What is the address or main intersection of your office? This will be used to display your office location on a map, and we can include in your booking confirmation emails as well. If you have a secondary location, please indicate this. If you don't have an office, and solely operate online, please leave this blank.

Please list all provinces/territories you are comfortable accepting clients from (i.e. if you want virtual clients from across Canada or not).

*Select a Province
Nunavut
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Yukon
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Ontario
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Quebec
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Saskatchewan
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Manitoba
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Newfoundland and Labrador
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Alberta
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British Columbia
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Northwest Territories
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New Brunswick
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Prince Edward Island
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Nova Scotia
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Please select the short form of your designation for mobile viewing purposes

**Select a Designation**
*Other* Please indicate in field below
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CCC
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RCC
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RP(Q)
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RP
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RSW
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(if applicable)

Please list all your designations that may be relevant for a client looking to claim your services through their insurance, (i.e. Registered Psychotherapist (Qualifying), Supervised by Registered Psychologist).

**Select a Designation**
*Other* Please indicate in field below
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CPsych
Canadian Certified Counsellor
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Depth Psychotherapist
Expressive Arts Therapist
Ph.D.
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Pre-Licensed Professional
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Professional Art Psychotherapist
PsyD
Psychologist
Registered Clinical Counsellor
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Registered Holistic Nutritionist
Registered Professional Counsellor
Registered Provisional Psychologist
Registered Psychotherapist
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Registered Psychotherapist (Qualifying)
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Registered Social Service Worker
Registered Social Worker
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Registered Therapeutic Counsellor
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What is your standard work schedule? This will be posted separate of the booking app, to let potential clients know when they might be able to see you. This is intended to provide clients with a general understanding of when you work/when they might be able to book sessions with you. Your actual availability will show up in the booking app once we sync your calendar and set your schedule.

Please use the following format:

Monday - 9am-5pm
Tuesday - 9am-5pm
Wednesday - 9am-5pm
Thursday - 9am-5pm
Friday - 9am-5pm
Saturday - 9am-5pm
Sunday - 9am-5pm

What do you specialize in, or what are your main areas of focus? Select 5.

ADHD
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Addiction
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Adoption
Aging
Anger
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Anger Management
Anxiety
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Attachment
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Autism
BIPOC
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Break-Up Recovery
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Children/Teens
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Chronic Illness
Couples
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Depression
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Dissociation
Domestic Violence
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Eating Disorders
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Family Conflict
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Fears and Phobia
Gambling Addiction
Giftedness
Grief/Loss
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Identity
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Infertility
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Insomnia
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LGBTQ2IA+
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Learning Disabilities
Life Transitions
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Maternal Mental Health
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Men's Issues
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Mental Performance
Mindfulness
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Nervous System Regulation
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Neurodiversity
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Neurofeedback
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OCD
PTSD
Panic
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Parenting
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Performance Anxiety
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Perinatal
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Problematic Video Gaming
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Relationships
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Self-Development
Self-Esteem
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Sex Therapy
Spirituality
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Stress
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Supervising qualifying therapists
Trauma
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Which therapy modalities do you draw from in your practice? List them in the order you’d like them to appear.

*Select a Modality*
Accelerated Experiential Dynamic Psychotherapy (AEDP)
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Acceptance and Commitment Therapy (ACT)
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Adlerian Therapy
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Anti-Opressive Practice
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Applied Polyvagal Theory
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Art Therapy
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Attachment-Based Therapy
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Behavioural Therapy & Relapse Prevention
Biopsychosocial Model
Brain-Based Therapy
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Brainspotting
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Cognitive Behavioural Therapy (CBT)
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Cognitive Processing Therapy (CPT)
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Collaborative Therapy
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Compassion-Focused Therapy (CFT)
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Culturally Competent
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Culturally Sensitive Therapy
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Decolonist
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Depth Psychotherapy
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Dialectical Behaviour Therapy (DBT)
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Eclectic
Emotion-Focused Family Therapy (EFFT)
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Emotional Freedom Therapy
Emotionally Focused Therapy (EFT)
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Empowerment Theory Based
Existential Therapy
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Expansive Therapy
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Experiential Therapy
Exposure Therapy
Exposure and Response Prevention (ERP)
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Expressive Arts Therapy
Eye Movement Desensitization and Reprocessing (EMDR)
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Family Systems Therapy
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Feedback-Informed Treatment (FIT)
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Feminist Therapy
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Gestalt Therapy
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Goal Focused Therapy
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Gottman Method
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Guided Imagery
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Harm Reduction Therapy
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Health at Every Size (HAES)
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HeartMath Tools
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Holistic Psychotherapy
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Humanistic Therapy
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Imago Relationship Therapy (IRT)
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Inner Child Work
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Integrated Movement (Yoga) Therapy
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Integrative Client-Centered Model (ICCM)
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Intensive Therapy
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Internal Family Systems (IFS)
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Interpersonal Neurobiology (IPNB)
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Interpersonal Psychotherapy (IPT)
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Jungian Therapy
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Lifespan Integration
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Meaning-Centred Therapy
Meditation
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Metaphor Therapy
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Mind-Body Connection
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Mindfulness
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Mindfulness & Meditation
Mindfulness-Based Cognitive Therapy (MBCT)
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Motivational interviewing (MI)
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Narrative Therapy
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Neuro-linguistic Programming (NLP)
Neurobiological Approach
Neurofeedback (EEG Biofeedback)
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Nurtured Heart Approach
Observed Experiential Integration (OEI)
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Other
Parts Work
Performance Psychology
Person-Centered Therapy
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Play Therapy
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Positive Psychology
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Prolonged Exposure
Psychoanalytic Therapy
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Psychodynamic Therapy
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Rational Emotive Behaviour Therapy (REBT)
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Relational Gestalt Therapy
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Relational Therapy
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Response-Based Practice (RBP)
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Sandplay (Sandtray) Therapy
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Schema Therapy
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Self-Compassion
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Sensorimotor Psychotherapy
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Solution-Focused Brief Therapy (SFBT)
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Solution-Focused Therapy
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Somatic and Body Awareness
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Spiritual Therapy
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Strength-Based Therapy
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Synergetic Play Therapy
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Systemic Family Therapy
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Systemic Therapy
Transitional Analysis
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Transpersonal Therapy
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Trauma-Informed
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Treatment of dissociative parts
Walk Therapy
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What are the topics/issues you commonly encounter and work through with your clients? This will be listed on the website under “Common Subjects”. You may select up to 7.

