Sexual Assault, Violence, & Abuse Counselling Services in Kitchener-Waterloo
Experience compassionate sexual assault, violence, and abuse counselling to support healing, safety, and long-term trauma recovery.

Reclaim Safety and Stability with Sexual Abuse Counselling and Support Services
At Upstream Counselling, we offer trauma-informed, confidential support—designed specifically for survivors of sexual assault, abuse, and those who have experienced sexual violence. Our specially trained counsellors provide individual and group counselling that prioritizes emotional safety, dignity, and empowerment. We also deliver immediate crisis and referral services to meet urgent emergency needs while supporting long-term healing.
Our sexual abuse counselling services are provided to individuals who have experienced sexual assault or domestic harm, including male survivors of sexual abuse and women who have experienced sexual trauma. We work closely with community agencies to strengthen advocacy, coordination, and ongoing emotional support. We are here to provide support that helps rebuild safety and stability.

Benefits of Sexual Violence and Abuse Counselling with Upstream
Our comprehensive counselling services offer compassionate pathways for recovery—combining crisis intervention with long-term healing. Through personalized sessions, we help survivors of sexual violence rebuild confidence, strengthen resilience, and regain a sense of control after sexual assault, abuse, or other unwanted sexual experiences.
Safety Planning and Crisis Support
Our therapists collaborate with you to create personalized safety planning strategies and offer immediate crisis support. These sessions ensure you have practical tools, emotional grounding, and protection measures—especially vital for those experiencing violence or needing urgent guidance after sexual assault.
Trauma-Focused Healing Approach
We use trauma-informed practices tailored to both recent trauma and childhood sexual abuse, offering specialized care that blends emotional processing, sexual assault support, and guided coping techniques to help survivors move forward with greater clarity and stability.
Comprehensive Care Coordination
Our team provides coordination with medical care needs, working closely with healthcare professionals. We also provide referrals when needed, ensuring survivors receive holistic and uninterrupted care—whether navigating medical, emotional, or post-assault recovery needs.
Enhanced Coping Strategies
Through psycho-education and supportive guidance, we help you develop practical coping skills to manage trauma responses—these sessions build emotional resilience, ease distress, and give you the confidence to navigate life’s challenges during and after recovery.
Supportive Group Environment
Our support groups offer safe, confidential spaces where survivors can share experiences and feel truly understood—guided by a compassionate framework, these groups help build connection, validation, and a sense of community for anyone recovering from sexual violence or abuse.
Family Support Services
We offer support and practical guidance for friends and family, helping them understand trauma impacts and respond with empathy. These services equip loved ones to provide steady encouragement throughout the healing journey, especially when supporting someone after sexual assault or domestic violence.
Getting Better Can Start Now

Select Your Therapist
Take control of the process.
Beginning therapy can feel daunting but the truth is you decide what (and when) to share. Our diverse team specializes in a range of issues including anxiety, depression, trauma, grief, and relationship issues. No matter your situation, we're here to support your journey to empowerment and mental wellness.
Book A Free Consultation
Your therapist is your guide.
Finding the right therapist is key to achieving your goals. Dip your toes into the therapy experience by booking a free consultation with one of our registered psychotherapists. These appointments are an opportunity to address your questions and explore your challenges, needs, and aspirations.
Invest In Yourself
Commit to the experience.
To maximize the benefits of counselling it’s important you attend sessions consistently. When in session, we encourage you to lead the agenda. (Remember, this is YOUR therapy!) Between sessions, we hope you will strive to apply new insights, practice new skills, and develop new habits that support personal growth.
Professional Sexual Assault Counselling Services for Long-Term Trauma Recovery
Our dedicated team provides comprehensive support for individuals affected by sexual assault and abuse, offering services tailored to each person’s unique needs. From the initial intake and assessment to ongoing therapeutic sessions, we ensure every stage of your healing journey is approached with sensitivity, expertise, and respect.
"We’re here to give you a safe, private space where you can process what’s happened at your own pace. You’ll be supported by caring professionals who really get how complicated healing from trauma can be, and who are with you every step of the way."
