Motor Vehicle Accident (MVA) Counselling in Milton & Across Ontario

Emotional and psychological support after a motor vehicle accident

A motor vehicle accident can affect much more than your physical health.

You may find yourself anxious behind the wheel, avoiding driving altogether, replaying the accident, struggling to sleep or feeling unlike yourself since it happened. Pain, changes in work or family roles and uncertainty about recovery can also affect your emotional wellbeing.

At Elpizo, we provide trauma-informed, culturally responsive psychotherapy to support the emotional and psychological impact of a motor vehicle accident.

In-person in Milton and virtual across Ontario, where clinically appropriate.

If your auto insurer approves treatment, fees may be billed directly through HCAI. If you are paying privately or through extended health benefits, our standard individual fees apply.

For people injured in a motor vehicle accident

How an Accident Can Affect You

The emotional effects of an accident do not always appear immediately. You may notice:

  • Anxiety about driving or being a passenger
  • Avoiding roads, intersections or situations connected to the accident
  • Intrusive memories or repeatedly thinking about what happened
  • Nightmares or difficulty sleeping
  • Feeling unusually alert, tense or easily startled
  • Irritability or changes in mood
  • Difficulty concentrating
  • Emotional numbness or feeling disconnected
  • Low mood or loss of motivation
  • Distress related to chronic or ongoing pain
  • Loss of independence, routine or confidence
  • Difficulty returning to work, school or previous activities
  • Increased stress in relationships or family life
  • Feeling frustrated that recovery is taking longer than expected

You do not need to experience every symptom for therapy to be helpful.

How MVA Counselling May Help

Therapy is tailored to your symptoms, circumstances and goals. Depending on your needs, counselling may focus on:

  • Understanding trauma and stress responses
  • Managing anxiety and emotional overwhelm
  • Developing grounding and emotional-regulation strategies
  • Addressing fear related to driving or travelling in a vehicle
  • Gradually rebuilding confidence with driving or travel, where clinically appropriate
  • Coping with the emotional impact of pain
  • Adjusting to changes in mobility, independence or everyday functioning
  • Managing sleep-related difficulties
  • Rebuilding routines
  • Processing loss related to work, roles or previous activities
  • Strengthening communication with partners or family members
  • Preparing emotionally for a return to work, school or other activities
  • Developing practical coping strategies for recovery

Treatment is individualized. Your therapist will work collaboratively with you to identify goals and regularly review whether therapy continues to meet your needs.

Our Approach

We do not use one treatment formula for every person who has experienced an accident.

Your therapist will consider your symptoms, strengths, history, culture, current circumstances and recovery goals when developing a treatment approach.

Depending on the therapist and your needs, therapy may draw from trauma-informed, cognitive-behavioural, emotion-focused, mindfulness-based, strengths-based and other appropriate psychotherapy approaches.

For clients who desire it, faith or spirituality can also be thoughtfully incorporated while keeping your goals, autonomy and emotional safety at the centre of therapy.

How to Begin MVA Counselling

1. Open Your Accident-Benefits Claim

Contact your automobile insurer and let them know that you were injured in an accident and are seeking accident benefits. Your insurer will provide information about your claim and the forms that apply to your circumstances.

2. Contact Elpizo

When you contact us, have the following information available if possible: date of the accident, automobile insurer, claim number, policy number if available, adjuster name and contact information, and any relevant treatment approval or referral information you have already received.

Do not worry if you do not have everything yet. Our client-care team can explain what information Elpizo requires to begin our intake process.

3. Intake

Your initial appointment allows the therapist to understand how the accident has affected you emotionally and functionally. We will discuss current concerns and symptoms, relevant history, how the accident is affecting everyday life, your therapy goals, consent and confidentiality, communication with your insurer or rehabilitation team, and recommended next steps.

4. Confirm the Treatment and Insurance Process

Where an auto-insurance treatment plan or other HCAI submission is required, Elpizo will complete the applicable process based on the services being proposed and the requirements of the claim.

Your insurer determines whether proposed services are approved, partially approved or not approved. Submitting a treatment plan does not guarantee insurer approval.

