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More Therapists Nearby

Photo of Nadine Lulu, Registered Psychotherapist in Innerkip, ON
Nadine Lulu
Registered Psychotherapist, MEd, RP
Verified Verified
1 Endorsed
Ingersoll, ON N5C
At some point, we all face emotional challenges that make coping difficult. I am a Cognitive Behavioural Therapist (CBT) who has treated anxiety, depression, trauma, relationship issues (couples, teen-parent, parent-child, etc.) and other client issues since 1999. I am well know for my no-nonsense client-focused approach which incorporates humour, teaching new skills and learning new ways of thinking and being more joyful, deliberate and present in the world.
At some point, we all face emotional challenges that make coping difficult. I am a Cognitive Behavioural Therapist (CBT) who has treated anxiety, depression, trauma, relationship issues (couples, teen-parent, parent-child, etc.) and other client issues since 1999. I am well know for my no-nonsense client-focused approach which incorporates humour, teaching new skills and learning new ways of thinking and being more joyful, deliberate and present in the world.
(226) 780-8823 View (226) 780-8823

Online Therapists

Photo of Trish Muir Counselling & Consulting, Registered Psychotherapist in Innerkip, ON
Trish Muir Counselling & Consulting
Registered Psychotherapist, MA, RP
Verified Verified
2 Endorsed
Saint Catharines, ON L2N  (Online Only)
Breaking the Habit of Being Yourself is supported using cutting-edge processes such as BRAINSPOTTING, MINDFULNESS, CBT, & other Neurobiological-based principles - all within a secure, caring environment.
You may be unsure if sharing your story with a therapist will create the positive change you need. However, if you met & even surpassed your expectations, you would likely feel well-served by the interaction. I am here to help you do just that in a safe environment. I specialize in helping individuals obtain a DISTINCT sense of RELIEF from what distresses them. My strongest experience is with STRESS related issues manifesting in ANXIETY, Depression, OCD & Eating Disorders. I also work well with those dealing with FEAR, Anger, PANIC, Addictions, Grief, Physical Health (cancer etc.) & more. Check out my YOUTUBE channel MIND BOSS!
Breaking the Habit of Being Yourself is supported using cutting-edge processes such as BRAINSPOTTING, MINDFULNESS, CBT, & other Neurobiological-based principles - all within a secure, caring environment.
You may be unsure if sharing your story with a therapist will create the positive change you need. However, if you met & even surpassed your expectations, you would likely feel well-served by the interaction. I am here to help you do just that in a safe environment. I specialize in helping individuals obtain a DISTINCT sense of RELIEF from what distresses them. My strongest experience is with STRESS related issues manifesting in ANXIETY, Depression, OCD & Eating Disorders. I also work well with those dealing with FEAR, Anger, PANIC, Addictions, Grief, Physical Health (cancer etc.) & more. Check out my YOUTUBE channel MIND BOSS!
(289) 206-8761 View (289) 206-8761
Photo of Kathleen Courtney, Registered Psychotherapist in Innerkip, ON
Kathleen Courtney
Registered Psychotherapist, MEd, RP
Verified Verified
1 Endorsed
Sarnia, ON N7T
I use modern modalities, such as, Polyvagal Theory and Brainspotting.
I can help you reduce unwanted reactions, tendencies and patterns and move toward living and feeling how you really want. I am passionate about helping people heal from trauma and increase calm, health habits, stability and life satisfaction. I can help with: anxiety, depression, trauma, boundaries, addiction, health goals and complex medical concerns.
I use modern modalities, such as, Polyvagal Theory and Brainspotting.
I can help you reduce unwanted reactions, tendencies and patterns and move toward living and feeling how you really want. I am passionate about helping people heal from trauma and increase calm, health habits, stability and life satisfaction. I can help with: anxiety, depression, trauma, boundaries, addiction, health goals and complex medical concerns.
(226) 781-8713 View (226) 781-8713
Photo of Himel Das - Anxiety, Depression, Trauma Specialty , Registered Psychotherapist in Innerkip, ON
Himel Das - Anxiety, Depression, Trauma Specialty
Registered Psychotherapist, MACP, OAMHP, BSP, EMDR
Verified Verified
1 Endorsed
Toronto, ON M2N  (Online Only)
I also have specialized training in Brainspotting and EMDR Therapy and often use modalities such as Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), Acceptance & Commitment Therapy (ACT) and Psychodynamic.