We offer accompaniment services for medical and legal appointments, ensuring survivors feel supported during these crucial moments. Our counsellors support people dealing with both recent experiences and past traumas—helping you work through concerns around consent, personal safety, and emotional healing, always at a pace that feels right for you. We provide support to women and men who have experienced sexual assault and domestic violence, ensuring inclusive and non-judgmental care for all.
We want our services to be easy to access, so we offer flexible scheduling that fits your life. We also stay closely connected with local community partners, which means we can point you toward extra resources whenever you need a bit more support. Our therapeutic approach blends evidence-based methods with a compassionate, client-centred focus, empowering each individual to rebuild confidence, regain control, and move forward with strength and clarity.
Through advocacy and professional guidance, we are committed to helping survivors heal, recover, and reclaim their sense of well-being.
Frequently Asked Questions
At Upstream Counselling, we want you to feel comfortable with the counselling process. Here are some of the most frequently asked questions about talking to a therapist about this type of therapy.
How does Upstream Counselling support individuals coping with domestic violence through trauma-informed care?
Many clients come to us unsure how counselling can support someone affected by domestic and sexual violence, especially when safety and emotional stability feel uncertain. At Upstream Counselling, we guide survivors through a structured and compassionate healing process.
Personalized Safety Support: We begin by helping you stabilize your immediate environment through collaborative planning. Each session focuses on practical protection strategies while allowing you to express your concerns without pressure. Our goal is to ensure you feel safe enough to begin the deeper healing process.
Therapeutic Emotional Processing: We help you gently process the emotional impact of harmful experiences so you don’t feel overwhelmed. Our therapists work at your pace, providing grounding tools to reduce fear and confusion. This creates a calm internal space where recovery becomes more manageable.
Crisis Navigation and Stabilization: When situations feel urgent, we offer guidance to help you manage distress and seek proper support. These sessions prioritize clarity, so you know what steps to take next. You’re supported in making decisions that align with your safety and well-being.
Skill Building for Long-Term Resilience: We teach emotional regulation, boundary-setting, and healthy communication skills that help you rebuild confidence. These techniques strengthen your ability to face stressful situations without losing your sense of self. Over time, these new skills support a more stable and empowered future.
Support for Life Transitions: Many survivors face major life changes, such as rebuilding independence or re-establishing relationships. We offer steady, compassionate guidance through these transitions while ensuring you never feel alone in the process. Everything we do supports gradual, sustainable healing.
What can I expect when joining sexual assault support groups?
Survivors often wonder whether sexual assault support groups are right for them, especially if they’ve never shared their story in a group setting.
A Welcoming, Personal Space: Support groups are structured so you can share only what feels comfortable, with no expectation to disclose personal details. Every gathering is rooted in emotional safety and respect among participants. This helps you feel understood among people with similar experiences.
Guided Healing and Education: Sessions are facilitated by trained therapists who introduce coping skills and trauma-informed tools. These topics help you understand your responses to stress and build emotional stability. Over time, you gain insight that supports your personal healing.
Community and Connection: Being in a group can ease that heavy sense of isolation because you’re suddenly surrounded by people who know what you're going through. Hearing shared stories and seeing your own experiences reflected back can feel incredibly validating. For many people, that sense of connection becomes one of the most healing parts of the whole journey.
Opportunities for Personal Growth: Support groups encourage reflection, communication, and emotional awareness in ways that fit your comfort level. As you gain confidence, you may notice yourself becoming more grounded and self-compassionate.
Consistent, Ongoing Support: Groups meet regularly, offering steady guidance as you navigate difficult emotions. Many survivors appreciate having a predictable space where growth continues week after week.
What does the counselling process look like when beginning trauma support with Upstream Counselling?
Many survivors want to know what therapy looks like from start to finish before they take their first step. At Upstream Counselling, we make sure each stage of the process feels predictable and supportive.
A Gentle First Meeting: We’ll start with an easy, no-pressure chat where you only share what you’re comfortable sharing. It’s simply a chance for us to understand what you need without digging into anything before you’re ready. You set the pace, always.
