists. This means that it is illegal to use these protected titles unless the user is a member of the provincial regulatory college in which they reside. 

Both title and activity protection inform the members of the community in which professionals with these protected titles choose to practice that they have acquired these titles by virtue of their having the professional qualifications to do so. Also, that these qualifications were evaluated and approved by an independent college of regulators with the legal obligation to do so. 

What is the difference between a professional association and a regulatory college?

Professional associations focus on the practitioner.

A professional association’s mandate is to advocate for the profession, provide ongoing learning opportunities, increase awareness and recognition of the association and represent the needs of its members.

The focus of a regulatory college is on public protection from potential harm of practitioners.

Will I need to be a member of a national professional association after joining the new college?

College membership + Association membership = Best practice

Colleges and professional associations have two distinct and separate functions. Colleges exist to serve and protect the interests of the public, the consumers of services, while professional associations exist to serve the interests of its members and the profession, the providers of services.

There are clear benefits to retaining membership in your professional association after joining the new College. CCPA will:

  • advocate on behalf of the profession;
  • provide liability insurance, and;
  • be an excellent source of information for you if the laws and regulations regarding the profession change. CCPA will help you interpret these changes and will lobby the government if the changes adversely affect your practice or public protection.
What has been CCPA’s involvement and influence in the regulation process in other provinces?

Statutory regulation is a provincial matter and every province has approached regulation differently.

Since the nineties, CCPA has been actively involved in regulation, supporting each province financially and/or with human resources to move the regulation quest forward. In fact, CCPA has established a fund (The Legislative Support Fund) to which provinces can apply for funding to support their regulation activities.

NL

CCPA helped to found FACT-NL, wrote the application for regulation and is currently in active discussions with the NL Ministry of Health regarding the application. FACT-NL has come to rely on CCPA as the source of information on what is happening across the country. This then influences the government with regard to policy.

PEI

CCPA assisted in answering the information requirements of the government and once regulation started to move forward in 2020, actively supported the PEI regulation team and attended meetings with the senior policy advisor responsible for the regulations. CCPA has provided financial support to PEI during its pursuit of regulation.

NB

CCPA was an active member in assisting the New Brunswick team over the finish line to proclamation. CCPA also provided financial support.

ON

CCPA belonged to the Ontario Alliance of Mental Health Practitioners and took a leadership role in discussions with the Ontario government from the inception of the legislation to the proclamation of the College.  Because the ON process was very detailed, CCPA held 14 workshops around ON to assist ON practitioners in completing their applications and also supplied telephone support to those practitioners who had unusual qualifications. CCPA also provided financial support to the Alliance.

MB

CCPA has been actively involved in the group seeking regulation in Manitoba. In order to align with groups around the country, CCPA influenced the Manitoba group to rebrand their efforts as FACT-Manitoba. CCPA was involved in completing the application, answering government questions, the public consultation process, responding to the public consultation process and assisting in research to answer questions which will be posed at the public hearings. CCPA attended meetings with the Ministry of Health to support the FACT-Manitoba team. CCPA provides financial support to FACT-Manitoba.

SK

CCPA founded FACT-SK and wrote the application required by the government. CCPA organized meetings of FACT-SK, responded to government queries and organized letter writing campaigns to the government.

AB

CCPA assisted in the foundation of FACT-AB and has supported the regulation cause in Alberta with financial resources, and human resources.

BC

CCPA has been a member of the various groups seeking regulation in BC. CCPA’s involvement started in the nineties with the first application to the government. CCPA has been actively supporting FACT-BC and has been a member of many of the committees that established the competency profile and the registration regulations that will be suggested to the government when that time comes. CCPA has also attended government meetings and has been a source of information for the government with regard to how regulation occurred in other provinces. In that sense, financial and human resources have been provided.

Throughout its activities, CCPA has worked at the provincial level to support the various groups seeking regulation. Once regulation is achieved, CCPA remains as a support to practitioners in the province by organizing provincial alliances. One such example is PRPA (The Partnership of Registered Psychotherapists Associations).

What is the process of registration as a Regulated Health Professional already belonging to a Regulating College in another province?

When the Colleges in other provinces formed, they had a special application route for anyone who is already regulated in another province. In fact, this is required because of the Canadian Free Trade Agreement. The new College in BC will most likely establish such a route. The timing of all of this is not known at this time.