Name *

First Name

Last Name

What services are you interested in? *

Individual Counselling

EMDR Therapy (note - EMDR can be done online)

Art Therapy

Couples Counselling

CVAP funded counselling

Low Cost Counselling with an intern ($50)

Psychedelic Integration

Hormone Readiness Assessment

Are there any other holistic or group services you are also interested in??

Yoga Classes (Group)

Art Therapy Drop-Ins (Group)

Counselling and Yoga (Individual)

Art Therapy (Individual)

4 Week Making Sense of Trauma Group (Waitlist)

Online Anxiety Program (Yoga, Mindfulness, Trauma-Informed Learning)

Calm and Connected Events (Monthly in person yoga & connection in Vancouver)

When are you typically available for counselling? *

Weekday mornings (9am-12pm)

Weekday afternoons (12pm-4pm)

Weekday early evenings (4pm-6pm)

Weekday evenings (6pm-8pm)

Saturdays and Sundays

Other / Varied Schedule

Are you open to online counselling sessions?

Prefer online only

Prefer in person only

Open to in person or online

Are you open to being placed on a waitlist with the counsellor best suited to you, or are you looking for immediate support?

Would consider waitlist

Looking for immediate support

Not sure

What concerns are you are looking for support with? Not a fan of lists? No problem... feel free to tell us a bit about what you're looking for support with in the text box at the bottom.

Please share any concerns that you feel comfortable sharing at this time.

Anxiety

Depression

Self-worth

Grief and loss

Body image issues

Relationship challenges

Traumatic Brain Injury

Trauma and / or PTSD

Trauma: Complex PTSD

Trauma: Medical Trauma

Trauma: Sexual Assault/Abuse

Trauma: Motor Vehicle Accident

Trauma: Childhood Trauma or Abuse

Substance Misuse or Addiction Challenges

Disordered eating (please share what type/severity if you're comfortable)

Dissociative identity disorder / DDNOS

Borderline Personality Disorder

Phobias (Please Specify)

Anger Management

Bipolar Disorder

Suicidal Ideation

Self-Harm

Burnout

OCD

PCOS

ADHD

Autism

AUDHD

Chronic Pain/Illness

Retirement / Senior Life Stage

Gender / Sexual Identity Exploration

LGBTQ+ Related Experiences & Challenges

Transgender Related Experiences & Challenges

Challenges Related to Aging/Life Stage Transitions

Immigration or Refugee Related Challenges (Personal or Familial)

Highly Sensitive Person Experiences & Challenges

Challenges Related to Front Line Work

Spiritual Exploration or Integration

Career Counselling

Parenting support

Personal Growth

Other

Are there any counsellors you are already interested in connecting with?

Don't worry, we will still let you know who might be the best fit overall, or give you a few choices to choose from!

No preference yet

Aliza Rothman

Claire Kimbley

Kristina Kirschner

Yuan Zhou

Esther Wei (Intern)

Sophie Baker (Intern)

Amanda Lertzman (Online Only)

Donna Hutchinson (Online Only)

Hannah Adam (Online Only)

Mercedes Miller (Waitlist)

Saffron Wadsley Rose (Waitlist)

Tori Keller (Waitlist)

Camille Labonte Raymond (FULL)

Courtney Orser (FULL)

Kristina Belyea (FULL)

Morgan McKusick (FULL)

Thank you! Our intake team or one of our counsellors will be in touch ASAP. *

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