--- title: "Compare Your Options" description: "Straight comparisons for people deciding about therapy in BC: types of therapist, formats, and approaches, with the trade-offs stated plainly." url: https://www.westpeakwellness.com/compare lang: en-CA section: "Compare" date_modified: 2026-10-16 publisher: "Westpeak Wellness" publisher_type: "Registered Clinical Counsellor practice, British Columbia, Canada" delivery: "secure video only; no in-person office" not: "not a crisis service; not a medical practice; not covered by MSP" contact: info@westpeakwellness.com source_html: https://www.westpeakwellness.com/compare index_of_site: https://www.westpeakwellness.com/llms.txt license: "Content © Westpeak Wellness. Quote with attribution and a link." --- # Decisions, with the trade-offs stated. Choosing a therapist means making several decisions at once, usually with incomplete information and often while you are not at your best. These comparisons lay out the real differences, including the ones that point away from this practice. Side-by-side comparisons of the decisions people face before starting therapy in BC: RCC versus psychologist versus social worker, CBT versus EMDR for trauma, therapy versus medication, EFAP versus private counselling, weekly versus biweekly sessions, and therapy apps versus a counsellor. Each states the trade-offs plainly, including when the better answer is not this practice. Updated October 16, 2026 [Book a free consultation](https://www.westpeakwellness.com/book) [Read the counselling guides](https://www.westpeakwellness.com/guides) [![A four-step diagram of the decisions made when choosing counselling: which designation, which method, how it is paid for, and how often sessions happen.](https://www.westpeakwellness.com/img/four-decisions.svg) (full size, opens in a new tab)](https://www.westpeakwellness.com/img/four-decisions.svg) Four separable decisions, usually made all at once. [RCC, psychologist, or social worker: who should you see in BC?Three different letters after three different names, all offering something that looks like therapy. Here is what actually separates them in British Columbia.7 min read →](https://www.westpeakwellness.com/compare/rcc-vs-psychologist-vs-social-worker-bc) [Individual or couples therapy: which should you start with?Relationship trouble does not automatically mean couples therapy, and starting in the wrong format wastes months.6 min read →](https://www.westpeakwellness.com/compare/individual-vs-couples-therapy) [CBT or EMDR for trauma: how they differBoth are recommended in clinical guidelines for PTSD. They get there by different routes.6 min read →](https://www.westpeakwellness.com/compare/cbt-vs-emdr-for-trauma) [Therapy or coaching, which one do you actually need?From the outside they look similar: an hour, a conversation, someone helping you work something out. The differences that matter are structural.7 min read →](https://www.westpeakwellness.com/compare/therapy-vs-coaching) [Therapy, medication, or both?It is one of the most common questions people arrive with, and one a counsellor cannot answer for you, but the shape of the decision can be explained.7 min read →](https://www.westpeakwellness.com/compare/therapy-medication-or-both) [Your EAP (or EFAP) vs a private counsellorA free, fast option and a paid, open-ended one. Most people should probably use both, and in a particular order.7 min read →](https://www.westpeakwellness.com/compare/efap-vs-private-counselling) [Weekly or every two weeks?People usually treat frequency as a scheduling question. It changes what the therapy can do.6 min read →](https://www.westpeakwellness.com/compare/weekly-vs-biweekly-sessions) [EMDR intensives vs weekly EMDR: which format fits?The therapy is identical. The calendar is not, and for EMDR specifically, the calendar changes more than convenience.6 min read →](https://www.westpeakwellness.com/compare/emdr-intensive-vs-weekly-emdr) [Gottman Method vs EFT: two roads into couples therapyBoth are serious, structured, well-researched approaches to the same problem. They just walk into it through different doors.6 min read →](https://www.westpeakwellness.com/compare/gottman-method-vs-eft-for-couples) [Mental-health apps and AI chatbots vs counsellingMillions of people now type their 2 a.m. worries into an app or a chatbot before they would ever email a counsellor. That deserves a straight comparison, not a defensive one.7 min read →](https://www.westpeakwellness.com/compare/therapy-apps-ai-vs-counselling) [Therapy in Punjabi or in English: does the language matter?If you grew up between two languages, you already know they do not hold the same things. Therapy is where that