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Avista Amuyan & Flora Irani · Registered Psychotherapists · Accepting New Clients
Tight Clinic Yorkville is where taking care of yourself already happens — skin, body, and now the mental and emotional foundation underneath both. Avista Amuyan and Flora Irani are registered psychotherapists seeing clients in-person at 199 Avenue Road and virtually across Ontario. Anxiety, depression, burnout, trauma, life transitions, and relationships. No referral required.
Registered Psychotherapists
Yorkville · 199 Ave Rd
Anywhere in Ontario
500+ Reviews
Avista brings a warm, client-centred approach to individual therapy — drawing on CBT and other evidence-based frameworks to work with anxiety, depression, burnout, and the relational patterns that shape how we move through the world. She sees clients in-person at Tight Clinic Yorkville and virtually across Ontario.
Flora works with individuals navigating anxiety, trauma, life transitions, and the stress of high-demand lives. Her approach is integrative — using CBT alongside trauma-informed and psychodynamic frameworks to address not just symptoms but the deeper patterns underneath. Available in-person at Tight Clinic Yorkville and virtually across Ontario.
Generalised anxiety, social anxiety, panic, and the chronic low-level worry that becomes the background noise of daily life. Evidence-based therapy — including CBT — to understand the patterns driving your anxiety and build the tools to change them.
Low mood, loss of motivation, difficulty finding joy, and the withdrawal patterns that reinforce depression. A therapeutic relationship that meets you where you are and builds the momentum for change — without judgment.
Burnout that has gone past tiredness into identity-level depletion. Stress that has become structural, not situational. Therapy for high-functioning people who have run out of resources and need more than a vacation to recover.
Past experiences — including childhood, relational, and acute trauma — that continue to shape how you feel, react, and relate. Trauma-informed therapy that works at your pace, with safety and regulation as the foundation.
Major life changes — career shifts, relationship changes, loss, new parenthood, relocation — that create disorientation or grief even when the change was wanted. Therapy to process and find your footing.
Patterns in relationships — with partners, family, or at work — that keep repeating. Communication, attachment, boundaries, and the relational dynamics rooted in earlier experience that show up in every close relationship.
In-person sessions at Tight Clinic Yorkville offer a dedicated, confidential therapeutic space that many clients find easier to fully arrive in. Coming to an appointment creates a deliberate separation from the rest of your day — particularly valuable for clients dealing with high-demand schedules or chronic stress.
Tight Clinic Yorkville is an aesthetics and wellness clinic — seeing a therapist here is discreet and normalised. There is no separate “mental health clinic” entrance, no waiting room that signals to others why you are there. For clients who have hesitated about therapy due to stigma, the environment here removes that friction.
Virtual sessions with Avista and Flora are available to anyone in Ontario — expanding access beyond Toronto and Yorkville to clients across the province who want quality psychotherapy without geographic constraint. The research is clear: virtual therapy produces outcomes comparable to in-person for most presentations.
Virtual is also the right choice for clients with demanding schedules, mobility concerns, preference for the privacy of their own space, or those who have already built a therapeutic relationship with Avista or Flora and want to continue it without needing to be in-person every session.
No referral required. Book directly below — select your preferred therapist and format.
Most people who come to Tight Clinic Yorkville are already invested in their wellbeing — they book treatments, they research what goes into their body and onto their skin, they think carefully about how they feel. Psychotherapy at an aesthetics clinic is an unusually good fit for that mindset.
There is also the stigma question. Tight Clinic is not a mental health clinic — it is a wellness clinic that offers mental health care. For many clients, particularly those who have put off therapy because of how it feels to walk into a dedicated mental health practice, that distinction matters. Booking a therapy session at Tight Clinic feels like self-care. Because it is.
Clients dealing with burnout often benefit from both therapy (Avista or Flora) and naturopathic adrenal support (Dr. Sarah). Hormonal anxiety can be addressed therapeutically and physiologically in the same building. The teams are aware of each other — integrated care is possible here in a way it rarely is elsewhere.
Use the booking link on this page. No referral, no waitlist. Select your preferred therapist — Avista or Flora — and whether you want in-person at Yorkville or a virtual session anywhere in Ontario.
Your first session is a conversation — getting to know each other, understanding your concerns and goals, and establishing whether the fit feels right. There is no obligation to continue if it does not.
A clear picture of the therapeutic approach, session frequency, and what to expect over the coming weeks. Your therapist sets realistic expectations at the start — not a vague "this takes however long it takes."
Consistent, structured sessions — in-person, virtual, or a combination. Most clients notice meaningful change within 6–12 sessions. Insurance receipts provided after each session.
