If worries or low mood has you feeling stuck, you are not alone and you have come to the right place. I’m Alexina, a Registered Clinical Counsellor in North Vancouver. Using (primarily) CBT, I support teens and young adults with anxiety and depression to build coping skills, deepen self-understanding, and explore difficult emotions in a safe space.

背景

My approach is collaborative, culturally informed, and person-centered. I aim to create a strong therapeutic relationship grounded in trust, safety, and authenticity - because real change starts with feeling truly seen and supported. Using a (primarily) Cognitive-Behavioural Therapy approach, I support people by exploring unhelpful patterns of thinking and making small changes in their lives, moving them closer to their preferred future. I have a Master's in Counselling Psychology with specialization in school-aged and youth populations.

与我经历治疗的体验

Every client is unique, and my approach is tailored to each individual. I strive to provide: structure, compassion, validation, gentle challenge, warmth, humour, and coping skills. I turn these dials either up or down depending on what works best for the person in front of me. Do you love humour and being challenged, but dislike structure and coping skills? I got you. Or maybe you prefer a warm, compassionate, and validating space - I'm here for it.

专长领域

这些是我具备专业训练或丰富临床经验的核心专长。

焦虑 (Anxiety)

抑郁症 (Depression)

注意缺陷多动障碍 (ADHD)

认知行为疗法 (Cognitive Behaviour Therapy (CBT))

神经多样性（自闭症、ADHD）与照护者支持 (Neurodiversity (autism, ADHD) And Caregiver Support)

身份探索 (Identity Exploration)

治疗手法

这些是我主要的治疗手法，均接受过专业训练或有丰富临床经验：

认知行为疗法 (Cognitive Behavioural Therapy)

I support people to identify and challenge unhelpful patterns of thinking that are causing them distress and getting in their way.

神经多样性认可疗法 (Neurodiversity-affirming Therapy)

I support individuals through a neuro-affirming lens. My approach is strengths-based, collaborative, empowering, and accepting.

以客户为中心的治疗/罗杰斯治疗 (Client-centered / Rogerian Therapy)

Humanity always comes first. We are two people sharing a space for 50 minutes. I strive to create a space where clients feel safe to be themselves and explore their inner world.

服务对象与文化专长

以下是我具有专门经验与文化理解能力的服务对象与背景：

我所服务的群体

青少年

青年人

专业资格

注册临床辅导员
- 注册编号：24437

BC Association of Clinical Counsellors

教育背景

Master of Counselling Psychology

Adler University, Canada

专业培训

Basics of CBT - Essentials I

Beck Institute

CBT in Practice: Essentials II

Beck Institute

Indigenous Cultural Safety Training

San'yas/PHSA

执业地点与服务项目

Loading Google Maps...

常见问题

What is your cancellation policy?

Cancellation policy: Your session time is reserved just for you. A late cancellation or missed visit leaves an empty session in the therapists’ day that could have been filled by another client. Clients who provide less than 24 hours’ notice for a cancellation will be charged 50% of the session fee. Clients who miss their appointment (after 15 minutes has passed it is considered a missed session), will be charged the full fee.

Do you offer a sliding scale?

No. At this time I am unable to offer a sliding scale. It can be tricky to find someone who offers a sliding scale. I would suggest looking at larger practices that may have students offering low-fee sessions, or have a greater capacity to offer a sliding scale in general. Your local GP office may also know.

What happens in a 15-minute consultation?

During this time, I will ask you to briefly explain what has led you to seek counselling. I may also ask a few other questions to determine if my skills are the right fit. I’ll provide you with important information about my practice to help you decide if I am the right fit for YOU. You will also have an opportunity to ask me some questions. I will let you know if I think my skills are the right fit for you.

What does an initial session look like?

Before I meet with a new client, I will send out a new client intake which takes about 10-20 minutes to complete. I’ll go over informed consent with you, and ask any questions I may have about the information in your intake. You’ll also have an opportunity to clarify anything from your intake and ask me any questions you might have. When we get into the “therapy” part of the session, I will mostly listen and ask clarifying questions during this session as I get to know you.

I heard CBT counsellors make you do homework…

We call this an “action plan”! To get the most out of your investment in therapy, CBT counsellors will often work collaboratively with you to create an action plan at the end of each session. We then start each session by reviewing the previous action plan. Action plans are mini goals that help you get closer to your preferred future. When action plans don’t work, we review them together, determine what went wrong, and come up with proactive strategies to overcome those challenges next time.

Are your emails/texts secure?

We use Hushmail to encrypt all emails that we send to you. Anything sent to you (via text or email) through our practice management system, Jane App, such as appointment reminders, is not encrypted.

Do you accept SAJE funding?

YES!

Alexina Picard

背景