Home | Our Team | Tyler Cousin

Tyler Cousin

Name: Horizon Therapy
Address: 455 Avenue Road, Suite 200, Toronto, ON, M4V 2J2, CA
Telephone: 416 572-7421

MSW, RSW

Registered Social Worker

Works With

Areas of focus

session fees

Appointment Times

Appointment times listed reflect the therapist’s typical schedule. Current openings may differ, and some slots may be full. For current availability or a specific time, please go to Tyler’s online booking page on the Jane App or reach out to our admin team.

Welcome! I’m Tyler, Registered Social Worker with a Master of Social Work (MSW) and post graduate training in individual, couples, and sex therapy. Finding a therapist that you can connect with is critical to getting the support you are looking for. At the heart of my work is a client-centred approach which emphasizes respect, compassion, and authenticity. My work integrates the importance of how culture, race, sexual orientation, and gender expression may influence you and your life. No two circumstances are the same, so together we can explore how your unique lived experience shapes your emotional reality.

I support individuals and couples experiencing a wide range of concerns related to relationships, communication, emotional and sexual intimacy, self esteem, depression, life transitions, bereavement, trauma, and anxiety. I have a special interest in working with couples, neurodiversity, 2SLGBTQIA+ youth, immigrants, and high performance sports. My therapeutic approach with individuals integrates a mixture of relational, psychodynamic, emotion focused, attachment based, internal family systems, body based awareness practices, mindfulness therapy, cognitive behavioural therapy (CBT), and narrative therapy.

With couples, my work is informed by the Couples Institute Developmental Model, Gottman Method, Psychobiological Approach to Couples Therapy (PACT), Emotionally Focused Therapy for Couples (EFT), Assessing and Treating Sexual Issues in Psychotherapy (ATSIP), and Tammy Nelson’s certification in Sex Therapy. Couples therapy can help you communicate more effectively, understand yourself and partner on deeper levels, resolve conflict in healthier ways, enhance emotional & physical intimacy, tackle decisions or life transitions, navigate polyamory, manage grief or loss, and create a shared vision for your future.

I work collaboratively with you to help with a range of individual or relationship issues using evidence based therapeutic approaches. With an understanding of attachment, trauma and neuroscience, I will support & guide you to explore, grow, and heal, helping you make sense of your lived experience, identify areas for growth and reach goals that are important to you. I look forward to the possibility of working together!

My Therapeutic Style

Therapy Modalities

Trainings & Education

Master of Social Work, University of Toronto Factor-Inwentash Faculty of Social Work
Registered Social Worker (RSW) with the Ontario College of Social Workers and Social Service Workers (OCSWSSW)
Terry Real's 2 Day Couples Therapy Training, Relational Life Institute
Terry Real's How To Make Love Work, Relational Life Institute
Gottman Method Couples Therapy, Level I
Emotion-Focused Therapy for Couples Externship, ICEEFT
Couple’s Institute Developmental Model, Level I
Assessing and Treating Sex Issues in Psychotherapy (ATSIP), Institute for Relational Therapy
Internal Family Systems (IFS) Therapy Competency Course, Stacy Ruse, PESI
2SLGBTQ Foundations Training Course, Rainbow Health
Neuroqueer Complexities, Central Toronto Youth Services
Trauma Healing Through the Senses, The Body Keeps the Score, Bessel van der Kolk, MD
Treating Acute, Complex & Attachment Trauma, Certified Child and Adolescent Trauma Professional Training, Dana Wyss, PESI
Mindfulness Certification Course, Richard Sears, PESI
Applied Suicide Intervention Skills Training (ASIST)
Neurodiversity Training Certificate, Sonderly
ADHD & Couples Therapy, Dig a Little Deeper
Certification in Sex Therapy, Tammy Nelson
Love Beyond Agreements, Ethical Non Monogamy, T. Roberts
Ongoing supervision with T. Roberts utilizing the Psychobiological Approach to Couple’s Therapy (PACT)

More Than Just My Work

In my personal time I focus on family, relaxation, and surrounding myself with things that allow me to find a place of meaning and peace in my life. I enjoy the outdoors and can be found fishing, kayaking, playing and coaching sports, and spending time with my child and partner.

