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Therapy for
OCD and anxiety

Get support for intrusive thoughts, constant worry and the pressure to get everything right. Individual virtual therapy for adults across Ontario.

Free consultation

A complimentary 15-minute phone call

A linen chair with a soft blanket beside an open book and coffee mug in a sunlit home reading corner

Practical support,
at your pace.

Understand the patterns that keep you stuck and develop strategies that fit your life.

Meet Chelsie
A reflective journal, eucalyptus and a glass of water on a wooden desk

Anxiety

Supporting individuals in understanding and managing persistent worry, fear, and physical symptoms of anxiety.

OCD

Helping clients with obsessive thoughts and compulsive behaviours through evidence-based exposure and response prevention (ERP).

Perfectionism

Guiding clients to let go of high standards and develop a more compassionate, balanced approach to achievement.

More areas I can support you with

Generalized anxiety

Helping you understand ongoing worry and develop practical ways to respond to anxiety and uncertainty.

Social anxiety

Helping you work through fears of judgment, self-consciousness and avoidance in social situations.

Panic attacks

Helping client understand and manage panic attacks by identifying triggers, calming the body’s stress response, and rebuilding a sense of safety and control.

Specific phobias

Helping clients gradually face and reduce fears that interfere with daily life and comfort.

Stress/burnout

Guiding clients to let go of high standards and develop a more compassionate, balanced approach to achievement.

Self-esteem

Guiding clients to let go of high standards and develop a more compassionate, balanced approach to achievement.

Attachment styles

Unpack relationship patterns, understand how you connect with others, and build deeper, more secure relationships.

Relationship issues

Guiding clients to let go of high standards and develop a more compassionate, balanced approach to achievement.

Divorce

Supporting you through the emotional challenges of separation or divorce and changes in your relationships and everyday life.

Chelsie Ostrega, Registered Psychotherapist

I'm Chelsie.

A Registered Psychotherapist in Toronto.

When I first entered private practice, I noticed a powerful recurring theme: so many people were overwhelmed by anxiety and a dysregulated nervous system. Whether it was social anxiety, chronic health worries, or the exhausting loops of OCD, it was clear that these struggles were stealing people's ability to be present and enjoy their lives.

The more individuals I walked alongside, the clearer it became that this dynamic can absolutely change. By building a strong therapeutic relationship, understanding exactly how your nervous system reacts, and using concrete, evidence-based tools, we can shift things so that anxiety no longer takes the wheel.

In my work with clients, I integrate Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP) to help you navigate intrusive thoughts and chronic worry. My goal isn't just to reduce your symptoms; it’s to help you build a life that feels meaningful, confident, and entirely your own.

What I love most about this field is that the learning never stops. When I’m not in session, I am constantly expanding my lens—consulting with colleagues and pursuing training in areas like trauma and attachment theory. This allows me to see how different challenges intersect, ensuring that your treatment plan is as unique and multifaceted as you are.

I truly believe in modelling the same balance I encourage for my clients. I know firsthand that to show up fully in our lives, we have to make space to recharge. For me, that looks like "resetting" on a nature trail, getting lost in a great book, or intentionally slowing down to spend quality time with my friends and family.

Individual
psychotherapy.

North Point Therapy provides individual virtual therapy for adults throughout Ontario. The practice focuses on anxiety, OCD, perfectionism, and related issues. Sessions are collaborative and practical, offering a thoughtful space to better understand your patterns and develop strategies that actually fit your life. The aim is to support meaningful change—building resilience, flexibility, and a sense of balance over time.

Approaches

  • Cognitive Behavioural Therapy (CBT)

    CBT explores how thoughts, feelings and behaviours affect one another. It helps you notice unhelpful patterns and practise more balanced ways of thinking and responding in everyday situations.

  • Exposure and Response Prevention (ERP)

    ERP is a form of CBT used to treat OCD. With a therapist's guidance, you gradually face feared situations or thoughts while practising not doing compulsions, helping you respond differently to doubt and distress.

  • Acceptance and Commitment Therapy (ACT)

    ACT uses mindfulness and acceptance to help you relate differently to difficult thoughts and feelings. It also helps you clarify what matters to you and take actions guided by those values.