Collaborative Goal Setting: Once we get a sense of what’s going on for you, we’ll work together to create goals that actually fit your priorities — nothing forced, just a shared plan that feels right for you. These may involve safety, emotional healing, boundaries, or coping skills. Each goal guides your therapy path in a meaningful way.
Consistent Therapeutic Sessions: Our meetings focus on emotional processing, grounding techniques, and trauma-informed strategies. Over time, these tools help you rebuild strength and stability. Your voice and choices shape the direction of each session.
Support Between Sessions: We encourage practicing new skills in daily life so therapy becomes part of your real-world healing. You’ll gradually notice a stronger sense of control and resilience. These between-session efforts accelerate progress.
Ongoing Adjustments to Your Plan: As you heal, your needs may change—and we adapt with you. Therapy remains flexible so it always supports your current reality. This evolving approach helps maintain long-term growth.
How does Upstream Counselling work alongside a sexual assault centre to support survivors seeking coordinated community resources?
Many survivors in Ontario want to understand how local services connect, especially when multiple community resources may be involved. At Upstream Counselling, we help you navigate these supports with clarity and confidence.
Understanding How a Sexual Assault Centre Provides Support: We help explain what a sexual assault centre provides, including immediate emotional assistance, response, and connections to medical services. This helps you understand how their role aligns with your counselling work here. You won’t need to figure out these systems alone.
Navigating Treatment with Guidance: Many survivors feel unsure about what violence treatment centres actually offer or when they should go. We walk you through what to expect so you feel prepared before each step.
Support When Visiting a Care Centre: If a violence care centre becomes part of your healing plan, we help you understand its purpose and how it fits with your emotional recovery. You can choose whether you want accompaniment, guidance, or simply information.
Help Understanding the Treatment of Injuries: Survivors sometimes worry about medical procedures related to the treatment of injuries after trauma. We offer a safe space to discuss these concerns and explain options in simple, supportive language.
Holistic Care Coordination Across Ontario Resources: Because community services can feel overwhelming, we help you coordinate your emotional, medical, and practical supports across Ontario agencies as needed. You remain in charge of every decision while we support each step.
How long does recovery usually take, and how does Upstream Counselling support long-term healing?
Survivors often wonder how long healing actually takes and what support looks like along the way. At Upstream Counselling, we keep things clear and honest while letting you move at the pace that feels right for you.
Healing at Your Own Pace: There’s no one-size-fits-all timeline because everyone’s story is different. We follow your rhythm, not the other way around, so you never feel rushed or pushed. Your comfort and safety stay at the centre of everything.
Steady Emotional Growth: As you go, you’ll start to notice things shifting — a bit more clarity, a little less heaviness, and a stronger sense of grounding. These changes usually build slowly but steadily, and we make sure to celebrate every step forward with you.
Skill Development for Daily Life: We help you build coping strategies that support everyday challenges, not just trauma-related concerns. These skills grow stronger with practice and reinforce long-term stability. Many clients feel more empowered in both relationships and personal decisions.
Continued Guidance Through Transitions: Life changes such as moving, relationship shifts, or work stress can bring up old emotions. We stay with you through these transitions to help maintain balance. This continuity helps you feel supported at every stage.
A Path Toward Lasting Confidence: As therapy progresses, survivors often report feeling more grounded, capable, and connected to their values. With ongoing support, you rebuild trust in yourself and your future. Our role is to empower that strength so it carries into all areas of your life.
You’re in the Right Place
Our team at Upstream Counselling is here to help you explore issues, gain insights, begin your journey towards healing, and work towards the goals you identify during the counselling process.
Individual Therapy
Personalized therapy designed to address specific mental health issues while also nurturing personal growth and well-being.
Relationships Therapy
A counselling program focusing on fostering effective communication, resolving conflicts, and nurturing healthy relationships.
Clinical Supervision
A program designed to support clinical growth, whether you’re a student or a seasoned professional.
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Disclaimer: Content on this website is for informational purposes only. Visiting this website does not establish any type of therapist-client relationship with Upstream Counselling or its staff. Information obtained from this site does not substitute for a thorough medical and/or psychiatric evaluation by an appropriately credentialed and licensed professional.


