Session Structure

Therapy is most effective when there is continuity over time. Most clients meet on a weekly or bi-weekly basis, and extended sessions are available when additional time is helpful to deepen exploration and work with more complex or emotionally rich material.

  • Standard Session (60 minutes): $200

  • Extended Session (90 minutes): $300

Note: Because my approach is experiential and often involves working directly with emotional and somatic processes, sessions are scheduled for a minimum of 60 minutes. Many psychotherapy practices use a 50-minute “therapy hour,” and session fees in my practice reflect the longer format.

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Medicine-Assisted Psychotherapy

Medicine-assisted psychotherapy, when offered, is integrated within ongoing psychotherapy and is available only to established clients after a minimum of six months of treatment. It is considered selectively, as an adjunct to psychotherapy, when clinically appropriate.

I only work with legally prescribed medicines that have scientific evidence of therapeutic use when combined with psychotherapy, and only within Canadian law and professional regulations. I do not prescribe, administer, supply, or recommend medicines. All medicines must be prescribed and medically supervised by a licensed physician, who remains fully responsible for medical screening, eligibility, dosing, and oversight.

Medical fees are separate from psychotherapy fees.

Medicine-Assisted Sessions

  • Cannabis-Assisted Session (2 hours): $400

When legally prescribed, may support present-moment awareness and emotional accessibility within psychotherapy.

  • Ketamine-Assisted Session (2.5 hours): $500 (plus medical fees)

When prescribed and medically supervised, may support the psychotherapeutic processing of difficult or traumatic material.

  • MDMA-Assisted Session (8 hours): $1,600 (plus medical fees)

Available only with authorization through Health Canada’s Special Access Program (SAP). All medical aspects are managed by the prescribing physician.

Important: I do not offer underground or illicit services and do not facilitate access to non-prescribed substances. Participation is subject to clinical, legal, and ethical eligibility.

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How to Begin: Step-by-Step

Because this work is depth-oriented, beginning therapy involves a multi-step intake process designed to support clarity and mutual fit.

  • Use the form on the Contact Page

  • I will confirm if I currently have space.

    If I am unable to see you right away, I may have room to add you to my limited waitlist.

    If my waitlist is closed, I recommend consulting the Ordre des psychologues du Québec  Ordre des Psychologues du Québec or the Psychology Todayto find support elsewhere.

  • If I have availability, I will send you a secure link to a brief pre-intake questionnaire.

    This helps you share what you are hoping to work on and allows us to assess whether my approach is a good fit for your needs.

  • If the fit appears appropriate, we will schedule a 15-minute complimentary Zoom call. This is an opportunity to ask questions, clarify expectations, and decide together whether to move forward.

  • Before our first session, you will complete a more detailed intake questionnaire to provide relevant background and context.

  • We meet in person for our initial session and begin the therapeutic work.

  • If we decide to continue, we typically establish a regular meeting rhythm—weekly or bi-weekly—based on your needs and capacity.

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Is This the Right Time?

Experiential therapy works best when there is enough safety and stability to support emotional work.

It may not be the right fit right now if:

  • you are in acute crisis

  • your environment is unsafe

  • you want a purely intellectual approach

  • you are seeking rapid symptom relief without emotional engagement

  • you feel pressured rather than ready

At some stages, starting with safety and stabilization is the most supportive place to begin.

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Frequently Asked Questions

The Therapy Process & Fit

  • No. My practice is dedicated exclusively to individual psychotherapy for adults.

  • My practice is primarily in-person to support the relational and somatic nature of our work. Virtual sessions are available to accommodate exceptional circumstances, such as illness, severe weather, or travel.

    Please note: You generally must be physically in Québec during virtual sessions. If you are traveling outside the province, please notify me in advance to ensure compliance with local regulations.

  • It can happen. Because this approach involves turning toward emotions and experiences that may have been set aside for a long time, some people notice temporary increases in sensitivity, emotional intensity, or the return of memories.

    This is a recognized part of the change process. We work carefully and collaboratively to maintain a pace that feels manageable, adjusting whenever needed.

  • This work is oriented toward addressing difficulties at their root rather than offering short-term symptom management. That said, there is no fixed timeline.

    The pace and duration of therapy vary depending on many factors, including your history, current stability, nervous system capacity, and the nature of what you are hoping to work on. Some people notice meaningful shifts relatively early, while others engage in longer-term work to support deeper reorganization.

    Throughout the process, we regularly check in about pace, progress, and fit, and adjust the work accordingly.

Logistics, Fees & Insurance

  • Psychotherapy services are often covered by private insurance plans. I am a registered psychologist with the OPQ (Ordre des psychologues du Québec). Please check with your provider regarding coverage for "Psychologist" services.

  • If my practice is full, I maintain a limited waitlist.

    If I cannot see you, and my waitlist is full, I encourage you to consult the OPQ  or Psychology Today directory to find support elsewhere.

  • No, I do not accept external mandates from these organizations.

  • I take the protection of your personal information seriously and comply with Québec’s Law 25.

    Information submitted through this website is collected and used solely for clinical and administrative purposes. I use secure, encrypted platforms for scheduling, records, and communication, including Jane for clinical documentation and scheduling, Zoom for virtual sessions, and secure storage solutions for any session recordings when applicable.

    Standard email is not fully secure; I recommend limiting email communication to scheduling and administrative matters.

    Under Law 25, you have the right to:

    • access your personal information

    • request corrections if information is inaccurate

    • withdraw consent for certain uses of your data

    • be informed of any confidentiality incident that may affect you

    Julien Lacaille, Ph.D., psychologist, is the person responsible for the protection of personal information for this practice.

    You may contact me regarding privacy matters through the contact information provided on this website.

Medicine-Assisted Work

  • No. Medicine-assisted work is never required and is only considered in specific situations when other approaches have not been sufficient.

  • No. Medicine-assisted work, when clinically appropriate, is integrated within an established therapeutic relationship. A minimum period of ongoing therapy (minimum of 6 months) is required before this option is considered.

  • I do not prescribe, recommend, or administer substances. All medical evaluations and prescriptions are your responsibility and must be managed by a qualified physician.

    For medical cannabis, referrals are often made to specialized clinics such as Santé Cannabis.

    For ketamine- and MDMA-assisted work, coordination would occur with a physician experienced in this treatment to ensure appropriate medical oversight.

Crisis Support

  • My private practice is not equipped for crisis intervention.

    If you are in acute distress or need immediate support, please contact one of the following 24/7 resources:

    • Info-Santé / Info-Social: 811

    • Emergency services: 911 or your nearest emergency room

    • Suicide Prevention Centre of Montréal: 1-866-APPELLE (277-3553)

    • Suicide Action Montréal: 1-866-277-3553

    • Tel-Aide: 514-935-1101

    • AMI-Québec: amiquebec.org/crisis

    • Centre de crise Le Transit (Plateau-Mont-Royal): 514-282-7753

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