Do you often feel anxious, worried, and depressed? How about frustrated or even guilty? Perhaps you have experienced trauma, feel lost trying to understand your mind, and want to reduce the impact of painful thoughts and feelings. My work focuses on anxiety, depression, trauma and emotional issues. I can help you to find calm and peace in your life, and create a rich, full and meaningful life. I am a Registered Psychotherapist and a member of the Ontario Association of Mental Health Professionals. I also hold a master's degree in counselling psychology, certification in counselling skills, MBCT, hypnosis, telehealth and trauma.
I also have specialized training in Brainspotting and EMDR Therapy and often use modalities such as Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), Acceptance & Commitment Therapy (ACT) and Psychodynamic.
Do you often feel anxious, worried, and depressed? How about frustrated or even guilty? Perhaps you have experienced trauma, feel lost trying to understand your mind, and want to reduce the impact of painful thoughts and feelings. My work focuses on anxiety, depression, trauma and emotional issues. I can help you to find calm and peace in your life, and create a rich, full and meaningful life. I am a Registered Psychotherapist and a member of the Ontario Association of Mental Health Professionals. I also hold a master's degree in counselling psychology, certification in counselling skills, MBCT, hypnosis, telehealth and trauma.
(289) 207-5317 View (289) 207-5317
Photo of Strength Counselling Services, Counsellor in Innerkip, ON
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Burlington, ON L7N  (Online Only)
Currently, we provide online counseling services exclusively, featuring a talented team of counselors from diverse backgrounds who can tackle a wide range of mental health issues. Our primary goal is to nurture the holistic well-being of our clients, addressing their physical, mental, emotional, and spiritual aspects through exceptional counseling services. We cater to individuals, couples, and families, tailoring our approach for each unique client. In the event of client dissatisfaction with a therapist, we pledge to either find an appropriate replacement or suggest an unaffiliated alternative expert to ensure their needs are met.
Currently, we provide online counseling services exclusively, featuring a talented team of counselors from diverse backgrounds who can tackle a wide range of mental health issues. Our primary goal is to nurture the holistic well-being of our clients, addressing their physical, mental, emotional, and spiritual aspects through exceptional counseling services. We cater to individuals, couples, and families, tailoring our approach for each unique client. In the event of client dissatisfaction with a therapist, we pledge to either find an appropriate replacement or suggest an unaffiliated alternative expert to ensure their needs are met.
(289) 806-1148 View (289) 806-1148
Photo of Brian Ajamhassani @ Psychotherapy For You, Registered Psychotherapist in Innerkip, ON
Brian Ajamhassani @ Psychotherapy For You
Registered Psychotherapist, RP
Verified Verified
1 Endorsed
Guelph, ON N1G  (Online Only)
When life gets hard to deal with, it is good to have someone to talk to; Someone with the expertise, professionalism, and compassion to listen, ask the right questions to create clarity and help us find the solution or at least see the light at the end of the tunnel. When dealing with mental and emotional pain, someone with the proper training and experience could be the right person to turn to. I utilize over 10 years of experience in therapy practice to the full benefit of my clients dealing with grief, depression, and anxiety, including those dealing with chronic illnesses such as cancer, as well as youth and parents'
When life gets hard to deal with, it is good to have someone to talk to; Someone with the expertise, professionalism, and compassion to listen, ask the right questions to create clarity and help us find the solution or at least see the light at the end of the tunnel. When dealing with mental and emotional pain, someone with the proper training and experience could be the right person to turn to. I utilize over 10 years of experience in therapy practice to the full benefit of my clients dealing with grief, depression, and anxiety, including those dealing with chronic illnesses such as cancer, as well as youth and parents'
(867) 731-0384 View (867) 731-0384
Photo of Strength Counselling Services, Counsellor in Innerkip, ON
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Guelph, ON N1H  (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(236) 239-5085 View (236) 239-5085
Photo of Sana Syed, Registered Psychotherapist in Innerkip, ON
Sana Syed
Registered Psychotherapist, MPE, MACP, RP
Verified Verified
8 Endorsed
Toronto, ON M5C
I became a therapist because, just like you, I am human and have had my fair share of battles. It took a long time for me to get to where I am today. I recognize that in moments of hopelessness, it is hard to find determination, that depression can be scary, that anxiety can be overwhelming, and that traumatic experiences can leave one feeling emotionally exhausted and drained out. I acknowledge the stigma associated with mental health and in going to therapy. For this reason, I know how crucial it is to provide therapy that is client-centered, empathetic, and unique to each person’s needs.