If approval is required, our client-care team will explain the status of the request and the next steps before insurer-funded treatment proceeds.

5. Begin Therapy

Once the treatment and funding arrangements have been confirmed, appointments can be scheduled with the appropriate therapist. Your therapist will work with you toward the treatment goals identified for your care and review progress as therapy continues.

Insurance, HCAI & Direct Billing

Navigating an auto-insurance claim can feel complicated. Our client-care team will explain the Elpizo portion of the process clearly.

Where applicable, Elpizo uses Health Claims for Auto Insurance (HCAI) to submit required auto-insurance treatment plans and invoices.

Direct billing may be available for services approved by the automobile insurer where applicable.

Insurer approval and payment are not guaranteed simply because a service has been recommended or submitted through HCAI.

If a proposed service is only partially approved or not approved, we will explain the available options and any potential financial responsibility before additional services are provided.

Your automobile insurer may also ask you to complete accident-benefit forms directly. Your insurer or adjuster should confirm which forms are required for your individual claim.

Psychological Assessment

Looking for an Assessment?

Psychotherapy and psychological assessment are separate services.

If you are looking for a psychological assessment related to your motor vehicle accident, Elpizo can provide information about assessment services available through a psychologist who works with our practice or, where appropriate, help connect you with an external provider.

Psychological assessment has a separate referral and intake process, fees and reporting requirements. Where insurer funding is being requested, approval requirements may also apply.

Contact our client-care team for information about current assessment options, availability and next steps. Ask About Psychological Assessment

Working with your rehabilitation Team

Recovery after a motor vehicle accident may involve several health and rehabilitation professionals.

With your consent and where clinically relevant, your therapist may communicate or collaborate with members of your care team, such as:

  • Physicians
  • Psychologists
  • Occupational therapists
  • Physiotherapists
  • Case managers
  • Other rehabilitation professionals


Where appropriate and with the required consent, communication may also occur with your insurer, adjuster or legal representative.

Information is shared only within the therapist’s professional role and in accordance with consent, privacy requirements and applicable law.

Therapists Who Offer MVA Counselling

Explore therapists currently providing motor vehicle accident counselling at Elpizo. 

Revati Ravuvari, MACP, RP
Registered Psychotherapist (RP)
Oluseye Adetuberu, MSc
Registered Psychotherapist (Qualifying)
Practising with clinical supervision
Leesa Renée Hall, MACP, RP
Registered Psychotherapist (RP)
Elvis Baah-Gyebi, Registered Psychotherapist and Co-Founder of Elpizo Counselling
Elvis Baah-Gyebi, M.Sc., RP
Co-Founder & Clinical Director | Registered Psychotherapist (RP)
Ruth Baah-Gyebi, M.Sc., RP
Co-Founder & Practice Director | Registered Psychotherapist (RP) | Clinical Supervisor

Ready to Begin?

You do not need to understand the entire auto-insurance process before contacting us.

Tell us what has happened and where you are in the claims process. Our client-care team can explain Elpizo’s intake requirements and help identify an appropriate therapist.

FOR LAWYERS, INSURERS & REHABILITATION PROFESSIONALS

Professional MVA Referrals

Elpizo accepts referrals for psychotherapy following motor vehicle accidents. We work collaboratively with rehabilitation professionals while maintaining clear therapeutic, consent, privacy and reporting boundaries. In-person services are available in Milton, with virtual psychotherapy available across Ontario where clinically appropriate.

Referral Concerns We May Support

MVA referrals may include clients experiencing:

  • Driving or passenger anxiety
  • Trauma-related symptoms
  • Avoidance related to the accident
  • Anxiety and emotional distress
  • Pain-related emotional and psychological concerns
  • Low mood and loss of motivation
  • Sleep-related difficulties
  • Adjustment to injury or changed functioning
  • Loss of independence or previous roles
  • Difficulties returning to work, school or everyday activities
  • Emotional-regulation challenges
  • Relationship or family stress arising after the accident


Acceptance of a referral depends on clinical fit, therapist competence, availability and the services being requested.

