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Check below for FAQs/Resources you may find helpful!

Frequently Asked Questions

Therapy can be quite different than talking to a friend or loved one. Therapy provides a space and opportunity for you to explore behaviour, relationships, feelings, or thoughts that trouble you and cause difficulty in your life. Therapy is also a legitimate source of support in a crisis or during a difficult time. By receiving empathic support, it will help promote challenging old ways of thinking or behaviours that aren’t serving you anymore.

Therapy can also bring deeper personal insight and awareness, better ways of understanding and coping with problems, and improved relationships. Sometimes it requires you to examine difficult topics or times in your life, resulting in experiencing stronger than usual emotions, and to try out new and different behaviours.

Therapy isn’t necessary for all people all the time. A consultation is a great opportunity to meet and chat briefly about what concerns you have, to help determine if therapy is needed right now.

Online therapy will require a camera with a microphone (can be a phone or webcam on a computer), a secure space, and stable internet connection. Headphones are a great addition for privacy concerns. Instead of meeting physically in-person, you will meet through a secure video conferencing portal to work with your therapist on desired goals/topics.

Do note, online therapy may not be appropriate for everyone. You will want to consider factors such as: if you have a private space where you can attend sessions, if you have a secure internet connection, and even the seriousness or intensity of the topic you want to address. If you hope to fit online therapy sessions in amongst your daily appointments, make sure that you will have time to transition from being in session to moving to your next task or meeting.

Newly starting clients benefit from meeting once a week. This helps build momentum toward your goals and can quickly give you a sense of if we are a good fit to work together. More frequent sessions are especially helpful for those who are new to therapy or new to our practice. Over time, this can be spaced out so we meet bi-weekly or once a month depending on your progression.

Each person’s therapy process depends on a lot of factors. Some people come to therapy short-term to resolve an issue, while others prefer to have long-term support. In general, for newly emerging issues, clients typically feel significantly better within 10 weeks of regular sessions. This isn’t the rule (or even the exception), but it can help to set some expectations.

What is EMDR?

Eye Movement Sesensitization and Reprocessing (EMDR) was developed by Francine Shapiro (2001) initially for the treatment of PTSD. It is a therapeutic approach that involves bilateral stimulation of the client through alternating sensations (ie. Eye movements, tapping) while simultaneously focusing on a target memory to achieve a reduction in the vividness and emotional response. This interaction serves to stimulates communication between parts of the brain (amygdala, hippocampus, and prefrontal cortex) to manage and resolve traumatic responses. Then, with guidance from the counsellor, the client can forge new positive/adaptive associations with the targeted memory.Some highlights about this approach include:

  • Does not require talking in detail about the distressing issue or completing homework between sessions

  • Is designed to resolve unprocessed traumatic memories in the brain

  • Is applicable to wide variety of people and presenting problems (ie. Anxiety, panic, stress, trauma, just to name a few)

  • Can take less time to achieve symptom reduction compared to other therapeutic modalities

What is CBT-I?

Cognitive behavioural therapy for insomnia (CBT-I) aims to improve and change habits, thoughts, and behaviours that negatively affect an individual's sleep. It involves sleep restriction, stimulus control and relaxation practices. CBT-I usually follows a structured program involving psychoeducation around sleep concepts and the therapist working together with the client to identify relevant targets for change. This can also involve challenging beliefs a client may hold about sleep that contribute to unnecessary levels of anxiety.An important note is that a diagnosis of insomnia is not required to participate and to find benefit from the treatment program.Treatment is usually 6-8 sessions, but may vary depending on the client’s needs and presentation. Clients can expect to be assigned tasks to complete outside of session in order to promote more adaptive sleep, such as a sleep diary.

What is CBT/BA?