No referral required · In-person and virtual · Insurance receipts provided
Avista Amuyan and Flora Irani at Tight Clinic Yorkville — registered psychotherapists for anxiety, depression, burnout, and trauma. In-person and virtual. Accepting new clients, book directly online.
Forest Hill clients seeking an in-person psychotherapist in Toronto — Tight Clinic Yorkville at 199 Avenue Road. Registered psychotherapists, no referral required, insurance receipts provided.
Rosedale clients looking for therapy for anxiety, burnout, or life transitions — Avista and Flora at Tight Clinic Yorkville. A short drive from Rosedale with in-person and virtual options.
Summerhill clients looking for a registered psychotherapist near them — Tight Clinic Yorkville at 199 Avenue Road is a short walk or TTC ride. Virtual sessions also available province-wide.
Therapy for Moore Park and Davisville clients — Tight Clinic Yorkville offers both in-person and virtual psychotherapy. Anxiety, depression, burnout, and trauma addressed by registered psychotherapists.
Not in Toronto? Avista and Flora offer virtual psychotherapy to any Ontario resident — Ottawa, Hamilton, Kingston, London, and everywhere between. Same therapist, same quality of care, from wherever you are.
“I was already coming to Tight Clinic for treatments and didn’t know they had psychotherapists. Booked with Avista on a whim and it turned out to be one of the better decisions I’ve made. The fact that it’s in the same space as my other appointments makes it genuinely easy to keep showing up. She’s warm, direct, and actually moves things forward.”
“I see Flora virtually from outside Toronto — I’d been on waitlists for therapists in my city for months. The virtual session quality is excellent and I’ve made more progress in three months than I expected. The booking process was completely straightforward. Highly recommend for anyone in Ontario who has been struggling to find a therapist.”
“Burnout that I’d been pushing through for two years. Avista helped me understand what was actually happening — not just that I was tired, but why and what was keeping me stuck. The combination of seeing her and working with Dr. Sarah for the physical side of it has made a significant difference. Having both in the same building is something I tell everyone about.”
Also welcoming clients from Midtown Toronto, Lawrence Park, Leaside, The Annex, Casa Loma, North York, and all of Ontario virtually — psychotherapy Toronto, virtual psychotherapy Ontario, online therapy Toronto, registered psychotherapist Toronto, CBT Toronto, therapy for anxiety Toronto, therapy for burnout Toronto.
15 questions about psychotherapy, what to expect, cost, insurance, virtual therapy, and specific concerns — answered directly.
Psychotherapy is a structured, evidence-based form of mental health treatment delivered by a trained, registered professional. Unlike informal support or coaching, psychotherapy uses specific therapeutic frameworks — Cognitive Behavioural Therapy (CBT), trauma-informed approaches, psychodynamic therapy, and others — to understand and address the patterns, experiences, and beliefs driving your concerns. At Tight Clinic Yorkville, Avista Amuyan and Flora Irani are registered psychotherapists offering in-person sessions at 199 Avenue Road and virtual sessions across Ontario.
Both provide talk-based mental health treatment, but they differ in training and regulatory framework. A psychologist holds a doctoral degree (Ph.D. or Psy.D.) and is regulated by the College of Psychologists of Ontario — they can conduct psychological assessments and provide diagnosis. A registered psychotherapist (RP) is regulated by the College of Registered Psychotherapists of Ontario (CRPO) and is trained specifically in therapeutic interventions. For most people seeking talk therapy for anxiety, depression, burnout, trauma, or life concerns, a registered psychotherapist is the appropriate and effective choice.
In Ontario, “psychotherapy” is a controlled act — it can only be provided by regulated professionals, including Registered Psychotherapists, psychologists, and certain other regulated health professionals. “Counselling” is an unregulated term — anyone can use it. Avista Amuyan and Flora Irani at Tight Clinic Yorkville are registered psychotherapists, meaning their training, practice, and ethical conduct are regulated by CRPO. This is an important distinction when choosing a provider.
If something is affecting your quality of life, relationships, work, or sense of self — therapy is appropriate. You do not need to be in crisis. Common reasons people start therapy include: persistent anxiety or low mood that won’t lift, difficulty managing stress or burnout, patterns that keep repeating in relationships, a major life transition, unprocessed grief or trauma, a general sense that something isn’t right that’s hard to name, or simply wanting to understand yourself better. There is no threshold you need to cross first. A free consultation with Avista or Flora is a low-commitment way to find out if it’s the right next step.
No referral is required. You can book directly through the link on this page — in-person at Tight Clinic Yorkville or virtually anywhere in Ontario. Psychotherapy is a self-referral service. You do not need a GP, psychiatrist, or any other provider to refer you. If you have been told by your doctor that you would benefit from therapy, that recommendation is helpful context, but it is not a booking requirement.
