What problems do most men come to counselling for?

Most men seek therapy for anxiety, stress, burnout, relationship challenges, intrusive thoughts, anger or irritability, and feeling overwhelmed or stuck. Counselling helps men get clarity, tools, and direction when they feel overloaded or disconnected.

How do I know if I actually need counselling?

If your stress, anxiety, or emotional struggles have lasted longer than four weeks, are affecting your sleep, your relationships, or your work, counselling can help. You don’t need to hit a breaking point — early support leads to faster and more effective results.

Is men’s counselling different from regular counselling?

Yes. Men’s counselling focuses on direct guidance, practical strategies, and understanding how men uniquely experience stress, pressure, identity, and emotional expression. It is tailored to the way men process change and communicate.

How long does counselling usually take?

Most men experience meaningful change within 4 to 8 sessions. More complex issues such as trauma, OCD, or long-term patterns may require longer support. The first session always results in a clear plan and direction.

How does online counselling compare to in-person sessions?

Online counselling is equally effective and often preferred by men. It offers privacy, convenience, flexibility, and eliminates commuting. Many men find they open up more easily online.

What should I expect in my first therapy session?

Your first session focuses on what you’re dealing with, how it’s affecting you, and what specific outcomes you want. Together we build a clear plan for the next sessions. It’s a straightforward, pressure-free conversation.

How much does counselling cost in Vancouver?

Most Registered Clinical Counsellors in Vancouver charge between $150 and $180 per session. Gibson Mental Health’s rates fall within this standard range and are covered by most extended health plans.

Do you offer counselling for fathers or new dads?

Yes. Many men seek therapy during the transition into fatherhood due to fatigue, relationship strain, identity shifts, stress, and navigating new responsibilities. This is a very common and highly treatable stage of life.

Do benefits cover men’s counselling?

Most extended health insurance plans in British Columbia cover sessions with Registered Clinical Counsellors. This includes plans from Pacific Blue Cross, Canada Life, Sun Life, Manulife, and Green Shield.

How do I start counselling?

You can book your first session directly or request a free 15-minute intro call. Most men start with one session to gain clarity, understand the plan, and decide the best path forward.

OCD Counselling - Gibson Mental Health

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01.

What to Expect

OCD is an often debilitating and life consuming but treatable mental health concern. You do not need to try and cope with OCD alone. You can expect our OCD counsellors to be compassionate in their approach to working with clients, while providing a structured and methodical treatment modality. The counselling treatment for OCD is quite specific and personalized.

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02.

Clinical Approach

The best practice treatment for OCD is Exposure and Response Prevention (ERP). With the help of nervous system regulation techniques, this process gradually exposes clients to anxiety-triggering thoughts or situations while resisting the compulsive response. This breaks the loop between obsession and compulsion. Over time, this decouples the thought from the urge, and the underlying anxiety driving the behavior can be fully resolved.

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03.

Expected Outcomes

With effective ERP treatment, most clients see meaningful reduction in symptoms and a return to functioning well in life, relationships, and work. OCD is often connected to underlying anxiety or trauma, and addressing those roots is often the second part of the process. Treatment timelines vary based on severity and complexity, but you can expect improvement to symptoms within 3-5 sessions.

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Defining OCD

OCD is an anxiety cycle characterized by two core features: obsessions and compulsions. Obsessions are unwanted, intrusive thoughts, images, or urges that generate significant anxiety. Compulsions are the repeated responses to that anxiety, typically an attempt to cope by suppressing it temporarily. Over time, the cycle repeats and the underlying anxiety worsens.

05 Symptoms of OCD

The presentation of symptoms often varies per person, but the cycle is consistent. Overwhelming anxiety related to an obsession, followed by an automated compulsive response. Some examples include: fear of contamination followed by compulsive handwashing, an intrusive thought followed by distracting behavior, or anxiety about safety followed by repeatedly checking locks.

06 Signs you may be struggling with OCD

OCD is a maladaptive attempt to cope with underlying anxiety or trauma. The problem is that this process only provides short-term relief. Over time there are diminishing returns, underlying issues worsen, and compulsions intensify. If you have identified this pattern and are struggling to manage symptoms, it may be time to find a long-term solution.

07 Are there related issues to OCD?

People who struggle with OCD may also experience anxiety, trauma, panic attacks, perfectionism, substance use concerns, ADHD, low self-esteem, relationship stress, burnout, and chronic stress. For more information on these related concerns, visit the respective Service Pages below.

08 Resources for OCD

Helpful OCD resources include Here to Help BC, CAMH, MindShift CBT, your family doctor, and local counsellors, psychologists, or psychiatrists. If you are unsure whether OCD counselling is the right fit, reading our Google Reviews or booking a free consultation can be helpful first steps. Together, we can explore what you are experiencing and what kind of support may be most useful for you.