Who makes up your clientele? Age? Sexualities?

*Select a Common Subject*
2020 Challenges
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ADHD Coaching
Abuse (Sexual, Physical, Verbal)
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Addiction and Substance Abuse
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Adjusting to a diagnosis
Anger Management
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Anxiety and Stress Management Skills
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Anxiety and Stress Management Skills
Assertiveness
Attachment Trauma
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Attachment Wounds
Attention and Impulsivity
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Behavioural Issues
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Blocks in Connecting with Self and Others
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Body Dysmorphia
Body dysmorphia
Borderline Personality Disorder
Boundaries and Boundary Setting
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Brain Injury
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Building Self-Care Routines
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Burnout
Career Guidance
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Caregiver Burnout
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Childhood Trauma
Christian Counselling
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Chronic and Acute Illness
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Co-founder relationships
College or University Coaching
Coming Out and Identity
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Competitive anxiety
Conflict Resolution
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Creativity
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Cultural Challenges
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Dating Challenges
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Dealing with Difficult or Narcissistic Personalities
Decision Making
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Deep Brain Reorienting
Deep Connections
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Depression Coping Skills
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Domestic Violence
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Dreams
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Early Childhood
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Effective Communication
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Emotional Regulation
Empowerment
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Ethics
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Existential Questions
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Familial and Social Relationships
Family Issues
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Giftedness Issues
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Goal Setting
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Grief Processing
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Grief/Loss
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Habits
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Health Anxiety
Health Anxiety
Highly Sensitive Person
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Identity and Self-Exploration
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Imposter syndrome
Infidelity
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Intergenerational Trauma
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Interpersonal dynamics
Intimacy Concerns
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Issues with Authority
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Leadership Coaching
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Life Transitions
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Low Mood
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Low Self-Esteem and Self Worth
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Managing ADHD Symptoms
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Masculinity
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Meaning and purpose
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Mental Performance
Mind-Body Connection
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Mindfulness Practices
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Motivation
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Motivation
Navigating Challenging Relationships
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Negative Thinking and Ruminating
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Negative Thinking and Ruminating
Negative body image
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Neurodiversity
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Obsessions-Compulsions/Rituals
Oppression
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Outpatient Addiction Counselling
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Overwhelm
Pain management
Panic Attacks
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Panic Attacks
Parental Divorce
Parenting challenges
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People pleasing
Perfectionism
Postnatal Care
Power
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Pregnancy
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Prenatal Care
Productivity
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Psychedelic Journeying
Racism
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Adults (18+)
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BIPOC
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Children (≤12)
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LGBTQ2IA+
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Seniors (65+)
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Teens (13-17)
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(i.e. Individual, Couples, Groups)

Couples/Relationships
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Families
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Group
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Individuals
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Play Therapy

What are the details of your rates? If you have a default price range, what dictates this range? What is the default rate for a session? Do you have multiple pricing tiers that we can list? Please include $ to amount, and any applicable tax in your rate.

Please provide your formal education. Please include School/institution name, Degree/Focus, Year Graduated/Completed. Please follow the format below.
‍
e.g.
‍University of Toronto
‍Masters of Social Work
‍2006

‍University of British Columbia
‍Bachelor of Arts, Sociology
‍2000

Arabic
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Chinese (Cantonese)
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Chinese (Mandarin)
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English
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Farsi
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French
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Gujarati
Hebrew
Hindi
5fd7c51054d67b3e2766fd09
Hungarian
5fd7c51054d67b01f366fbb4
Korean
Macedonian
Portuguese
Punjabi
5fd7c51054d67bb99466fd0a
Russian
Spanish
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Swedish
5fd7c51054d67b118e66fb86
Tamil
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Ukrainian
Urdu
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Thank you! Your submission has been received!
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