Cognitive Behavioural Therapy (CBT) is an approach for a range of emotional health needs including depression and anxiety. It features an inside-out approach where the aim is to change the way you think in order to change the way you feel or behave. Features of this approach involve:

  • Recognizing and addressing maladaptive/unhelpful ways of thinking (automatic negative thoughts, cognitive distortions)

  • By recognizing problematic thoughts and shifting ways of thinking, it can help relieve the individual of problematic symptoms

  • Utilizing problem solving skills to promote feelings of self-efficacy

Behavioural Activation (BA) is an approach similar to CBT but fundamentally different, that has received empirical support to be just as efficacious in treating depression. Unlike CBT, BA utilizes an outside-in approach, where changing the way you behave will promote changing how you feel. Essentially, BA focuses on the link between behaviour and mood.Sometimes behaviours we implement and practice provide that short term alleviation of stress or anxiety, but when practiced over a longer period of time may serve to actually promote dysfunction or increase stress and anxiety.Think about this for an example, you skip completing some homework so you can get a good nights sleep. Now if that is a one-off, that is fine for most people and they will continue to function as they normally have. However, what happens when you regularly skip completing homework, and do poorly on the upcoming exam due to not being familiar with the concepts? This is a very simplistic and short-term example, but also portrays the general concept behind BA. At first it was to reduce stress, but now that behaviour is causing you more stress due to it being practiced over a longer period of time.

Crisis Support Contact Info

National Crisis centre
Unsure if you or a friend needs help? Having thoughts of suicide? call or text 988, Canada wide, 24 hours a day, 7 days a week, and get in touch with a responder who will listen, talk things over and do their best to give you support.
BC Mental Health & Crisis Response
310-6789 (no number pre-fix ie. 604 or 778)
24 hours a day, 7 days a week.
BC Suicide Prevention and Intervention Line
1-8001-800-SUICIDE / 1-800-784-2433
24 hours a day, 7 days a week.
Kid’s help phone
For children and youth aged 5 to 20. Call 1-800-668-6868 to speak to a professional counsellor, 24 hours a day. It’s free, confidential, anonymous and available across Canada. They can also refer you to local services and resources.
Immediate Risk
If you believe you or someone else is in immediate, life threatening danger, please call 911 or go to your nearest Emergency Room.
Mental Health Information
Canadian Mental Health Association
Click the link for informational, downloadable pdfs about loss/loneliness/stress/anxiety/and various other topics.
Here to Help BC
Host to a variety of self-help resources, information on common mental health challenges, and cursory self-screening tests.

Mindful Practices

For everyday stresses, there are a multitude of techniques you can employ on a regular basis and we've listed a few of our favourites, some of which you may know already (possibly by a different name) or may be new to you.Hopefully you find one or two of these helpful!

Breath work is one of the simplest and most efficient ways to lower our heart rate and reduce stress/anxiety by slowing things down. You want to try and make sure your breaths are coming from your diaphragm (so your belly extends when breathing in) as opposed to only your chest. You can imagine following these 4 steps like the sides of a square.

1) Breathe in over 4 seconds
2) Hold for 4 seconds
3) Exhale over 4 seconds
4) Hold for 4 seconds

The duration of each step can be lengthened or shortened as preferred and repeated until you are out of time or feel an improvement.

This is a very popular and commonly utilized technique that serves to help direct focus back to the present moment and current surroundings. It can help reduce stress and anxiety.

1) Look around the room and name (out loud if possible) 5 things you can see?

2) What are 4 things nearby that you can touch (and touch them if possible)?

3) What are three things you can hear (name out loud if possible)?

4) What are 2 things you can smell (name out loud if possible)?

5) What is 1 thing you can taste (name out loud if possible)?

You can do all 5 steps or just the first 2 or 3 or 4. You don’t have to do them all if you find yourself relaxing already after the third step. Also, for the 5th step, you can take a sip of a drink you have or pop a piece of candy/food if that is preferable/available.

Take a moment to get into a comfortable position, this could be sitting in your chair or lying down. You can close your eyes or leave them open. Try your best to be loose/relaxed if possible.