  • Dialectical Behaviour Therapy (DBT)

    DBT skills focus on mindfulness, managing emotions, tolerating distress and communicating effectively. They offer practical ways to respond to intense emotions and handle difficult situations or relationships.

Two people seated in conversation, one holding a notebook and pen

Session details

Location
Serving all of Ontario virtually
Clients
Adults 18+
Session fee
$190 per 50-minute session
Free consultation

Start with a 15-minute phone call.

Education

  • Master of Arts in Counselling Psychology, Yorkville University
  • Bachelor of Arts in Psychology, McGill University

Affiliations

  • Member of the College of Registered Psychotherapists of Ontario (CRPO)​ Registration #11680
  • Member of the Canadian Counselling and Psychotherapy Association (CCPA)
Continuing education
  • Intensive Exposure and Response Prevention Training for OCD at the Cognitive Behavior Institute
  • ​CBT-based certification for body-focused repetitive behaviours (BFRB's) at the TLC foundation
  • Working with Attachment Style in Psychotherapy - ASADIS
  • Understanding Secure, Fearful-Avoidant, Anxious-Preoccupied and Dismissive Attachment Styles - Glendon Association
  • The Theory and Techniques of Short-Term Psychodynamic Psychotherapy
  • Dialectical Behaviour Therapy (DBT) Skills Training Certification
  • Certificate in Dialectical Behaviour Therapy (DBT) for Eating Disorders: Level 1

Frequently
asked questions.

Do you offer virtual therapy across Ontario?

Yes, North Point Therapy provides virtual psychotherapy services to adults located anywhere in Ontario.

Using a secure, PHIPA-compliant video platform, we can engage in evidence-based work—including CBT, ACT, and Exposure and Response Prevention (ERP)—from the comfort and privacy of your own space. This allows individuals across the province to access OCD and anxiety treatment that may not be available in their local communities.

Eligibility: As a Registered Psychotherapist (RP), I am regulated to practice with clients who are physically located within the province of Ontario at the time of our session.

Technology: All you need is a private space and a stable internet connection. My client portal makes joining your virtual session simple and secure.

How do I know if I need therapy for anxiety or OCD?

It is common to seek support when your internal world begins to get in the way of your external world. That is, when intrusive thoughts, anxiety or perfectionism start to impact your romantic relationships, your workload, and quality time spent with friends and family.

You might consider therapy if you are experiencing:

Persistent "What If" Thinking: Constant worry about your health, safety, or relationships that feels impossible to turn off.

Intrusive Thoughts or Compulsions: Feeling driven to perform certain mental or physical rituals to "cancel out" anxiety or achieve a "just right" feeling.

All-or-Nothing Thinking: Feeling paralyzed by perfectionism or struggling with "black-and-white" logic that interferes with your daily life.

Relational Strain: Difficulty with trust or emotional regulation that impacts your connection with others.

At North Point Therapy, my Toronto-based private practice, I work exclusively with adults using evidence-based approaches like CBT, ACT, and ERP.

At North Point Therapy, we move beyond traditional talk therapy. Our work is active and goal-oriented, specifically designed for adults who are ready to break cycles of anxiety and OCD.

How can ERP (Exposure and Response Prevention) help with my OCD symptoms?

Exposure and Response Prevention (ERP) is considered the "gold standard" for treating OCD. In a nutshell, ERP works to identify situations that trigger your anxiety (the Exposures) and works toward resisting the urge to perform a ritual/compulsion (the Response Prevention). At my Toronto practice, I work with adults to move through this process at a manageable pace.

Over time, ERP helps you build habituation, meaning the things that used to feel like an emergency start to feel like "background noise." Instead of being stuck in a loop of "all-or-nothing" thinking or compulsions, you gain the psychological flexibility to live a life guided by your values, rather than your fears.

Do I need a formal OCD diagnosis to start treatment?

No, you do not need a formal diagnosis from a doctor or psychiatrist to begin work at North Point Therapy. Many adults I work with in my Toronto practice recognize the patterns of OCD—such as intrusive thoughts, "all-or-nothing" thinking, or repetitive mental rituals—long before they ever receive a clinical label.

Show all questions
How long does therapy last?

