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What is Implications Counselling?

Assessments and written reports are often required for select fertility treatments, such as IVF or “third party reproduction/conception”, the term used when an individual or couple uses donor eggs, sperm, embryos or a gestational carrier to grow their family. These BRIA services include a counselling session and one report. Patients will receive the report to share with their fertility clinic. (Extra time and fees may be necessary at times).  Pricing and session type will be confirmed via email in advance of any session. 


  • IVF– Intended Parent(s) (IP) using own egg/sperm, with report (1 hour): $250
  • Egg Freezing, with report (1 hour): $250.00
  • Intended Parent(s)  Implications Counselling for anonymous sperm/egg donor, with report (75 minutes): $320.00
  • Intended Parent(s) Implications Counselling for known donor egg/sperm, with report (3 hours):: $750
    • Meet with Intended Parents (IP) (1 hour)
    • Meet with Egg Donor and partner (1 hour)
    • Meet with IP and Egg Donor and partner  (1 hour for meeting and final report writing)       
  • Intended Parent(s) Implications Counselling for Gestational Carrier or Surrogate Cycle with report (3 hours):  $750
    • Meet with Intended Parents (1 hour)
    • Meet with Gestational Carrier and partner (1 hour)
    • Meet with IP and Gestational and partner  (1 hour for meeting and final report writing)      
  • Additional counselling sessions–as required–$250 per hour, will be discussed with your health care provider prior to scheduling


Please reach out to clarify which service will meet your specific needs. 

Does BRIA offer care in other languages?

At BRIA, we celebrate diversity and want to make sure our team is reflective of our diverse culture in Canada. We are continuously adding to our team, so please check back in for more updates on this page for additional languages offered.

All our practitioners are fluent in English.

Mila Arsenijevic MSW, RSW offers  Individual Therapy, Couples Therapy, and Supporting Partners Therapy, in English or Serbian/Croatian.



What are examples of difficult reproductive health decisions that may be aided by a bioethicist?

  • situations that elicit differing values and beliefs of family members
  • conflict pertaining to healthcare planning
  • pregnancy planning and fertility treatments (for example, decisions pertaining to third-party reproduction; what to do with genetic testing; management, disposal, and donation of embryos)
  • pregnancy termination
  • healthcare decisions pertaining to your fetus or newborn
  • the role of culture and religion in health care treatments
  • How to proceed with reproductive treatments that may impact your health

What is an ethical issue in need of decision-making support ?

An ethical issue can arise when people are making complex choices for themselves, or on behalf of others. In such situations, an individual’s own set of values may conflict, or they may conflict with those of others, leading to uncertainty about how to proceed. Ethical decision-making involves deciding what to do, why to do it, and how to implement a decision.

Is therapy even helpful?

There is strong medical data to show that talk therapy is a very effective treatment for many mental health problems. Individual, couples, and group therapy can help people make substantial and long-standing changes in their mental health. There is also evidence that physical brain changes take place during therapy. Patients who go through therapy actually develop new and healthier ways of thinking, feeling and interacting with other people; they feel less stressed and can function better in their day-to-day life.

Can I just see a BRIA psychiatrist directly?

At BRIA, we have created a mental health service where we are doing things a little differently. We are not offering direct access to a psychiatrist. Instead, we have created what is often called “a stepped care model” of service. This means that we offer people the type of care that we think is suitable to help the symptoms that they are dealing with.  For example, evidence shows that women with more mild symptoms of anxiety or depression benefit most from talk therapy or counselling, while those with more severe symptoms may need to see a psychiatrist, as well as do therapy. 

As a first step, the BRIA Care Coordinator may offer you a MINI Mental Health Assessment, where we will get to know you a bit and hear about your struggles. This way, we can be sure that you are getting the type of effective care you need, based on your current issues and concerns, and point you in the right direction. From there, the Care Coordinator may recommend a more in-depth mental health assessment by a mental health professional and an MD Psychiatrist. 

If you are seen by the MD Psychiatrist, and prescribed medication, you will get brief follow-up to be sure that these are helpful and effective.

Does BRIA offer ongoing psychiatric care?

