Patricia (Patti) Dekowny

MSW

Registered Social Worker

English

Background

I’ve spent more than two decades working in mental health and addictions, supporting men, couples, families, and anyone feeling stuck, worn down, or running on empty. I’m a straight-up, steady therapist who trades jargon for real talk and practical tools. I show up with honesty, compassion, and a no-BS approach that helps you make sense of what’s going on and take steps that actually fit your life. If you want support that feels real and someone who meets you where you’re at, you’re in the right place.

Your therapeutic experience with me

Working with me isn’t about being perfect. You show up as you are shut down, pissed off, worn out and we start there. I’m direct and honest, but I’m not here to tear you down. We sort through what’s really driving the anger, the shutdown, or the same old patterns. Men often say it’s the first place they can drop the act and breathe. The work is practical and real, built for your actual life. If you want a space to be real, get honest, and move forward, you’ll feel at home here.

Areas of expertise

These are the areas I commonly work with, and they form a big part of the support I offer in my practice:

Men's Issues?

Borderline Personality Disorder (BPD)?

ADHD?

Complex Trauma?

Couple Relationship?

Emotional Regulation?

I also support you in these additional areas and welcome you to reach out if any of them speak to what you are going through:

Obsessive–compulsive Disorder

Guilt & Shame

Substance Use/misuse

Addiction?

Depression?

Attachment?

Perfectionism?

Anxiety & Worry?

Childhood Trauma?

Therapeutic approaches

These are the approaches at the heart of my work, and I use them often because they help create meaningful change:

Cognitive Behavioural Therapy (CBT)

Dialectical Behaviour Therapy

Emotion-focused Therapy (EFT)

Cognitive Processing Therapy

I also draw on other evidence based approaches that can gently support you when they align with what you need:

Psychodynamic Therapy

Trauma-informed Therapy

Focused populations and cultural backgrounds

These are the communities and cultural backgrounds I focus on, and I bring a sincere commitment to supporting you in a way that feels respectful and genuine:

Populations

Individuals With Mental Health Challenges

Couples

Parents

Young Adults

Adults

Professional credentials

Registered Social Worker
- No.19749

Alberta College of Social Workers

Registered Social Worker
- No.847937

Ontario College of Social Workers and Social Service Workers

Saskatchewan regulatory jurisdiction flag

Registered Social Worker
- No.1498

Saskatchewan Association of Social Workers

Educational background

Master of Social Work

University of Regina, Canada

Practice locations & services

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FAQ

What’s it like to work with you?

It’s real, steady, and no-nonsense. You don’t have to pretend or explain yourself perfectly. I’m direct but compassionate, and we get into what actually matters. Expect practical tools, honest conversations, and a space where you can finally breathe and just be yourself.

What kind of support do you offer?

I offer support that cuts through the noise: straight talk, steady guidance, and tools you can actually use when things get rough. Whether you’re dealing with anger, shutdown, stress, or old patterns, we tackle it together in a way that feels real, doable, and built for how men actually live.

Do you follow a specific therapy model?

My approach is integrative, meaning I pull from several evidence-based models including ACT, CBT, and motivational interviewing, depending on what fits your needs. The focus is always on making things practical and meaningful for you.

What if I’m nervous or unsure about starting?

A lot of men walk in unsure, guarded, or half-convinced therapy won’t help. That’s okay. You don’t have to spill your guts on day one. We take it slow, keep it real, and build trust as we go. You show up, I show up, and we work from there no pressure, no judgment.

Blog

Here are some articles I’ve created for you. Take a moment to read and share them. I hope you find them meaningful.

Why Am I So Angry Lately? Understanding Anger That Comes Out of Nowhere

Immediate crisis support available

If you're experiencing a mental health crisis, help is available right now:

🚨 Call 911 for immediate emergency assistance
💬 Call or text 988 for mental health crisis support and suicide prevention