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specializing counsellors

Rachelle Sayers

RCC

Ben Malt

Head of Clinical Operations / RCC

Cameron Gibson

Founder / RCC

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Connect with a therapist in Vancouver who understands your needs and take the first step toward meaningful change today.

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Identity Counselling

Identity counselling gives you space to explore who you are, who you have been, and who you are becoming. You may be navigating a life transition, grieving a former version of yourself, questioning your direction, or trying to build an identity that feels more honest and grounded. In sessions, you can expect a thoughtful, supportive process focused on reflection, clarity, meaning, and practical change. We help you make sense of what feels uncertain and begin shaping a life that feels more aligned.

Relationship Counselling

Relationship counselling offers a supportive space to better understand the patterns, conflicts, and emotional needs shaping your relationships. Whether you are attending individually, as a couple, or with family members, our counsellors help you explore what feels stuck and what you want to change. Sessions are compassionate and practical, with room for honesty, repair, and new ways of relating. Together, we can work toward stronger communication, clearer boundaries, and deeper more meaningful connection.

Coaching

Coaching is designed for people who are stable enough to move beyond symptom management and into focused personal growth. You might be functioning well, but still feel like there is another level of clarity, confidence, leadership, health, performance, or purpose available to you. In coaching, you can expect a structured, goal-focused process with practical takeaways, honest reflection, and accountability. We help you identify what matters, what is getting in the way, and what needs to happen next.

ADHD Counselling

ADHD is manageable, and you do not have to navigate it alone. We have a selection of counsellors right here in Vancovuer that can support you from first diagnosis through to longer-term symptom management. You can expect a non-judgemental, practical, and creative approach that helps you better understand your ADHD, reduce shame, and build applicable strategies for real life.

Low Cost Counselling

Low cost counselling is here for people who want support but are worried about the cost of therapy. You can expect a respectful, straightforward process where affordability is taken seriously. We offer low cost and sliding scale options, and we do not ask you to prove your financial situation. If money is the main thing stopping you from starting counselling, let us know. We will do what we can to help make therapy accessible.

High Performance Counselling

Our team have had the privilege of working with olympians and professional athletes, senior level executives and individuals with ambitious goals. High performance is a theme around our office personally, so you can expect a high level of attention and detail. You can expect the journey to begin with an assessment process where we collaborate to understand the area of focus and your problems with performance. A customized treatment process is then developed to target clinical work on your specific area of interest for improving performance. The experience is goal focused, measurable, and outcome driven.

OCD Counselling

Trauma & PTSD Counselling

Trauma therapy begins with safety, trust, and choice. Our counsellors offer a steady, compassionate space where you can move at a pace that feels manageable. Whether you are struggling with PTSD, childhood trauma, relationship trauma, or distressing life experiences, counselling can help you feel less alone and more supported. Sessions focus on understanding how trauma may be affecting your body, emotions, relationships, and sense of self, while building skills that help you feel more grounded and in control.

Depression Counselling

Depression can make life feel heavy and difficult to navigate. Our counsellors offer a steady, compassionate space to talk through what has been happening and begin making sense of it. Whether you are experiencing diagnosed depression, grief, burnout, low mood, or situational depressive symptoms, counselling can help you feel less alone and more supported. Sessions move at a pace that fits your capacity, while gently helping you reconnect with stability, meaning, and hope. We offer depression counselling in Vancouver for anyone looking for in-person support, or virtually if you are anywhere else in BC. One in four people struggle with depression at some point in their lives, and whether you have a diagnosis of depression or are struggling with situational depressive symptoms, we are here to help.

Anxiety Counselling

All of the counsellors on our team support clients who struggle with Anxiety. You can expect a calm, well regulated counsellor who will provide a safe and welcoming place to start to face your anxiety. From the first session, you can expect a clear thought out process focused on reducing symptoms, building coping skills, and helping you move toward the parts of life anxiety has been interrupting. If you are looking for anxiety counselling in Vancouver, scroll to the bottom of the page to pick a counsellor that suits you.

Addiction Counselling

Addiction can carry a lot of shame, secrecy, and self-blame. Our counsellors strive to talk to you honestly about the patterns that feel difficult to control, whether they involve substances, gambling, gaming, pornography, sex, spending, internet use, or other compulsive behaviours. Whether your goal is abstinence, moderation, harm reduction, or simply understanding what is happening, our team will work to help you meet your goals without judgement.

Men's Counselling

Research has shown on average it takes men six years to reach out for help regarding a mental health concern. We are glad you're here! Often men don't reach out or continue in counselling because the process isn't designed for them. We have taken that problem head on - our counsellors use a direct, supportive approach that focuses on clarity, tools, and momentum. Sessions are designed to help you understand what is happening, strengthen coping skills, add tools to help you function better, and take meaningful steps forward.