Before you begin
Frequently asked questions about therapy
Clear answers about fit, formats, fees, privacy, and the first steps in therapy. If your question is not covered, you can contact the practice without sharing private health details.
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30 questions available
01
Culture, identity and fit
Who does the practice work with?
Ruba provides individual psychotherapy for adults and relationship therapy for couples. People may seek support for anxiety, burnout, self-doubt, grief, boundaries, major transitions, identity questions, painful past experiences, attachment and relationship patterns, or tension involving culture, faith, migration, family, and intergenerational expectations. Couples may come with recurring conflict, disconnection, trust or intimacy concerns, parenting or financial disagreements, and differences involving values, religion, culture, or extended family. A consultation is a place to discuss whether the practice and current services fit what you are looking for.
Do I need to identify as a people-pleaser?
No. People-pleasing is plain language for one possible pattern, not a diagnosis or identity you must accept. Therapy can focus on boundaries, guilt, over-responsibility, self-doubt, relationship patterns, or difficulty knowing what you need without using that label.
Does culture have to be the focus?
No. Culture, faith, migration, racialization, family, and community can be included when they are relevant and left in the background when they are not. Culturally responsive care means context is available to explore without becoming an assumption or requirement.
Will therapy tell me to cut off my family or put myself first?
Therapy is not a set of instructions about family or a demand to choose independence over belonging. It can help you consider needs, values, responsibilities, safety, and consequences so that boundaries and decisions reflect the full context of your life.
Can I work on boundaries without rejecting my relationships or values?
Yes. Boundaries can be explored in relation to the people, responsibilities, culture, faith, and communities that matter to you. The work may involve clarifying a limit, changing how something is communicated, sharing responsibility differently, or deciding what you want to keep. Distance or confrontation is not treated as the automatic goal.
Can I talk about faith without it being assumed to be harmful or helpful?
Yes. Faith, spirituality, doubt, religious community, and changes in belief can be sources of meaning, conflict, belonging, grief, pressure, or several of these at once. Therapy can explore what faith means in your life without treating it as automatically protective, harmful, or central to every concern.
What does culturally affirming therapy mean here?
Culturally affirming therapy considers the contexts that matter to you, which may include culture, racialization, migration, language, religion, spirituality, family roles, community expectations, discrimination, and intergenerational experience. Ruba aims to ask rather than assume, and to consider both individual experience and wider social conditions. People within any cultural, religious, immigrant, or racialized community are not all alike, and sharing a language or cultural reference does not guarantee complete understanding.
What is Ruba's professional title?
Ruba Chihabi is a Registered Psychotherapist (Qualifying), CRPO registration number 19051. She is authorized to practise as a qualifying registrant. “Qualifying” is the current regulated registration category; it should not be replaced with “licensed.”
Which languages are available for therapy?
Therapy is available in English and Arabic. You can ask about your language preference when booking or during the consultation.
02
Individual therapy
Can substance use or compulsive behaviours be discussed without making them the entire focus?
Yes. Substance use or compulsive behaviours can be discussed alongside emotions, relationships, stress, safety, culture, and other context when they are relevant. A consultation can consider whether this practice fits the type and level of support you need. The practice does not offer specialized substance-use or addiction treatment, and another or additional service may be recommended when appropriate.
What happens in individual therapy?
Individual therapy focuses on your experiences, concerns, relationships, and priorities. Depending on what is relevant to you, sessions may explore emotions, current stress, earlier experiences, protective responses, recurring patterns, cultural or family context, and practical ways of responding. Ruba works relationally and may draw from emotion-focused, psychodynamic, Internal Family Systems-informed, Dialectical Behaviour Therapy-informed, mindfulness, and self-compassion approaches. No single approach is used with everyone, and therapy does not come with a guaranteed outcome or fixed timeline.
What does trauma-informed therapy involve?
A trauma-informed approach recognizes that past experiences can affect present emotions, relationships, attention, and protective responses. It emphasizes pacing, collaboration, consent, choice, and attention to emotional regulation. You can decide how much to disclose at each stage, and trauma processing is not assumed to be appropriate at every point in therapy. A trauma-informed approach is not itself a diagnosis and does not mean that every concern is described as trauma.
03
Couples therapy
How is couples therapy different from individual therapy?
Couples therapy pays attention to the relationship and the patterns that develop between partners, rather than treating either person as the problem. Ruba's work is informed by Emotionally Focused Couples Therapy and Gottman training and may involve slowing down recurring cycles, making room for each partner's perspective, and practising different ways of communicating. Couples therapy does not guarantee reconciliation. It may support partners in understanding their patterns, communicating differently, and making informed decisions about how they want to move forward.
04
Online therapy
Is virtual therapy available?
Individual therapy is offered in person in Kitchener and virtually to clients located in Ontario. You need to be physically located in Ontario for a virtual psychotherapy session. Couples therapy is offered in person in Kitchener and virtually to clients located anywhere across Ontario. Current format and scheduling options are confirmed during the consultation.
