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 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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RTC
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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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Ph.D.
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Philosophical Therapist
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Pre-Licensed Professional
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Psychologist
Registered Clinical Counsellor
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Registered Psychotherapist
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Registered Psychotherapist (Qualifying)
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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.

*Other* Please Indicate in the field below
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*Select a Specialization*
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ADHD
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Addiction
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Anger
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Anger Management
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Anxiety
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Asperger's
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Attachment
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BIPOC
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Behaviour
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Break-Up Recovery
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Building Meaningful Connections
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Career Guidance/Transitions
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Children/Teens
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Chronic Illness
Couples/Relationships
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Depression
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Domestic Violence
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Eating Disorders
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Family Conflict
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Grief
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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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Life Transitions
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Loss
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Maternal Mental Health
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Men's Counselling
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Men's Issues
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Mindfulness
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Motivation
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Nervous System Regulation
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Neurodiversity
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Neurofeedback
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OCD
Panic
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Parenting
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Parkinson's
Performance Anxiety
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Perinatal
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Perinatal Mental Health
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Perinatal Support
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Problematic Video Gaming
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Relationships
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Self-Development
Self-Esteem
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Sexuality and Gender Issues
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Spirituality
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Stress
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Stress Management
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Stress/Distress
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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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Emotionally Focused Therapy (EFT)
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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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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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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-Based Cognitive Therapy (MBCT)
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Motivational interviewing (MI)
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Narrative Therapy
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Neurobiological Approach
Neurofeedback (EEG Biofeedback)
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Nurtured Heart Approach
Observed Experiential Integration (OEI)
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Parts Work
Person-Centered Therapy
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Philosophical Therapy
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Play Therapy
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Positive Psychology
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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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Walk Therapy
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​Interpersonal Psychotherapy (IPT)
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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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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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Attachment Trauma
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Attention and Impulsivity
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Behavioural Issues
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Blocks in Connecting with Self and Others
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Boundaries and Boundary Setting
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Brain Injury
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Building Self-Care Routines
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Career Guidance
5fd7c51054d67b676e66fc64
Caregiver Burnout
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Christian Counselling
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Chronic and Acute Illness
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Coming Out and Identity
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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 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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Empowerment
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Ethics
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Existential Questions
5fd7c51054d67b3d2466fc2b
Family Issues
5fd7c51054d67b6b3666fc5c
Giftedness Issues
5fd7c51054d67b715866fb94
Goal Setting
5fd7c51054d67bca2166fc8d
Grief Processing
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Grief/Loss
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Habits
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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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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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Mind-Body Connection
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Mindfulness Practices
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Motivation
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Navigating Challenging Relationships
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Negative Thinking and Ruminating
5fd7c51054d67b7c0b66fc41
Negative body image
5fd7c51054d67b469f66fbfd
Neurodiversity
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Oppression
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Outpatient Addiction Counselling
5fd7c51054d67b80f166fc55
Pain Management
Panic Attacks
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Parenting challenges
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People Pleasing
Perfectionism
Power
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Pregnancy
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Productivity
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Racism
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Relationship Anxiety
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Responsibility
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School Challenges
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Self Destructive Behaviour
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Self Harm
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Separation Anxiety
Separation and Divorce
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Sexual Issues
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Sexuality
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Sexuality and Gender Issues
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Sleeping Difficulities
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Social Anxiety
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Suicidal Ideation
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Thought Restructuring
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Trauma Processing
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Understanding and regulating emotions
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Vulnerability
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Wellness Counselling
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Workplace stress
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Worrying and Ruminating
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Adolescents
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Adults (18 +)
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BIPOC
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Children
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Female Adults (18+)
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LGBTQ2IA+
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Seniors
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Teens (12+)
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Teens (14+)
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Teens (16+)
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Young Adults
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(i.e. Individual, Couples, Groups)

Couples
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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)
5fd7c51054d67b51c766fd07
Chinese (Mandarin)
5fd7c51054d67badde66fd06
English
5fd7c51054d67b6f9366fd03
Farsi
5fd7c51054d67bde8d66fb5f
French
5fd7c51054d67bcd5166fd05
Gujarati
Hebrew
Hindi
5fd7c51054d67b3e2766fd09
Hungarian
5fd7c51054d67b01f366fbb4
Punjabi
5fd7c51054d67bb99466fd0a
Russian
Spanish
5fd7c51054d67bb5c266fd04
Swedish
5fd7c51054d67b118e66fb86
Tamil
5ff6695b47dbc726f28bf0ac
Ukrainian
Urdu
5fd7c51054d67b6f6a66fb64
Thank you! Your submission has been received!
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