In-home therapy

Therapy that feels a little less intimidating.

In-home sessions offer a more natural, comfortable experience and allow us to work through challenges in the environment you live in every day.

And if you need to have your dog or cat on your lap to help you feel secure, you can do that!

Two hands exchanging a black paper heart against a plain light background.

Common Reasons People Reach Out

Individuals, teens, and families navigating:

  • mental illness

  • addictions (including digital addiction)

  • gender identity

  • self-harm

  • suicidal ideation

  • trauma (including inter-generational trauma)

  • self-esteem

  • attachment

  • neurodiversity

  • insomnia

  • anxiety & depression

All of this work is grounded in a trauma-informed approach.

About Joyelle

Joyelle Koch - A woman with purple and pink hair wearing glasses, a gray shirt, and a green cardigan, sitting on a chair against a dark blue background.

Born & raised in Chatham-Kent

BA & BSW from Western University and MSW from University of Windsor.

Working in mental health for 7 years primarily with teenagers in crisis.

Prior to that I spend 22 years helping families in the context of child protection in Ontario and BC.  My work in BC was primarily in the Indigenous community.

Fun Facts

  • Dog sitter

  • Enjoy yoga & cooking

  • I’ve been a foster parent for CK Animal Rescue for 15 years.

My Work

I work with teens & tweens who are anxious and avoidant and at risk of missing out on life.

Currently employed full time as a crisis counsellor for Linck.

How I Can Help

In-home Family Therapy

Family therapy seeks to foster growth and understanding within the dynamics of a family unit. At its core, the family is viewed as a system, with each member’s behaviour impacting the others. This can be achieved by assisting with communication, coping skills, parenting support, conflict resolution and many other strategies and interventions.

Individual Therapy for teens, tweens & adults

In-home, in-office or virtual

Helping individuals re-frame their problems, learn how to manage complex feelings, develop positive coping skills, create safety plans, learn the connection between their thoughts, feelings, and behaviours and develop daily habits that increase positive emotional health.

I primarily work from a solution-focused, brief therapy approach with components of CBT, DBT, MBCT, ACT, motivational interviewing, and attachment thrown in.  When I’m working with families, I always use a systems approach.  All of this is delivered through a trauma-informed lens.

Family playing Monopoly game around a coffee table in a living room.
Person sitting on a dark gray sofa with their hands clasped, wearing a maroon shirt and dark jeans, in a dimly lit room.

FAQs

  • Primarily booking on weekends and holidays.

  • To gain momentum, the first few sessions should be weekly and then they can be reduced to bi-weekly.  You come until your goals are met!

  • Because each person has different issues and goals for therapy, therapy will be different depending on the individual.  In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session.  Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development. Either way, it is most common to schedule regular sessions with your therapist (usually weekly at first, and often less frequently over time).

    It is important to understand that you will get more results from therapy if you actively participate in the process.  The ultimate purpose of therapy is to help you bring what you learn in session back into your life.  Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process – such as reading a pertinent book, journaling on specific topics, noting particular behaviours or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.

  • Family and friends provide invaluable support, but it’s hard not to filter ourselves when talking to loved ones. We might try to protect the other person’s feelings or be nervous about changing how they see us. The beauty of therapy is that it’s a space just for you. No need to tiptoe here.

    Family and friends often have personal stakes in what we’re going through. They might want us to change, or not change, or make the choice that feels best to them. Therapy can help you tune into your own values and intuition and discover what you need.

    • Does my plan include mental health benefits?

    • If so, what type of practitioner am I covered to see? Registered Psychotherapist (RP), Psychologist, Social Worker?

    • Are there deductibles or co-pays?

    • Is there a limit on the number of sessions per year?

    • Do I need approval from my doctor for coverage?

  • Since your appointment time is specifically reserved for you, I require at least 48 hours' notice for cancellations, including weekends and holidays. Without 48 hours notice, a $40 administration fee will be charged.

  • Cash or e-transfer.

  •  $123.89.  With tax $140.

  • I have an office I can access located inside the River Vibe Wellness and Event Centre located at 106 William Street North in Chatham.

  • Many people seek therapy when stress, anxiety, depression, or past experiences affect their daily lives or relationships. For example, therapy can help anyone wanting to improve emotional health, navigate challenges, or find balance in life. Often people come to therapy without a clear goal, but know they need something to change.

