E-therapy: Terms and Conditions

Patricia Roles' Virtual E-counseling Room

Photo by Pat Roles

Prior to starting e-mail counseling, you acknowledge that you have read these terms and conditions and thereby been informed about what is involved. By choosing to participate in e-counseling, and signing off that you have read these terms and conditions, your consent is assumed. You can stop the process at any time because you pay for one session at a time. It is also assumed that you are acting honestly and representing yourself accurately.

Participating in e-mail counseling sessions over the internet with Patricia Roles is as if you are participating in a counseling session with Patricia Roles in her office in the jurisdiction of British Columbia, Canada.

Find Out More About:


In order to receive counseling services through this site, you need to be 19 years of age. In some situations, youth will be permitted to join e-mails along with e-mails from a parent, if it is part of family counseling via e-mail and initiated by an adult family member who is taking responsibility for the process.


This site will not sell, give or trade your email or personal information to a third party. My site does not receive any information about your credit card information processed securely through Paypal.

Your e-mail and my responses are the only records are confidential and maintained on my computer files in a secure manner. As in any face to face office therapy situation, the same procedures would apply in regards to releasing this information. Information can only be released through if records are requested by the courts. Information needs to be released to the appropriate authorities if there are threats to your safety or the safety of others such as a child protection issue, or suicidal or homicidal thoughts. These issues of safety for you or others would override the issues of confidentiality.

By law any citizen, including helping professionals, have a duty to report situations of child protection or threats of harm to yourself or others. Local child welfare authorities would have to be notified in cases where a child is in need or protection or where there is a likelihood of needing protection. In situations of self-harm or risk of harm toward others, the local police departments would need to be notified.

It is important to remember that there limits to privacy with any e-mail sent through the internet or through the use of video conferencing as systems such as Skype. E-mails on the internet can be subject to errors occurring within computer systems, human error and networks resulting in e-mails going astray accidentally. Privacy in transit in any form of communication over the internet cannot be guaranteed.

It is not advisable to send e-mails from a computer that is designated for work. A work computer is clearly not strictly confidential. Even on a home computer, other family or friends might have access to your files. Communication on the internet has the potential to be insecure. Laptops can easily be stolen. You need to take your own precautions on your personal computer to ensure confidentiality of your private e-mail as this may be the most likely danger of breeches of privacy. You need to evaluate your own privacy situation with your computer records and may want to print files and delete them off your computer.

Mental Health Issues:

This site is not suitable for you if you suffer from a serious mental health disorder such as schizophrenia, manic-depression, PTSD or dissociation. These disorders require local face to face mental health assessment and treatment. E-mailtherapy.com does not provide assessment, diagnosis or treatment of psychiatric conditions. E-therapy is not intensive psychotherapy and is not intended to substitute for mental health therapy. E-mailtherapy.com will not address any issues related to medication. Medication needs to be managed by your family doctor or psychiatrist.

This site is not able to respond to crises such as child protection, trauma, domestic violence or sexual assault. This site is unable to respond to your needs if you feel suicidal or homicidal. E-mail counseling would be insufficient for all these types of crises.

In situations where trauma has occurred, a full mental health assessment or intensive therapy is needed. At times of a mental health crisis, you need face to face crisis intervention with a local mental health professional. If you feel distress to the point of harming yourself or others, you need to tell someone right away. Contact your local crisis line, family doctor or hospital emergency department immediately.

Potential Conflict of Interest:

I cannot engage in e-mail counseling with you if I have provided services to you or your family as a hospital patient with Children's and Women's Health Care Centre of British Columbia in Vancouver, during the past year. The only exception occurs if there are no therapists available with the expertise. Provision of services via e-mailtherapy.com, whether it is e-counseling or face-to-face counseling is a private clinical practice and is in no way affiliated with my employment at Children's and Women's Health Care Centre.


You are responsible for your own actions. Any decisions or actions taken that you feel are a result of the e-mail counselling, remains solely your responsibility. You are responsible for ensuring confidentiality with your own computer systems.

If there are links or advertisements from other site, they are not endorsed by this site. You must evaluate site links by their own merit.

