Blog

Weekly Reflections

A therapist blog with weekly posts from Vancouver-based therapists, writing online for clients and colleagues in BC and across Canada. Each week we share what we're noticing in the room, in the body, in the work itself. You'll find reflections on the questions we hold, the practices we return to, and the experiences that shape how we show up with clients, each other, and our communities. We also share updates from The Living Practice podcast. Come stay with what's emerging.

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Featured Articles

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Therapist seated alone on a bench at a Lower Mainland BC wetland at golden hour | Blog | CSP
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Person standing on rocky shoreline at dusk, hand resting on chest, looking at distant islands | Blog | CSP
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Person sitting among wildflowers, legs extended, looking down at a single bloom | Blog | CSP

All Articles

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Person on a coastal bluff in BC | Therapy Blog | CSP
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Completing What the Body Started: When Old Survival Responses Need New Endings

Sometimes the body is still bracing for something that ended long ago. A look at how unfinished defensive responses, like fight, flight, freeze, or cry-for-help, can stay in the body, and how a body-based approach helps them complete in present time.
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Nonbinary person sitting at the edge of a BC meadow, looking out at the water | Blog | CSP
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When Therapy Has Felt Out of Reach: What Becomes Possible at a Lower Fee

For people who have wanted therapy for years and not been able to reach it, what arrives in the first session is rarely simple. Often it is both apology and relief. What can shift, quietly, when the fee comes down enough that beginning becomes possible.
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West Asian woman walking past serviceberry blossoms on a BC coastal trail | Blog | CSP
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What We Mean by Low-Barrier Therapy: How Cost Is One Threshold of Many

Cost is the most visible threshold to therapy, not the only one. Pacing, language, diagnosis, and the tax of translating yourself before doing the work are also thresholds. What "low-barrier care" means at our practice, beyond the fee.
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Adult sitting on a boulder beside a stream in BC | Therapy Blog | CSP
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When Climate Distress Lives in the Body: What Therapy Can Hold

Climate distress often arrives in the body before it arrives in words. A psychotherapist's notes on climate grief, solastalgia, and what somatic therapy can hold when the body is already registering what the mind is still trying to manage.
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Adult sitting on a wooden park bench with hands resting in their lap | Blog | CSP
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When Anxiety Lives in the Body: What Therapy Can Hold When Worry Won't Stop

Anxiety often arrives in the body before it arrives in words: tight chest, racing thoughts, thin sleep, a gut that won't settle. A Vancouver psychotherapist on what is actually happening when worry won't stop, and what a body-first approach to anxiety therapy can hold.
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Trees in a coastal BC rainforest | Therapy Blog | CSP
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The Quiet Wisdom of Trees: Notes on Steadiness, Symbiosis, and Care

What trees do for each other underground, what they offer with each breath we share, and what their long, quiet steadiness can teach a tired body. Notes from a Vancouver psychotherapist on the company of trees.
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Person with eyes softly closed, face turned toward low sun at edge of meadow | Blog | CSP
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Internalized Shame: Notes On Internalized Shame and How Therapy Can Help

Internalized shame tells you something is fundamentally wrong with who you are. This post explores what that experience actually is, where it comes from, and how relational, experiential therapy creates the conditions for something to shift.
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Adult sitting beneath the cherry blossoms in a Vancouver park | Blog | CSP
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When You're Always the One Who Helps: On Fawning and What Wants to Rest

Some of us learned to scan, anticipate, and serve before we ever learned to want. A Vancouver psychotherapist on the difference between people-pleasing and fawning, the body cost of always being the helper, and what gentle, parts-based therapy can hold when the body wants rest.
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Nonbinary adult crouched at a tidal pool with hand submerged in the water | Blog | CSP
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Rooted in the Body: Becoming a Certified Sensorimotor Psychotherapist

