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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Adult sits on moss in a cedar forest in BC | Therapist Blog | CSP
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Nonbinary adult camps out under stars while staring at reply from AI chatbot | Therapy Blog | CSP.webp
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Person standing on rocky shoreline at dusk, hand resting on chest, looking at distant islands | Blog | CSP

All Articles

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Adult walking a Pacific Northwest coastal trail at sunset | Blog | CSP
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What Happens When Life Won't Stay the Same: Online Therapy for "Lifequakes"

A life transition is not a project to manage. It is a period of loss and remaking. Online therapy across Canada for what comes up when the old shape of your life will not hold.
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Laura Hoge sitting in David Lam Park in Yaletown, Vancouver, BC
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Welcoming Laura Hoge, RSW: A New Chapter in Our Practice

Laura Hoge, RSW has joined Clayre Sessoms Psychotherapy Inc. full-time. She brings decades of embodied clinical work, LGBTQ community advocacy, graduate-level mentorship, and parent support for gender-diverse youth, alongside a deep commitment to justice-rooted care.
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Adult walking down a fall path in BC | Therapy Blog | CSP
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Somatic Self-Care for Therapists: What Helps When You Carry So Much

Therapist self-care is not a bubble bath. It is the work of recovering your nervous system from the states you sit in with other people. A body-first approach to what helps in the small seams of a working day.
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Adult standing at the edge of a rocky BC coastal headland looking out over the ocean | Blog | CSP
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Registered Psychotherapist (RP): What This Means for Therapy Across Canada

In 2021, I began the long process to become a Registered Psychotherapist with the College of Registered Psychotherapists of Ontario, years before BC had any plans to regulate the profession. Here's what that credential means, and what it offers you.
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Adult standing alone at a coastal bluff at dusk with one hand at her heart | Blog | CSP
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Divorce as a 2STGNC+ Parent: What Often Surfaces, and What Can Help

The weight of this kind of divorce is often bigger than the relationship itself, because identity, family, and institutions shift at once. A reflection on what often surfaces for 2STGNC+ parents in separation, and what individual therapy can and cannot hold.
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Nonbinary person leaning against a redcedar trunk in BC | Therapist Blog | CSP
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Working With a Student Therapist: What Care Looks Like When Supervision Is Close

What close supervision actually looks like in our practice, and what it can mean for you when your therapist is a practicum student. The texture of supervised work, the kind of attention it carries, and what to know before booking with Laith.
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Parent sitting on a bench by a BC lake | Blog | CSP
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When Your Trans or Nonbinary Kid Is a Teenager: What These Years Ask of You

The coming-out conversation asks a lot. The years that follow ask something different. A post for parents past the big moment and somewhere in the actual years of raising a trans or nonbinary teenager, with reflections shaped by Laura Hoge's work.
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Adult turns toward a lake near Whistler, BC | Therapy Blog | CSP
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When You're Not Sure You're Trans Enough: Notes on Self-Esteem as a Trans Adult

The quiet voice that asks "am I trans enough?" is familiar to many trans adults. It rarely responds to affirmations. What does help, and where it comes from. A post about trans self-esteem that refuses the usual self-help framing.
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Adults dancing around a bonfire at Rathtrevor Beach after sunset | Blog | CSP
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Making Room for Gender Joy: Notes from a Trans and Nonbinary Therapist

Gender joy isn't a reward for surviving enough. It's a compass. A trans and nonbinary therapist's reflection on letting play, pleasure, and possibility take up room in transition, alongside the real weight of the journey.
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Adult walking a Sunshine Coast BC trail, hand resting on the bark of a large tree | Blog | CSP
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Trauma-Informed Stabilization Treatment (TIST): A Parts Approach to Therapy

What TIST is, how it differs from IFS, who it is for, and why it reaches clients who have been told they are untreatable. Written by a Senior Facilitator of TIST chosen by Dr. Janina Fisher to help train and certify practitioners.
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Adult sits on a stump at a BC Kootenays campsite, hands hold a tin cup | Therapy Blog | CSP
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When the Weight Doesn't Lift: Treatment-Resistant Depression and the Role of Trauma

Up to 40 per cent of people with depression do not respond to standard treatments. For many, the depression is a trauma response, and standard care was never designed to reach that layer. What that looks like, and what helps, from a senior facilitator of TIST.
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Adult resting on a bed of moss in an old-growth forest | Therapy Blog | CSP
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Chronic Pain and the Nervous System: Why It Hurts and What Can Help

Chronic pain is often a learned pattern in the nervous system, not a signal that something is currently damaged. The research has shifted substantially in the last several years, and therapeutic approaches now reach what medical care cannot.
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Adult reaches out to touch the trunk of a tree in the deep forest | Blog | CSP
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Decolonizing Therapy in Practice: What We're Doing, and Still Learning

Decolonizing therapy isn't a destination we've reached. It's an ongoing, accountable practice shaped by many teachers. Here's what that looks like in our work, what we're still learning, and where else to look for care.
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Adult with long locs seated on driftwood at a shoreline | Blog | CSP
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What Jealousy in Polyamory Is Actually Trying to Tell You

Jealousy in polyamorous and open relationships isn't a leftover to dissolve. It's a signal from your body. A gentle look at what your feelings might actually be saying, and what softens when you listen to them instead of managing them away.
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Adult standing at the edge of a wildflower meadow at early morning, face turned toward the light | Blog | CSP
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When Joy and Grief Coexist: Notes on Transitioning and What We May Quietly Grieve

There is often a part of transition almost nobody talks about, because it sits in a strange place next to all the joy. The grief. Notes on ambiguous loss, on euphoria and grief living together, and on leaning toward joy as an act of persistence.
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Adult seated at edge of a wildflower meadow at golden hour | Blog | CSP
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When You Don't Feel Queer Enough, You Still Belong Here

If you've ever felt not queer enough in your own body, you're not alone. A gentle look at where that pressure comes from, what it asks of you, and what starts to soften when you let your body off the hook.
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Adult walking on a BC forest trail, white cane in hand | Online Therapist Blog | CSP
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On Being Visibly Trans and Disabled: Notes from Someone Who Lives It

Notes from a therapist who was born blind, is severely visually impaired, neurodivergent, and visibly trans. On what it is actually like to live at the intersection of disability and trans identity, what the research says, and what helps.
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Three adults resting on a log in a BC alpine forest | Therapy Blog | CSP
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What the Disability Justice Principles Ask of Care: Notes on Putting It Into Practice

The ten principles of disability justice, credited to Patty Berne and Sins Invalid, are not decoration. They ask something specific of care. Notes from a disabled therapist on what they have asked of me, and of anyone trying to offer or receive care shaped by them.
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Adult pauses while rolling along a BC trail | Therapy Blog | CSP
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How Disability Justice Shapes Our Therapy Practice: A Place to Start

How disability justice has shaped how we practise as therapists. A starting place for new readers with specifics on who leads, how we build access, how we pace the body's work, and how we hold intersecting identities. Links to deeper reading throughout.
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Three adults reading together on a log at a Vancouver beach at golden hour | Blog | CSP
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Relationship Therapy in BC and Online in Canada for Open, CNM, and Poly Partners

Relationship therapy for open, CNM, and poly partners in Canada. We hold the whole configuration: partners, metamours, the structure itself. Non-monogamy isn't the problem, and we won't coach you back to monogamy.