The duration of therapy is highly individual and depends on your unique goals. Because I utilize structured, evidence-based frameworks like Cognitive Behavioural Therapy (CBT) and Exposure and Response Prevention (ERP), our work is naturally more focused and goal-oriented than traditional "open-ended" talk therapy.

However, there is no "set" number of sessions required. We view the timeline as a flexible process:

Building the Foundation: Many clients find that 12 to 20 sessions provide the runway needed to complete a thorough intake, move through psychoeducation, and begin the active work of setting up and practicing exposures. Because everyone's pace is different, this phase is tailored to ensure you feel ready for the work.

Longer-Term Support: Other clients benefit from a more extended approach, using therapy as an ongoing space to navigate deeper patterns of perfectionism, relational trust, or significant life transitions.

Ultimately, therapy lasts only as long as it is providing you with clear, measurable value. At my Toronto practice, we move at a pace that feels right for you, ensuring you feel equipped to manage your internal world independently.

Are you covered under insurance?

As a Registered Psychotherapist (RP) in Ontario, my services are covered by most extended health benefit plans. While I do not offer direct billing, I provide a detailed receipt after each session that you can submit for reimbursement.

Coverage can vary significantly between providers, so I recommend contacting your insurance company directly to verify that your specific plan includes psychotherapy services provided by a Registered Psychotherapist.

Provider Note: Most major Canadian insurers (such as Sun Life, Manulife, and Canada Life) typically cover RPs, but it is always best to confirm your individual policy's "Psychotherapy" or "Counseling" allowance.

What is the cost of therapy?

The cost for therapy is $190 per 50 minute session.

Payment Method: Payment is due at the time of your session and can be made securely via e-transfer or credit card through the client portal.

Insurance Receipts: Following each session, you will receive a detailed receipt that you can submit to your insurance provider for reimbursement, provided your plan covers Registered Psychotherapists in Ontario.

Consultation: I offer a complimentary 15-minute phone consultation to ensure we are a good fit before you commit to a full session.

What is the cancellation policy?

At North Point Therapy, your session time is reserved exclusively for you. I understand that life can be unpredictable; however, to maintain a consistent therapeutic process and ensure that I can offer that time to other clients in need, I require at least 24 hours’ notice for all cancellations or rescheduling requests.

Late Cancellations: Sessions cancelled or rescheduled with less than 24 hours' notice will be subject to the full session fee.

How to Cancel: You can manage your appointments directly through the Jane portal or by contacting me via email.

This policy helps ensure that I can continue to provide dedicated and timely care to all of my clients across Toronto and Ontario.

Do you work with perfectionism and health anxiety?

Yes. Perfectionism and health anxiety are core areas of focus at North Point Therapy. Many of the adults I work with in Toronto struggle with "all-or-nothing" thinking or find themselves stuck in a cycle of constant re-checking and worry about their physical well-being.

Rather than just talking about these anxieties, we use a structured approach:

For Perfectionism: We work on building psychological flexibility, helping you shift away from rigid "musts" and "shoulds" so you can pursue your goals without the crushing weight of self-criticism.

For Health Anxiety: We utilize Exposure and Response Prevention (ERP) and ACT to help you sit with uncertainty and reduce the urge to constantly research symptoms or seek reassurance.

The goal is to help you move from a state of constant "checking" and "fixing" to a life guided by your values.

What should I expect in our first session?

Our first session is a structured intake and assessment designed to build a complete picture of your life and current challenges.

During this 50-minute session, we will:

Review Your Background: We’ll discuss your history, including topics such as family background, education, and past mental health support. This context ensures that the strategies we develop are tailored to your specific environment.

Establish Your Goals: We’ll look at how anxiety, OCD, perfectionism, or other concerns are currently impacting your workload and relationships, and develop clear, value-aligned goals for our sessions.

Determine a Path Forward: We’ll identify your specific patterns and decide which evidence-based strategies—such as CBT, ACT, or ERP—are best suited to your treatment plan.

By the end of this meeting, our goal is for you to have a clear roadmap so that we can move directly into the active work of therapy in our following sessions.

Get in touch.

Start with a free phone consultation, or send a message if you have questions.

Free consultation
Address

529-2967 Dundas St. W.
Toronto, ON, M6P 1Z2

Virtual therapy across Ontario.

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Send a message.

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