1) Start by taking in several deep breaths (could use triangle breathing)

2) Bring awareness to the bottom of your body (feet, toes) and notice any sensations (tight, loose, warm, cold), and movement (ie. Are you wiggling your toes?)

3) Then start bringing awareness to the next part of your body moving upward (ie. Calf or thighs) and notice any sensations there.

4) Continue moving upwards to different regions of your body (ie. Area that is in contact with the chair, lower back, stomach, chest, upper back, shoulders, arms, neck, face/jaw) until there is nowhere else to notice or until you feel better.

5) Begin a quick scan (several seconds each area) from bottom to top, and noticing if there has been any change in sensations since your attention has been brought to that area.

6) Finish this body scan by taking some deep breaths again and then bring your attention back into the room and open your eyes (if they were closed).

Take as much time as you need for each area or allot X amount of time if you have time limitations. Feel free to go from bottom to top, or top to bottom. If you want to make this longer you can do each individual side (ie. Left foot and then right foot) or do them both at the same time for quicker scan. This technique can be completed in 2 minutes or take 20 minutes, it is completely up to you!

A gratitude journal is a practice where you write down things you feel thankful/grateful in your life. The act of recording positive events helps promote reflection, which has shown to positively impact psychological and physical well-being. By focusing on the positive elements of the present, it can help reduce feelings of anxiety, stress, and be a resource for you to draw upon and re-read. Below are some tips on how to get started or maintain this practice.

1) Write whatever comes to mind, there is no “right” or “wrong” when starting out (ie. Grateful for the sunny weather today).

2) Ideas can be something to be thankful for, a positive exchanged that happened, or something that will happen (ie. I’m looking forward to drinking my coffee after I write this entry).

3) You can start with short notes or a single sentence just to get the idea across.

4) Scheduling a time to make entries can help you build this practice into a habit. This is often scheduled at the beginning or end of a day, or at the end of a week.

5) You can utilize a physical journal or the notes app on your phone, whatever is most accessible for you.

Tips to maintain this practice:

1) Keep the journal in an easy to access, highly frequented space (ie. On your nightstand beside the bed, not inside a cabinet or underneath other books).

2) Limit the number of entries per session to prevent exhausting all your positive ideas. 2-3 entries per session is a common suggestion.

3) Ideas can be repeated in your entries; it doesn’t have to be a unique entry every single time! (ie. A constant positive thought can be about drinking your daily tea during your break).

The most important part of keeping a gratitude journal is regular practice! As you practice this more, you’ll be training your mind to more easily focus on the positive aspects and write them down. Whether it is one entry a day, or three entries a week, it will reinforce this into a positive habit.

Choosing a Counsellor

Choosing a Counsellor can be quite the intimidating task as the steps can be overwhelming with so many options or decisions to make. Here are a few tips that might help you make an informed decision about who to work with.

  1. Shop around - Look through your local registry (ie. BCACC profiles) and use some keywords related to your concerns to narrow down your search (ie. Do they mention having experience in the field of your concern?)

  2. Take caution if they list a high number of modalities as there is a difference between what a clinician may know theoretically and what a clinician actually practices/is trained to practice in. There is no set number, but after reading through profiles you will get a better sense.

  3. Make a note of a few profiles that appeal to you or pique your curiosity and book some consultations (most offer a free consultation).

  4. Come to consultations prepared with a brief description of your concerns as well as any questions you may have about the counsellor (ie. education, training, approach).

  5. Review your consultation experience and think about if you felt like they were easy to talk to, understood your concerns, or gave satisfactory answers.

  6. Don't be afraid to try working with a counsellor for a few sessions then changing professionals due to not feeling like they understand, or if you feel like the envrionment is not secure/safe for you to do the necessary work. (If this is the case, bringing it to your counsellors attention may be beneficial in changing their approach to better match your needs, but only if you feel comfortable to do so.)

This section is currently under revision/maintenance. Check back soon for the updated page.Sorry for the inconvenience!