I became a therapist because, just like you, I am human and have had my fair share of battles. It took a long time for me to get to where I am today. I recognize that in moments of hopelessness, it is hard to find determination, that depression can be scary, that anxiety can be overwhelming, and that traumatic experiences can leave one feeling emotionally exhausted and drained out. I acknowledge the stigma associated with mental health and in going to therapy. For this reason, I know how crucial it is to provide therapy that is client-centered, empathetic, and unique to each person’s needs.
(289) 206-8705 View (289) 206-8705
Photo of Strength Counselling Services, Counsellor in Innerkip, ON
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Hamilton, ON L8K  (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(249) 202-2308 View (249) 202-2308
Photo of LifeCycle Counselling, Registered Psychotherapist in Innerkip, ON
LifeCycle Counselling
Registered Psychotherapist
Verified Verified
Etobicoke, ON M8X
Accepting New Clients - No Waitlist! When you feel stuck, we can help. At LifeCycle Counselling we recognize how difficult it is to take the first step towards therapy, speak about your difficulties and explore uncomfortable emotions. We are a BIPOC clinic in the GTA that is culturally sensitive. We use client-centered approaches as it is LifeCycles top priority to empower you for you! We understand that everyone has their own battles. We are a team of psychotherapists, who specialize in various areas and offer treatment using evidence-based approaches. You can read each of the therapist’s bio on our website lifecyclecounselling.ca
Accepting New Clients - No Waitlist! When you feel stuck, we can help. At LifeCycle Counselling we recognize how difficult it is to take the first step towards therapy, speak about your difficulties and explore uncomfortable emotions. We are a BIPOC clinic in the GTA that is culturally sensitive. We use client-centered approaches as it is LifeCycles top priority to empower you for you! We understand that everyone has their own battles. We are a team of psychotherapists, who specialize in various areas and offer treatment using evidence-based approaches. You can read each of the therapist’s bio on our website lifecyclecounselling.ca
(289) 207-7614 View (289) 207-7614
Photo of Michelle Graham, Registered Social Worker in Innerkip, ON
Michelle Graham
Registered Social Worker, RSW, MSW
Verified Verified
Niagara Falls, ON L2E
If a session with a therapist were helpful, What would that look like? Safety, Compassion, Empathetic, Respectful, and Validating. I provide therapy for issues such as; anxiety, depression, grief/loss, divorce, life transitions, individual for youth and adults as well as couples counselling.
If a session with a therapist were helpful, What would that look like? Safety, Compassion, Empathetic, Respectful, and Validating. I provide therapy for issues such as; anxiety, depression, grief/loss, divorce, life transitions, individual for youth and adults as well as couples counselling.
(888) 232-0631 View (888) 232-0631
Photo of The Dot Canada, Registered Psychotherapist in Innerkip, ON
The Dot Canada
Registered Psychotherapist, MA, RP, MSW
Verified Verified
Saint Catharines, ON L2S  (Online Only)
If you're feeling disconnected, distracted, and detached from your life, it may be time to look at why. Why can't I connect, why am I not able to just "get over" my past, or why does it all feel so meaningless? Maybe there are other questions, like “what am I doing with my life” or “who do I want to be?”. It’s okay to take time that's just for you, to look at your life and see both the big picture and explore the often overlooked details. With the right support, you can feel more present, connected, and in control of your life.
If you're feeling disconnected, distracted, and detached from your life, it may be time to look at why. Why can't I connect, why am I not able to just "get over" my past, or why does it all feel so meaningless? Maybe there are other questions, like “what am I doing with my life” or “who do I want to be?”. It’s okay to take time that's just for you, to look at your life and see both the big picture and explore the often overlooked details. With the right support, you can feel more present, connected, and in control of your life.
(249) 488-1297 View (249) 488-1297
Photo of Nate Venema @ Psychotherapy for You, Registered Social Worker in Innerkip, ON
Nate Venema @ Psychotherapy for You
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Chatham, ON N7L  (Online Only)