E-mail Counseling Session Fees:

The following fees for e-therapy counseling sessions are in US funds. Credit card is the only means of payment. Credit cards are accepted online through Paypal who offers secure credit card transactions: One e-counseling consultation session: $65 (CAD funds) Package of 3 regular sessions: $180 (CAD funds)

Sessions can be one time consultations or ongoing, depending upon your needs. You pay as you go, so you only agree to pay for one session at a time. These fees are based on the time it takes me to read your e-mail and to formulate my response. You can choose from an initial inquiry, a brief consultation or counseling session with a minimum one page response, or a longer counseling session with a minimum two page response. Responses will be typed in single spaced text. These fees are about half the fees of a face to face therapy session.

E-mailtherapy.com does not bill Extended Health Plans, Medicare, Medicaid or any other insurance providers. You can discuss potential coverage with your health care insurance provider. If your insurer covers counseling with a social worker, then they may agree to cover e-therapy sessions with a social worker. Online counseling may be covered as it is growing more widely accepted as a therapeutic intervention, especially as cost, efficiency and access to services are being taken into consideration in provision of health care services.

Some health insurance or extended health benefits reimburse counseling fees paid to Registered Social Workers. Some Employee Assistance Programs (EAP or EFAP) have covered costs of counseling with a Registered Social Worker if there has been prior approval. This will differ depending upon your place of residence. Be sure to check with your health benefit provider and your employer. Some organizations in British Columbia, Canada, who have been know to have reimbursed employees in the past are:

  • Workers Compensation Board
  • Telus (union employees only, not management)
  • University of Victoria (faculty and staff)
  • Central Mortgage and Housing Corporation
  • University of British Columbia's Student Health Plan
  • City of Vancouver
  • Bank of Montreal
  • BC Hydro
  • Canada Post
  • Insurance Corporation of BC
  • City of New Westminster
  • Department of Indian Affairs
  • Air Canada

I have read the above terms and conditions and am ready to proceed with e-counseling


Face-to-face Sessions:

Face-to-face counseling sessions are available for individuals and families living in the Vancouver and lower mainland with Pat Roles. Offices are located in Burnaby and Vancouver. Private counseling session fees are $140 (Canadian dollars) per hour, and can be paid through Paypal, etransfer, cheque or cash. Pat Roles is a registered social worker and registered art therapist with training in individual and family therapy. You can email Pat Roles to inquire about face-to-face counselingor phone at 604-375-9215. Contact Pat Roles: Face-to-face Sessions

Face-to-face counseling may be covered through your extended health if your plan covers registered social workers.

Consumer Feedback:

I welcome your feedback or questions via email at: Contact Pat Roles @ e-mailtherapy.com

This e-mail address is separate from the private e-mail for counseling sessions. This e-mail address is for inquiries of a more general nature, questions, or feedback about the site or after discontinuing sessions. Please put in a clear subject line as the feedback email is not prioritized as paid e-counseling sessions are and can get lost with all the junk email. For those who have purchased sessions with me in the past, I always appreciate feedback about how you are managing or feedback on the usefulness of sessions.

Workshops, Presentations, Professional Inquiries or Clinical Supervision:

Presentation are designed upon request of groups or agencies. Inquiries can be made about presentations or workshops on topics such as: birthparent loss and grief, adoption search and reunion issues, art therapy from a narrative perspective, family art therapy, art therapy or family therapy with eating disorders, e-therapy or family therapy via telehealth.
Contact Pat Roles: Presentations or Clinical Supervision  

Questions from therapists and researchers are continual and time consuming, so now there is a fee for a consultation if the questions are more than just a couple o brief questions.  Please go to the face-to-face page and purchase an email consultation for professionals about online therapy practice.

Site Map

Patricia Roles, MSW, RSW, BCATR
Social Worker E-therapy Online Counseling Vancouver, BC, Canada


 Patricia Roles, Virtual E-counseling Room, e-mailtherapy.com, Burnaby, BC, Canada
spelling variations for counseling: e-counselling, counselling, e-mail counselling, online counselling, internet counselling, cyber counseling, cyber counselling