Clayre Sessoms became a Certified Sensorimotor Psychotherapist in September 2024, but the body has been her primary language since long before any training program. This is what that journey looked like.
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Therapist seated alone on a bench at a Lower Mainland BC wetland at golden hour | Blog | CSP
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Why Therapists Need Therapy: Holding Space Without Losing Ourselves

Therapists carry real emotional weight. This post explores why having your own therapy can be an ethical, sustaining part of the work, and how being held helps you keep showing up with clarity, care, and integrity.
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Femme-presenting adult backlit by morning sun | Therapist Blog | CSP
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When the News Cycle Lives in the Body: What Therapy Can Hold

When the news cycle lives in your body and won't let it rest, what therapy can hold. A Vancouver psychotherapist on political distress, the felt experience of trans erasure, and what embodied and creative work can offer.
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Person standing on rocky shoreline at dusk, hand resting on chest, looking at distant islands | Blog | CSP
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When the World Feels Uncertain: Existential Therapy for Climate Anxiety

Political instability, climate crisis, and rising hostility toward marginalized communities can leave us bracing for what comes next. Existential therapy offers grounded support for meaning, responsibility, and belonging in uncertain times.
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Reduced-fee therapy student therapist Laith Eskandar by trees at sunset | Blog | CSP
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Reduced-Fee Counselling Online in English and Arabic with Laith Eskandar

Laith Eskandar offers reduced-fee counselling at $75 per session in English and Arabic, with a sliding scale at $75, $50, or $25, online across Canada. Sessions are open now, supervised by Laura Hoge, RSW.
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Two socially anxious friends seated on a log facing away from the sea | Blog | CSP
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When Social Situations Feel Like a Test: A Relational Approach to Anxiety

Social anxiety often starts with connection that's felt costly. This post explores what's underneath that fear, and what relational therapy offers that other approaches sometimes can't. Vancouver-based, online across Canada.
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Three friends on mossy logs in a cedar grove, in quiet conversation at golden hour | Blog | CSP
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Finding Your Therapist for Polyamory and Ethical Non-Monogamy in BC

Looking for polyamory counselling online in BC? This post explores what open relationship therapy actually holds for people in CNM and polyamorous relationships, and what to look for in a therapist who gets it. Vancouver-based, online across Canada.
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Two therapists on a weathered bench in a grass field at dusk, notebooks and thermos between them | Blog | CSP
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LGBTQ-Affirming Peer Consults for Therapists When Clients Feel Uncertain

When your clients are carrying political fear, minority stress, and anticipatory grief, you may be holding more than “case material.” Peer consultation offers steadiness, ethics, and language that protects dignity
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Person sitting among wildflowers, legs extended, looking down at a single bloom | Blog | CSP
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Grief Therapy for Emotional Neglect: Grieving Parents Who Are Still Alive

Many adults carry grief for the care they never received growing up. This post explores the quiet mourning that can arise when parents remain in our lives but cannot meet us in the ways we needed.
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Mother of trans teen seated on a bench in afternoon light | Blog | CSP
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Supporting Your LGBTQ+ Teen in a Time of Fear, Change, and Uncertainty

When your teen comes out or begins exploring gender, you may feel fear, love, grief, and confusion at once. This post offers grounded guidance for supporting your transgender or gender-diverse teen while making room for your own questions and process.
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Person sitting on a mossy log in a forest, mug in both hands | Blog | CSP
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Why Non-Ordinary Journey Experiences Need Careful Integration and Support

A therapeutic journey does not automatically lead to healing. Post-psychedelic integration therapy helps translate insight into grounded, lasting change through nervous system support and thoughtful meaning-maki
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Two queer women in conversation on a Jericho Beach bench at golden hour | Blog | CSP
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Where We Begin: Relational Healing in a Time of Reckoning

A relational approach to therapy offers a grounded beginning for anyone living through burnout, grief, disconnection, political strain, or struggle, and longing for steady relationships, honest care, and a place to begin again.