I am a Registered Social Worker and a virtual counselor in Ontario. My educational background includes a Bachelor of Psychology, a Master of Education, and a Master of Social Work. I provide strength-based therapy services for children, young adults, individuals, couples, and families using an anti-oppressive, integrated approach tailored to the unique needs of each new client. There are so many changes that happen as families grow and develop with the passing years, and I’m here to help with these transitions. For over twenty years I have worked in a variety of settings with diverse clients, including both long-term and brief
I am a Registered Social Worker and a virtual counselor in Ontario. My educational background includes a Bachelor of Psychology, a Master of Education, and a Master of Social Work. I provide strength-based therapy services for children, young adults, individuals, couples, and families using an anti-oppressive, integrated approach tailored to the unique needs of each new client. There are so many changes that happen as families grow and develop with the passing years, and I’m here to help with these transitions. For over twenty years I have worked in a variety of settings with diverse clients, including both long-term and brief
(343) 805-0202 View (343) 805-0202
Photo of Fancy Therapy Services, Registered Psychotherapist in Innerkip, ON
Fancy Therapy Services
Registered Psychotherapist, RP
Verified Verified
2 Endorsed
Kitchener, ON N2K
Imagine if... You weren’t constantly worried. You were confident in your abilities at home and work. Your past was only a distant memory instead of a ghost in your present. You had a space where you felt safe to talk about anything that is troubling you. You had someone you could talk to without fear of judgement or inadequacy. Stop feeling exhausted and start feeling stable. The use of psychotherapy can help you find yourself again, we understand you don’t want to feel this way forever. Our therapists are highly trained in a variety of issues and approaches. Let’s find the perfect therapist for you!
Imagine if... You weren’t constantly worried. You were confident in your abilities at home and work. Your past was only a distant memory instead of a ghost in your present. You had a space where you felt safe to talk about anything that is troubling you. You had someone you could talk to without fear of judgement or inadequacy. Stop feeling exhausted and start feeling stable. The use of psychotherapy can help you find yourself again, we understand you don’t want to feel this way forever. Our therapists are highly trained in a variety of issues and approaches. Let’s find the perfect therapist for you!
(226) 779-3684 View (226) 779-3684
Photo of Strength Counselling Services, Counsellor in Innerkip, ON
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Milton, ON L9T  (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(782) 400-0486 View (782) 400-0486
Photo of Vaughan Counselling & Psychotherapy, Registered Psychotherapist in Innerkip, ON
Vaughan Counselling & Psychotherapy
Registered Psychotherapist
Verified Verified
1 Endorsed
Vaughan, ON L4L
Accepting New Clients! Welcome to our page! Whether you stumbled this page because of a recent break-up, divorce, an addiction you want to break, marriage problems or just looking to find ways to cope with your stress, you found the right place. We specialize in CBT, DBT, Mindfulness, Inner Child Work and other modalities to assist you. We can provide you with tools to help you cope but can also assist you in finding and healing the core issue.
Accepting New Clients! Welcome to our page! Whether you stumbled this page because of a recent break-up, divorce, an addiction you want to break, marriage problems or just looking to find ways to cope with your stress, you found the right place. We specialize in CBT, DBT, Mindfulness, Inner Child Work and other modalities to assist you. We can provide you with tools to help you cope but can also assist you in finding and healing the core issue.
(365) 800-5972 View (365) 800-5972
Photo of The Therapy Centre, Psychologist in Innerkip, ON
The Therapy Centre
Psychologist, PhD
Verified Verified
Toronto, ON M4S
The Therapy Centre is a full service psychology practice. We offer services to children, teens, adults, couples, and families. We offer psychological and neuropsychological assessment and treatment services for a wide variety of issues listed below. All of our clinicians are well trained in empirically validated treatment models, including: Cognitive Behavioural Therapy (CBT), Emotion-Focused Therapy (EFT), Relational Therapy, Motivational Interviewing, Dialectical Behaviour Therapy (DBT) and EMDR. Each of our clinicians has an area of expertise and tailors treatment to target therapeutic goals.