Psychotherapy provided by a Registered Psychotherapist is not covered by OHIP in Ontario. OHIP covers psychiatry (a medical specialty requiring a physician referral) but not RP-provided psychotherapy. However, many extended health benefit plans include psychotherapy coverage — typically $500–$2,000 per year depending on the plan. Receipts for insurance submission are provided after every session. If you are unsure whether your plan covers psychotherapy, check under “psychotherapy,” “registered psychotherapist,” or “mental health” in your benefits.
Yes — many employer-provided extended health benefit plans in Ontario cover psychotherapy provided by a Registered Psychotherapist (RP). The annual limit varies by plan, commonly between $500 and $2,000. Some plans also cover psychological services separately. Check your benefits under “psychotherapy,” “RP,” “registered psychotherapist,” or “mental health counselling.” Avista and Flora provide official receipts after every session formatted for insurance submission. If your coverage is unclear, your HR department or benefits provider can confirm.
Psychotherapy fees in Toronto vary by provider and format. At Tight Clinic Yorkville, please contact us or book a free consultation for current session pricing. Many clients find their extended health benefits cover a significant portion of the cost. Virtual sessions with Avista or Flora are available to Ontario residents at the same rate as in-person. If cost is a concern, discuss it at your free initial consultation — options may be available.
There is no fixed answer — it depends on the concern, the individual, and the goals. For focused, present-day concerns (acute anxiety, a specific life transition, work stress) — 8–16 sessions of structured CBT often produces meaningful improvement. For longer-standing patterns (chronic depression, relational patterns, trauma, identity concerns) — longer-term therapy, from several months to a year or more, is typically more effective. Avista and Flora establish realistic expectations at your initial consultation and check in regularly about whether the work is producing the outcomes you came for.
Cognitive Behavioural Therapy (CBT) is one of the most extensively researched and evidence-supported forms of psychotherapy. It works from the premise that thoughts, feelings, and behaviours are interconnected — and that identifying and changing unhelpful thought patterns produces measurable improvement in mood, anxiety, and behaviour. CBT is structured, goal-oriented, and typically time-limited — making it particularly well-suited to anxiety, depression, OCD, and stress. Both Avista and Flora at Tight Clinic Yorkville draw on CBT alongside other approaches depending on what each client needs.
Yes — therapy is one of the most effective treatments for anxiety, with a strong evidence base. CBT for anxiety is particularly well-supported — it helps identify the thought patterns and avoidance behaviours that maintain anxiety and builds practical tools to interrupt them. For clients with panic disorder, generalised anxiety, social anxiety, or health anxiety, structured therapy often produces lasting improvement that medication alone does not. At Tight Clinic Yorkville, both in-person and virtual sessions are available.
Yes — psychotherapy is a first-line treatment for depression, particularly mild to moderate depression. CBT and other structured approaches produce measurable improvement in mood, motivation, and functioning — often as effectively as medication for non-severe depression, and more durably. For clients already on antidepressants, therapy addresses the patterns and circumstances that medication alone does not touch. Avista and Flora at Tight Clinic Yorkville work with depression in both in-person and virtual formats.
Yes — burnout is one of the most common reasons clients seek therapy at Tight Clinic Yorkville, particularly in the high-achieving professional demographic the clinic serves. Burnout has distinct therapy needs from depression — it involves identity, values, boundaries, and often a fundamental mismatch between how someone is living and what actually matters to them. Therapy for burnout is not just symptom management: it helps untangle what got you here, build the structures that prevent return, and reconnect with a sense of agency and meaning.
Yes — research consistently shows that virtual psychotherapy produces outcomes comparable to in-person therapy for most presentations, including anxiety, depression, burnout, and stress. The therapeutic relationship — the most significant predictor of therapy outcomes — translates effectively to video. Virtual sessions with Avista and Flora at Tight Clinic are available to anyone in Ontario, offering the same quality of care as in-clinic sessions for clients who prefer the convenience, privacy, or access of remote care. Some clients prefer to start virtually and transition to in-person once they have established the relationship.
No referral. No waitlist. In-person at Tight Clinic Yorkville or virtual anywhere in Ontario. Avista Amuyan and Flora Irani are both accepting new clients now.
Smooth, soften, and prevent visible lines while maintaining natural movement. We combine muscle-relaxing injectables for dynamic lines with collagen-stimulating treatments for static ones.
We typically combine muscle relaxation with collagen stimulation for the most natural, long-lasting results.
Available at both King West & Yorkville unless noted.
Personalized treatment plans. Natural results. Experienced team.