05
Getting started
What if I don’t know what I want from therapy?
Uncertainty is a valid place to begin. You might start with a situation, a recurring feeling, a relationship pattern, or the sense that current ways of coping are difficult to sustain. Early sessions can help clarify what deserves attention without requiring a polished story or fixed goal.
What is the free consultation?
The consultation is a free, 30 minutes virtual conversation. You can briefly describe what you are looking for, ask questions about Ruba's approach, and discuss service format, scheduling, fees, and possible fit. It is not a therapy session and does not commit you to ongoing care. Individual and couples consultations have separate Jane booking links.
What can you expect during a first session?
The first session usually includes reviewing informed consent and confidentiality, discussing what brings you to therapy, and beginning to understand relevant history, relationships, context, and priorities. Ruba may ask questions, and you can ask questions too. You can begin without describing every experience at once. For couples, the first stage also considers each partner's perspective and the interaction patterns that bring you in. You and Ruba can discuss an initial direction without promising a particular result.
How many sessions might therapy involve?
There is no standard number that applies to everyone. The length and frequency of therapy depend on your concerns, goals, circumstances, preferences, and the work you agree to undertake. Ruba can discuss an initial plan with you and revisit it over time, but cannot promise a particular timeline or outcome.
06
Cancellations and scheduling
Are consultation appointments currently available?
Consultation openings can be viewed in Jane. Availability for ongoing therapy is confirmed directly. Individual therapy is offered in person in Kitchener and virtually to clients located in Ontario. Couples therapy is offered in person in Kitchener and virtually to clients located anywhere across Ontario. A consultation time does not guarantee that a preferred time or format will be available for ongoing therapy.
Where do in-person sessions take place?
In-person sessions take place at the Kitchener office by appointment. The address is 944 King Street West, Kitchener, ON N2G 1G4. Contact the practice before booking to confirm current mobility, sensory, or other access details for the Kitchener office.
How long is each appointment?
Individual sessions are 50 minutes. Couples sessions are 50 minutes. The initial virtual consultation is 30 minutes.
What is the cancellation policy?
No fee applies with at least 48 hours’ notice. A cancellation within 24 hours is charged at 50% of the session fee; a no-show is charged at 100%. One free same-day cancellation is available per calendar year, excluding no-shows. The current policy does not specify a fee between 24 and 48 hours; contact the practice if this timing applies.
07
Fees and insurance
What are the session fees?
Individual therapy is $160 / 50 minutes. Couples therapy is $180 / 50 minutes. The virtual consultation is Free / 30 minutes. Fees are in Canadian dollars.
Can insurance cover therapy sessions?
Coverage varies. Confirm that your plan covers services provided by a Registered Psychotherapist (Qualifying). The practice cannot confirm or guarantee reimbursement for a particular plan. Ask your insurer whether your plan covers the current professional title, whether a referral is required, what annual limits apply, and whether couples sessions or late-cancellation fees are eligible. A receipt is emailed after payment for you to submit to your insurer.
Does the practice offer direct billing?
Direct billing is not offered at this time. A receipt is emailed after payment for you to submit to your insurer.
Is a referral required?
You can self-refer without a referral. An insurer may have separate requirements for coverage.
08
Privacy and communication
What if I am worried about disappointing my therapist?
You can bring hesitation, disagreement, feedback, or a wish to change direction into therapy. You are not responsible for protecting your therapist from an honest response. Ruba can ask what did not fit, clarify an intention, and work with you to decide whether an adjustment or a different next step would be useful.
Is therapy confidential?
Psychotherapy is confidential within legal and professional limits. Before therapy begins, Ruba explains informed consent, record handling, and circumstances in which disclosure may be required or permitted. You can ask questions about confidentiality before deciding what to share. The website is not a clinical communication channel, so keep private health information out of ordinary email.
Can I submit personal or health information through this website?
The website doesn't ask you to submit personal or health information. It has no contact form, clinical intake form, newsletter sign-up, client account, or embedded scheduler. Telephone and email links open your own application, while consultation and client-portal links open Jane, which has its own privacy terms.
Can the practice help during a crisis or emergency?
Intentional Living Psychotherapy is not a crisis or emergency service, and email, voicemail, and Jane messages are not monitored continuously. If you or someone else is in immediate danger, call 9-1-1 or go to the nearest emergency department. If you are thinking about suicide or are worried about someone who may be, call or text 9-8-8. The helpline is available 24 hours a day, 7 days a week, across Canada. The crisis-resources page lists additional verified Waterloo Region, youth, and hospital services.
Urgent support
Therapy enquiries are not crisis services.
If you or someone else is in immediate danger, call 9-1-1. If you are thinking about suicide or worried about someone who may be, call or text 9-8-8 anywhere in Canada. Review the full local and national resource list for more options.
View crisis resourcesA thoughtful first step
Taking the first step is often the hardest.
If the practical details feel clear enough to take a next step, a free virtual consultation can help you ask remaining questions and consider fit.