The Therapy Centre is a full service psychology practice. We offer services to children, teens, adults, couples, and families. We offer psychological and neuropsychological assessment and treatment services for a wide variety of issues listed below. All of our clinicians are well trained in empirically validated treatment models, including: Cognitive Behavioural Therapy (CBT), Emotion-Focused Therapy (EFT), Relational Therapy, Motivational Interviewing, Dialectical Behaviour Therapy (DBT) and EMDR. Each of our clinicians has an area of expertise and tailors treatment to target therapeutic goals.
(647) 492-3156 View (647) 492-3156
Photo of Your Story Counselling, Registered Psychotherapist in Innerkip, ON
Your Story Counselling
Registered Psychotherapist, MSc, CCC, RP
Verified Verified
9 Endorsed
Vaughan, ON L4K
Hi I'm Judy, Director at Your Story Counselling (YSC). At YSC, we understand that life can be stressful, it's easy to become disconnected from ourselves and those we love. Our goal is to help you find what you need in order to create the pathways towards your own desired journey in life. When we open ourselves up to our vulnerabilities, we open ourselves up to our full potential. We believe that all of us have the strength within ourselves to overcome and forge ahead with our own preferred way of life, love, and happiness. We all can use some help and support from time to time.
Hi I'm Judy, Director at Your Story Counselling (YSC). At YSC, we understand that life can be stressful, it's easy to become disconnected from ourselves and those we love. Our goal is to help you find what you need in order to create the pathways towards your own desired journey in life. When we open ourselves up to our vulnerabilities, we open ourselves up to our full potential. We believe that all of us have the strength within ourselves to overcome and forge ahead with our own preferred way of life, love, and happiness. We all can use some help and support from time to time.
(416) 473-3333 View (416) 473-3333
Photo of Lucie Costin-Hall, Registered Psychotherapist in Innerkip, ON
Lucie Costin-Hall
Registered Psychotherapist, MA
Verified Verified
Toronto, ON M4T
I provide compassionate therapy for clients who suffer from depression, anxiety, panic attacks, attachment disorders, childhood trauma, complex Post Traumatic Stress Disorder (cPTSD) and relational issues. I believe that behind each person's struggle lies the potential for growth and renewal and that despair and inertia can be replaced by hope. I work hard to maintain the highest level of professional expertise possible in a field in which treatment methods are rapidly evolving. I tailor my treatment approach to the needs of each client.
I provide compassionate therapy for clients who suffer from depression, anxiety, panic attacks, attachment disorders, childhood trauma, complex Post Traumatic Stress Disorder (cPTSD) and relational issues. I believe that behind each person's struggle lies the potential for growth and renewal and that despair and inertia can be replaced by hope. I work hard to maintain the highest level of professional expertise possible in a field in which treatment methods are rapidly evolving. I tailor my treatment approach to the needs of each client.
(855) 675-9335 View (855) 675-9335
Photo of Strength Counselling Services, Counsellor in Innerkip, ON
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Kitchener, ON N2E  (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(437) 747-8880 View (437) 747-8880

Brainspotting Counsellors

How does brainspotting work?

Brainspotting works by using eye positioning to identify and process traumatic memories so that a client is better able to move forward and live with less fear. The theory behind brainspotting is that by identifying where a person looks when thinking of traumatic memories, a therapist will be able to guide them to focus on that spot and work with the client to get them out of the “fight, flight, freeze” response associated with the traumatic memory.

Is brainspotting an evidence-based therapy?

Brainspotting is a theory-based alternative therapy. It is one of the newest forms of treatment, so very little research has been completed that examines the mechanism by which it works. The theory behind brainspotting is that eye position can be linked to areas of the brain that store and process memory.

How effective is brainspotting?

Because it is such a new treatment, the effectiveness of brainspotting cannot be quantified. Some people have found it to be effective on its own, or in conjunction with other types of therapy. It is considered an alternative therapy, and it is popular with people for whom more traditional therapies have proven ineffective.

How long does brainspotting take to work?

A typical brainspotting session will last between 60 to 90 minutes. There is no required number of sessions needed to complete brainspotting therapy, but in many cases it is delivered over the course of about six sessions. Clients are encouraged to rate their level of distress prior to a session and again following a session, and to track progress.