Our MD psychiatrists have designed specific BRIA care pathways for mild, moderate and severe symptoms, that also  take into account significant life stressors. BRIA psychiatrists are available for consultation as part of the MAXI Mental Health Assessment, and for brief follow up to ensure medication is effective and well-tolerated, if that is deemed necessary, after a MINI Mental Health Assessment. MD Psychiatric services are covered by OHIP. BRIA psychiatrists are not available to provide long term care or regular therapy, but they may suggest  you see  a therapist,  if it would benefit your needs. If you would like ongoing psychiatric care, please reach out to your local primary care provider for a referral to a psychiatrist in your community.

Does BRIA offer Individual therapy?


People often go to therapy to discuss a wide variety of concerns including how to manage their emotions, thoughts, and behaviours, how to cope with conflict at home or at work, how to feel more confident, how to deal with issues from the past, and how to cope with new life stages and big changes that can be overwhelming.  Sometimes people prefer to have one-on-one talk therapy with a trained counsellor to address these personal issues. Although talk therapy may feel scary or too vulnerable at first, people often find they feel better when they address the issues that have been bothering them under the guidance of a trusted therapist. Formal therapy or counselling is very different from venting with a close friend or trusted family member. A therapist is trained to help with mental health and relationship problems and can help patients examine and understand their issues in a new and productive way, in a private and  confidential setting. BRIA therapists offer counselling to women at each reproductive life stage.  

What is a Nurse Practitioner?

Nurse practitioners (NPs) are certified and trained healthcare providers who are authorized to provide a wide range of services to patients. In Ontario, NPs have completed a master’s degree in Advanced Practice Nursing, then they have passed a certification exam and are registered with the College of Nurses of Ontario (CNO). They also must have extensive clinical practice experience before they can register with the CNO as an NP. Once registered, they can provide a range of healthcare services, including diagnosing and treating common illnesses and injuries, prescribing medications, ordering and interpreting diagnostic tests, and providing health education and counselling.

Nurse practitioners in Ontario have an important role in improving access to medical care for patients, particularly in underserved areas of healthcare and remote areas. They are also important members of a healthcare team and help to promote better health outcomes for patients and to reduce the burden on the health care system.

At BRIA, our Nurse Practitioner does Part 1 of the MEDI Assessment and can also offer other mental health assessments and follow-up services. 

What is a MEDI Assessment?

The MEDI Assessment is a thorough hormonal assessment that will address your concerns and symptoms during the menopause transition. The MEDI can also assess other hormonal concerns, such as those related to contraception methods that may affect mood or anxiety, or severe premenstrual symptoms.


Does BRIA offer couples therapy?

During major life stresses or transition times, people often find that their relationship with their partner takes a hit. This can happen when couples experience the immense burdens of fertility treatments, pregnancy loss, pregnancy itself, becoming new parents, or when grown children leave home. These are stressful times and even the best relationships can suffer. Plus, if a relationship was strained before these circumstances, it can often get worse under stress. People often think that couples therapy signifies the end of a relationship so they are afraid to take part. In reality, it is a helpful way for members of a couple to communicate openly, in a private and confidential setting, and in the presence of a neutral third party. Couples can effectively delve into their concerns, their anger, and their feelings when in couples counseling. Couples therapy can lead to a much better relationship and set the stage for improved communication and happiness as a couple, at any life stage.

Does BRIA offer group therapy?

Yes, BRIA offers two types of group services.

  • offer BRIA members the opportunity to learn about relevant topics, such as how to manage stress in your relationship after bringing a baby home, or how to improve your sleep during the menopausal transition. BRIA also offers groups where you will learn new skills, such as  developing a yoga and meditation practice to manage anxiety at any life stage. These group offerings are available to all BRIA members.
  • create a forum where people can be open and share their experiences and learn coping skills, such as mindfulness meditation or cognitive-behavioural strategies to deal with stress, depression or anxiety. During group therapy, women experiencing similar life stressors or common symptoms come together under the guidance of BRIA therapists. By supporting one another through shared experiences, and realizing that they are not alone in their struggles, women often find that group therapy is empowering and enlightening. Sometimes women worry that they will “take on the worries” of the other group members and this will make them feel worse. Or they worry about their privacy and about feeling ashamed. In reality, people often find that they feel less alone and more connected when they share with others who have similar issues. BRIA group leaders will always discuss confidentiality and privacy matters to be sure these are respected. All BRIA group leaders are experienced mental health clinicians who are skilled at supporting women, educating them, and running groups on a virtual platform.