  • Counselling Therapist/Psychotherapist: Counselling therapy and psychotherapy are the same thing in Canada. They are both terms for mental health therapy. This can be “talk” therapy, but also art therapy, animal-assisted therapy, wilderness therapy, group therapy, and more.

    Different provinces have different “protected titles” for therapists. 

    Counselling Therapy/Psychotherapy is not yet regulated in all provinces and territories. You can check regulation status and the protected title for where you live here.

    Psychologist: Psychologists have graduate-level education in psychology and are specifically trained in research, assessment, and providing mental health diagnoses. Psychologists can provide counselling therapy/psychotherapy.

    Psychiatrist: A psychiatrist is a medical doctor with extra training in mental health. They can prescribe and manage prescriptions. Some may be trained in counselling therapy/psychotherapy as well.

    Psychologists and psychiatrists sometimes have longer wait-times and higher appointment fees (in correlation with their specialized training). If you are seeking therapy, but not a diagnosis or medication, a counselling therapist/psychotherapist may be a fit for you.

  • Some signs that therapy is having an impact include:

    • Feeling less reactive around other people and stressful situations

    • Better understanding of one’s own behaviour and emotions

    • Feeling closer to loved ones

    • Increased ability to notice thoughts and feelings while they’re happening

    • Stronger sense of self

    • Communicating healthy boundaries

    • Feeling less shame and self-judgment

    • Greater capacity to think about the future

    • Hope

  • Not unless you’d like them to be there. If your parent(s)/guardian(s) would like to meet all together during therapy, your therapist will ask your permission first. Your therapist won’t bring other people into sessions without your consent unless they believe there’s an imminent risk to your safety (in that case, they’ll still let you know first). Same goes for sharing anything from your sessions. Your therapist will only share information with someone if (a) you give them permission to, (b) they believe your safety (or another person’s) is at risk, or (c) if they’re required to by a court of law.

  • Your therapist will only share information from a session with your parent(s)/guardian(s) if they believe there is a clear and imminent risk to your safety or the safety of another person. They would tell you this was happening, and in most cases you would have a chance to discuss your preferences for how this disclosure would be made. This approach aligns with the Ontario College of Social Workers and Social Service Workers standards regarding confidentiality and its limits.

    • Are they accepting new patients?

    • Does the therapist have experience working with or is a member of a group that is important to your identity, such as being queer-affirming or BIPOC-friendly?

    • Do they specialize in working with people who present with similar issues or challenges that you are experiencing, such as depression, anxiety, relationship issues, substance abuse concerns, or other topics important to you?

    • How many years have they been practicing?

    • What are their areas of expertise?

    • Do they have experience treating issues similar to yours?

    • What is their approach to treatment?

    • Have their methods been proven effective for your specific concern?

    • Do they conduct in-person and telehealth therapy?

    • What are their fees for services?

    • Do they offer a sliding-scale policy for affordability?

    • Inquire about their policies for missed appointments and any other concerns important to you.

  • We do not provide emergency or crisis services, psychiatric or medical care, medication management, formal psychological or educational assessments, or services intended for court, custody, disability, or insurance determinations.  Requests for legal letters, court reports, or testimony may be declined or limited to basic attendance summaries in accordance with professional standards.

  • Your privacy is very important to us.  All records and documentation are stored securely in the Jane App practice management system and handled in accordance with Ontario privacy legislation (PHIPA) and the professional standards of the College of Registered Psychotherapists of Ontario and the Ontario College of Social Workers and Social Service Workers.

    Information shared in counselling is confidential and will not be released without your written consent, except in rare situations required by law, such as risk of serious harm to yourself or others, concerns about the safety of a child, or court orders.  These limits to confidentiality are reviewed with you before beginning therapy.

    When using virtual services, we use secure video platforms and encrypted systems whenever possible.  While no online system can be guaranteed completely risk-free, we take reasonable steps to protect your information and maintain professional privacy standards.

    If you have questions about how your information is stored or used, please ask at any time.

    We know therapy requires trust.  Protecting your privacy is part of caring for you.

Get In Touch

I offer a free 15-minute consultation so we can connect, answer any questions, and see if working together feels like the right fit.