stops being an abstract observation.6 min read →](https://www.westpeakwellness.com/compare/therapy-in-punjabi-vs-english) [Psychiatrist or counsellor: which door first, in BC?People use the words almost interchangeably, then discover the two are reached by entirely different roads, one through your doctor and a wait, one directly.6 min read →](https://www.westpeakwellness.com/compare/psychiatrist-vs-counsellor-bc) [Psychologist vs psychiatrist in BC: the two “psychs”, untangledTwo titles that share four letters and almost nothing else about how you reach them, what they cost, and what happens in the room.6 min read →](https://www.westpeakwellness.com/compare/psychologist-vs-psychiatrist-bc) [Therapy in Tagalog or in English: does the language matter?If you grew up between two languages, you already know they do not hold the same things. Therapy is where that stops being an abstract observation.6 min read →](https://www.westpeakwellness.com/compare/therapy-in-tagalog-vs-english) Still weighing it up? A [free 15-minute consultation](https://www.westpeakwellness.com/book) includes an honest answer if what you need is someone other than a Registered Clinical Counsellor. ## The four decisions people are actually making Almost everyone arriving at counselling is deciding four things at once, usually without realising they are separable. **Who**, which designation, which is what determines whether there is any complaints process behind the person you are trusting. **What**, which method, which matters more for some difficulties than others and matters a great deal for trauma. **How much**: what it costs, what a plan reimburses, and which free routes you may already be entitled to. And **how often**, which people treat as a scheduling question and which quietly determines what the therapy can do. Each page here takes one of those, sets out the options in a table, and says plainly where each option is the wrong answer, including the cases where the wrong answer is this practice. A page that never points anywhere else is advertising, whatever it is labelled. ## Where to start, depending on what you are stuck on If you do not yet know who you are supposed to be looking for, start with [RCC vs psychologist vs social worker](https://www.westpeakwellness.com/compare/rcc-vs-psychologist-vs-social-worker-bc). It is the decision that most changes what you can actually get, since only some of those designations can diagnose or assess. If someone has suggested a coach, or you are weighing one, [therapy vs coaching](https://www.westpeakwellness.com/compare/therapy-vs-coaching) sets out the accountability gap the two job titles conceal. If a doctor has raised medication, or you are trying to work out whether to, [therapy, medication, or both](https://www.westpeakwellness.com/compare/therapy-medication-or-both) explains what each acts on and who decides, with the plain caveat that a counsellor cannot prescribe or advise on it. If money is the constraint, [EFAP vs private counselling](https://www.westpeakwellness.com/compare/efap-vs-private-counselling) is the one to read first, because a great many people have an employer-funded entitlement they have never used. If the question is about the relationship rather than one person, [individual vs couples therapy](https://www.westpeakwellness.com/compare/individual-vs-couples-therapy) covers how to choose when only one of you wants to go. If trauma is what brought you here, [CBT vs EMDR](https://www.westpeakwellness.com/compare/cbt-vs-emdr-for-trauma) is the comparison that most often changes what people ask for. And if the work has already started, [weekly vs biweekly](https://www.westpeakwellness.com/compare/weekly-vs-biweekly-sessions) is the decision most likely to be made by accident. You may also want [the counselling guides](https://www.westpeakwellness.com/guides), the [glossary of terms](https://www.westpeakwellness.com/glossary) if the vocabulary is the obstacle, or the practical detail on [fees and extended-health coverage](https://www.westpeakwellness.com/pricing). ## Still weighing it up? Fifteen minutes on a call will settle more than another hour of reading. It is free, and there is no obligation afterward. [Book Free Consultation](https://www.westpeakwellness.com/book) Not ready to book? [Send a line about what is going on](https://www.westpeakwellness.com/contact). A reply comes within one business day, or read [the guides](https://www.westpeakwellness.com/guides) first and come back when you want to. Looking on behalf of someone else? [What to send them, and what not to](https://www.westpeakwellness.com/refer), including the funded routes most people do not know they qualify for.