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the SESSIONS

 

THE CONSULTATION. The initial consultation is required for all new clients. Client and clinician will have the opportunity to meet to determine "the fit" between client and clinician. The client will be able to share their intentions of wanting to begin counselling and ask the clinician any questions they may have. The clinician will share their counselling style, training, and what to expect from the relationship/counselling. 

Duration: 15-Minutes

THE FIRST SESSION. The first session is considered your "intake" session, which includes a thorough discussion about informed consent, confidentiality, and what to expect from the therapeutic process and relationship. The first session is where the client dives into what they are experiencing ("what brings you in to see a therapist?") and how it has been impacting them. Client will discuss their present day functioning, as well as provide an overview of their current landscape (ex., social support, routines, sleep/movement/nutrition, coping strategies). By the end of the first session (and ideally every session), the client should feel like they have something to take away from their time. The clinician will be able to determine if weekly or biweekly sessions are recommended, as well as potential book/podcast recommendations/journalling exercises. Homework at the end of first session is to determine goals for therapy which will be discussed in session two. 

Duration: 50-Minutes or 75-Minutes.

THE SECOND SESSION. Once the getting to know each other is out of the way in session one, the work can begin in session two. Every session will begin with an overview of how the clients week went/any challenges and what coping strategies were available. Next, the client will express their goals of counselling and what they hope to take from the process. Finally, the bulk of session two will focus on "the past", where client will debrief clinician on past experiences, relationships (family, partners, and friendships), as well as any additional factors that contribute to understanding the clients current triggers and challanges.

Duration: 50-Minutes or 75-Minutes.

THE WORK. After the first and second sessions are complete, that is when "the work" begins. The number of sessions for this part of the process is different for every client. The work is a flow between attending to the "here and now" when life happens, as well as uncovering the past and striving towards the desired future when there is space to do so. The work includes gaining tools, exploring concern areas, and deepening self awareness. 

Duration: 50-Minutes or 75-Minutes.

EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR).

EMDR is a psychotherapy approach that helps individuals process distressing memories and alleviate emotional distress associated with traumatic experiences.

THE EMDR CONSULTATION. The EMDR consultation is suggested for new clients who would like more information on what EMDR is and what this process will entail. Although the number of sessions vary across clients, it is possible to move through the EMDR phases in 8-10 sessions. If you are an existing client, this intake is not required.

8 PHASES OF EMDR.

HISTORY TAKING & TREATMENT PLANNING. Understand the client's history and identify target issues for processing.

PREPARATION. Establish a therapeutic relationship and teach coping mechanisms. 

ASSESSMENT. Identify specific memories or aspects of memories to target during EMDR reprocessing

DESENSITIZATION. Use bilateral stimulation (auditory stimulus via headphones) to help the client process and integrate targeted memories​

INSTALLATION. Enhance positive beliefs and adaptive coping mechanisms related to the targeted memories.

BODY SCAN. Address any residual physical tension or discomfort associated with the targeted memories.

 

CLOSURE. Ensuring the client is stable and providing tools for self-regulation between sessions.

REEVALUATION. Assessing progress and addressing any remaining distress or associated memories.

SESSION DURATION.

The number of sessions needed varies depending on individual needs and the nature of the issues being addressed. While some individuals may experience significant relief in a few sessions, others may require more. A typical range is 6-12 sessions, but this can be adjusted based on the client's progress and goals.

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