Questions You May Have

It’s common to come to therapy with questions. Here are answers to some of the most frequent ones I hear.

Do you work with couples who keep having the same argument over and over?

Yes. Many couples come in not because they don’t love each other, but because they’re stuck in a pattern, the same fight, different day. Therapy helps you understand what’s actually driving the conflict (it’s rarely what it looks like on the surface) and build communication tools that work in real life, not just in a session. You don’t need to be in crisis to benefit. If you feel unheard, disconnected, or like you’re walking on eggshells, that’s enough of a reason to reach out.

What is premarital counselling and do we actually need it?

Premarital counselling is structured support for couples who are engaged or seriously considering marriage. It’s not about fixing problems, it’s about getting ahead of them. Sessions typically cover finances, family dynamics, conflict styles, values, and expectations around roles and parenting. Research consistently shows that couples who do premarital work report higher relationship satisfaction long-term. You don’t need to be struggling to benefit. In fact, the couples who get the most out of it are the ones who are doing well and want to stay that way.

Can therapy actually help with sexual intimacy issues?

Yes — and more people ask about this than you might think. Sexual concerns are one of the most common reasons couples quietly seek support, and one of the least talked about openly. Whether you’re navigating mismatched desire, recovering from an affair, dealing with the impact of a health condition, or simply feeling disconnected physically, a registered social worker with training in this area can help you have conversations that feel impossible to start on your own. Sessions are professional, non-judgmental, and at your pace.

Do you work with athletes or people in competitive sports?

Yes. The mental side of performance is as important as the physical, and therapy can be a meaningful part of an athlete’s overall support system. Common areas include performance anxiety, identity and self-worth tied to sport, navigating injury and recovery, burnout, transitions out of competitive sport, and relationships under the pressure of a demanding training schedule. Whether you’re a recreational athlete or competing at an elite level, these challenges are real and worth addressing.

What does emotional connection actually mean in a relationship and what if we've lost it?

Emotional connection is the feeling that your partner knows you, sees you, and is genuinely there for you — not just physically present. It tends to erode gradually, often without a single identifiable cause. Life gets busy, small moments of disconnection accumulate, and one day it feels like you’re living as roommates. The good news is that connection is rebuilable. Therapy helps couples identify when and how the distance grew, what each partner actually needs to feel close, and how to create those moments consistently — even in the middle of a full and c

I’ve tried therapy before and it didn’t help, should I try again?

Yes, and I hear this often. Therapy that didn’t fit isn’t evidence that therapy can’t help. It might mean the approach wasn’t right, the timing wasn’t right, or the space didn’t feel safe enough to go anywhere real. I work relationally, which means the connection between us matters as much as any technique. If something isn’t working, we talk about it and adjust. You set the pace.

How does payment work and do you accept insurance?

Yes, many extended health benefit plans cover Registered Social Workers (MSW, RSW). I provide receipts that you can submit directly to your insurance provider for reimbursement. Individual therapy sessions are $175 and couples sessions are $250. I also offer a free 20 minute consultation so we can determine if we’re a good fit before you begin.

What’s your background and training?

I have a Master of Social Work and am a Registered Social Worker with the Ontario College of Social Workers and Social Service Workers. In addition, I have extensive couples therapy training including a certificate in Gottman Level I, training with Terry Real at Relational Life Therapy, ongoing supervision for the Psychobiological Approach to Couples Therapy, and ongoing professional development at the Institute for Relational Intimacy with Martha Kauppi who specializes in working with couples with issues related to sex and intimacy.

Do you offer evening appointments in Toronto?

Yes. I offer sessions In-person at Horizon Therapy on Tuesdays and Wednesday evenings from 3pm to 9pm. I also offer online evening appointments based on request and as my schedule permits.

Do you work with clients in-person in Toronto?

Yes! I work at Horizon Therapy in Toronto, Ontario.

455 Avenue Road, Suite 200

Toronto, ON M4V 2J2

416 572-7421

Email: info@horizontherapy.ca

We offer in-person counselling for individual, couples, family, and teens. For more information or to book an appointment, visit Horizon Therapy