How to Refer

Use Elpizo’s secure MVA referral pathway for referrals involving personal health information.

Please do not send detailed clinical information through the general website contact form.

Initial referral information should include, where available:

  • Client name and contact information
  • Date of accident
  • Auto insurer
  • Claim number
  • Adjuster name and contact information
  • Referrer name, organization and contact information
  • Reason for referral
  • Requested service
  • Relevant funding or approval information
  • Confirmation that the client is aware of the referral


Additional clinical documents should be provided only through the secure process requested by Elpizo.

What Happens After a Referral?

1. Referral Review

Our client-care team reviews the referral for service fit, therapist availability and any information required to proceed. We will follow up using the contact information provided.

2. Client Intake & Consent

Before psychotherapy begins, the client’s needs, treatment goals, consent, confidentiality and the therapist’s role are clarified.

Where communication with a referrer, insurer, lawyer or rehabilitation professional is anticipated, the appropriate consent and limits of information sharing are discussed with the client.

3. Treatment Planning

The treating clinician completes the clinical intake and identifies appropriate psychotherapy goals.

Where a treatment plan or HCAI submission is required, the applicable process is completed in accordance with current requirements and the professional roles of the clinicians involved.

4. Insurer Decision

Where insurer approval is required, the insurer determines whether proposed services are approved, partially approved or not approved.

5. Treatment & Collaboration

Once treatment arrangements have been confirmed, psychotherapy begins.

With appropriate consent, Elpizo can collaborate with relevant rehabilitation professionals when doing so supports coordinated client care.

Treatment Reports & Professional Boundaries

Elpizo’s role in MVA psychotherapy is primarily therapeutic.

When a treatment report is requested and appropriate, the treating clinician may provide information within their professional role regarding:

  • Services provided
  • Attendance
  • Treatment goals
  • Client-reported symptoms or concerns
  • Relevant clinical observations
  • Progress in relation to treatment goals
  • Recommendations within the clinician’s scope of practice


Reports will distinguish, where relevant, between information reported by the client, clinical observations and professional opinion.

Routine treating-therapist reports are not intended to provide legal advocacy or opinions outside the clinician’s competence or therapeutic role.

Client information is not released to lawyers, insurers or other third parties without the required consent unless disclosure is otherwise permitted or required by law.

Psychological Assessment Referrals

Psychological assessment is separate from psychotherapy.

Elpizo can provide information about assessment services available through a psychologist who works with our practice or, where appropriate, help connect the client with an external provider.

Assessment has its own intake, consent, fee and reporting process. Where insurer funding is sought, applicable authorization requirements also apply.

Professional Referral Contact

For MVA referrals, treatment coordination or questions about service availability:

Please do not include detailed personal health information in an unsecured email or general website inquiry.

Frequently Asked Questions

Do I need insurance approval before starting MVA counselling?
It depends on your claim and how the service will be funded. Where insurer approval is required, Elpizo will explain the applicable process and confirm the status before insurer-funded treatment proceeds.
Direct billing may be available for approved services where applicable. Our client-care team will review the billing arrangement for your claim and explain any potential client responsibility before treatment proceeds.

Yes. Virtual psychotherapy is available to clients located in Ontario where virtual care is clinically appropriate. In-person appointments are available at our Milton office.

If available, have your date of accident, auto insurer, claim number, policy number, adjuster contact information and relevant treatment or referral information. If you do not have all of this information, you can still contact our client-care team.
Psychological assessment is separate from psychotherapy. Elpizo can provide information about assessment services available through a psychologist who works with our practice or help connect you with an external provider where appropriate. Assessment has a separate intake process, fees and requirements.

Where appropriate, your therapist can communicate with other professionals involved in your care or claim when the required consent is in place.

Your therapist will discuss what information may be shared, with whom and for what purpose before information is released.

You Don't Have to Navigate the Next Step Alone

Whether you are experiencing driving anxiety, trauma-related symptoms, pain-related distress or difficulty adjusting to life after an accident, our team can help you explore whether psychotherapy is an appropriate part of your recovery.