Frequently asked questions
Have questions about what it’s like to work together? Check out these frequently asked questions. If you don’t see your question here, click here to get in touch.
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I work out of my beautiful home at 192 Bronson Ave. Ottawa, Ontario K1R 0E7. The building is very secure so I meet clients in my lobby by the front door for sessions.
Please note that I have three trauma- cat assistants, sisters Dr. Frida & Dr. Kali, and young intern Dr. Carl.
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As we found out during Covid EMDR works great online. There are some advantages to being comfortable in your own space, not traveling, and having familiar things around one. While we don’t have the headphones for left/right ear beeps you can tap on your upper chest or knees in sync with the lightbar on Zoom to gain the same treatment.
I have a lot of training for on-camera communication and presentation, and create a very engaging and in depth experience on Zoom.
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Yes! Whenever possible it’s great to work in person.
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My fees are CAN$175/hr, half-day 3.5hr CAN$600, full-day CAN$1200
The advantage of the longer sessions is we just get more processing done, but it all works.
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A Good Faith Estimate (GFE) is a legal requirement in the U.S. to protect uninsured clients, or clients that choose to pay privately, from misleading fees or lengths of treatment.
My fees are clearly stated, and my experience is that average clients see me for 4-9 hours. This can vary of course, and we’ll discuss your treatment plan and progress as we go along.
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In our first session I'll learn about your interests and supports, the people in your life, what you’re wishing for in the near future, and we’ll make a list of your traumas and challenges and get started with EMDR. We’ll also talk about the next steps and ways to manage your feelings.
EMDR works well if you do it once or twice a week, or once a month - it’s a cumulative process so you don’t lose anything if you just pace yourself. Most folks see me once a week.
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Until you feel better! It’s a bit subjective but most folks report feeling better right away. We use a few things to measure that - a 0-10 scale of how things feel about a trauma or person, how you feel in your body when we revisit an issue, and how stable/unstable the image-memory is.
As I mentioned, folks see me for around 4-9 hours.
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To see my availability, you need to create an account on my scheduler at https://clarityemdr.janeapp.com . I always suggest folks have a free consultation for 20mins to check me out, ask questions, and we can discuss if EMDR is a good fit for your needs.
As I am very busy I recommend folks book 4-5 sessions in advance - you can easily cancel if a session is not needed.
Hourly and half-day sessions are visible on my scheduler, full day/multi day work requires us to have a conversation
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My policy is that I require 36hrs notice for cancellations. While I have some flexibility and understanding for life events - health, demands, breakdown, weather, etc - this policy is to encourage folks who might be disorganized.
My booking system sends our multiple appointment reminders via email and text - it’s hard to not know you have an appointment.
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Yes - as the law permits. With minors I do sustain strong confidentiality and will only report to parents/guardians that goals and trauma targets have been identified, the client is attending or not, and progress is happening or not - I also add commentary around recommendations, etc.
For “adults”, confidentiality is strictly adhered to except in situations where I might know of or suspect a client is likely to be a harm to themselves or someone else - even then I would have a conversation with a client before taking direct actions/communication outside of our working relationship.
Often the folks I work with are very distraught, sad, depressed, or have suicidal ideation - that’s trauma for you! I am very comfortable with big hard feelings and the sensation of not wanting to live - those are a long way from having a suicide plan or being destructive. Again, it’s a case by case situation.
If someone you know is struggling with suicidal ideation, book a consultation with me or give me a call.
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Finding out that someone you love has been sexually abused, assaulted, or traumatized can be really hard. What should you do? What should you say? How do you support them? These are all great questions and some of the most common asked by loved ones. Survivors of rape or abuse may exhibit disturbances in significant areas of their lives marked by a change in behavior.
They may often feel/experience:
Isolation
Anger
Unsafe
Depressed
Anxiety
Sense of Loss
Loneliness
Flashbacks
Sleep disturbances
Intense fear
Numbness
Withdrawal
Supporting a survivor can come in the means of:
Validating their feelings
Give them a chance to tell their story
Ask how they would like to be supported
Giving them some resources that they can connect with
Create safety by allowing them a healthy emotional space to talk
Let them know it’s not their fault
Staying calm
Be a listening ear
Empower and allow the survivor to make choices when they are ready
If you feel that someone you love is in imminent danger of harming themselves or others, call 911 for assistance.
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ACE (Adverse Childhood Experiences) quiz:
https://americanspcc.org/take-the-aces-quiz/
Exercise is one of the foundations of mental health. Here is a link to The Five Tibetans, a simple yoga workout that hits all the muscle groups and can be done with ease or high intensity:
https://www.youtube.com/watch?v=n0PDgDa8tqw&t=14s
Ocular neurologist Andrew Huberman: EMDR quiets the amygdala fear response
https://www.youtube.com/watch?v=xZVw-9ThmSM
Relationship blogger Dan Savage
https://savage.love/savagelove/
Relationship blogger Dr. Samantha Rodman-Whiten, aka “Dr. Psych Mom”
Reduce Anxiety & Stress with the Physiological Sigh – Huberman Lab Quantal
https://www.youtube.com/watch?v=rBdhqBGqiMc
Dr. Paul Conti: How to heal from trauma and break the cycle of shame:
https://www.youtube.com/watch?v=HoGBkn_1Z14&t=1s
Polyvagal Theory Explained
https://www.youtube.com/watch?v=SlhFrBoEnxU
Recognizing Symptoms of Trauma with Bessel van der Kolk
https://www.youtube.com/watch?v=rbqeGOXonUA&t=231s
Childhood Trauma, Psychedelics & EMDR
https://www.youtube.com/watch?v=XIH5taudtH0
Emotions and the Brain: What is the limbic system?
https://www.youtube.com/watch?v=yYUImmcq-bc
2-Minute Neuroscience: PTSD
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Set a good example.
Your child looks up to you and tries to be like you. It’s fine to tell your child to be respectful, truthful, helpful, and kind. But it won’t count unless you act that way, too.
Give energy and attention to goodness.
What you feed, grows. Look for chances to reward positive behavior with your attention. Look for chances to give your attention when no negative behavior is happening.
Don’t give energy and attention to badness.
What you feed, grows. Kids want any attention, good or bad. If you argue or yell at your child, he will learn to misbehave more to get your attention. Instead, simply give the child a short time out where no attention is available. When he is quiet again for a few minutes, then you can give him attention for behaving well.
Keep your promises.
Your child counts on you to feel loved and secure. When you don’t come through on a promise, she may feel insecure, and believe that you don’t care about her. Promises are just as important whether it’s for a “goodie” or for something the child doesn’t even want, like a time out.
Only make promises you can keep.
Don’t promise things you only wish could happen – it only hurts worse when it can’t. Also, avoid making big threats or punishments – these are promises, too. Later, you may realize that you were wrong, and take it back. Stick with promises that you can keep.
Use consequences, not punishments.
A consequence is something that is naturally caused by a behavior. For example, if you are obnoxious or threatening, you can’t be around people for a little while. If you make a mess, you clean it up. If you don’t finish your homework, you can’t watch TV. If you leave my tool outside, I won’t want to lend it to you next time you ask. Children learn how to behave better from having natural consequences.
A punishment is something that is given by an angry adult for revenge. For example, if you do that one more time, you can’t go to the park tomorrow. Punishments – including spankings – are for children to suffer. Children also learn from punishments: they learn to be sneaky and hateful.
Stay in control.
Everyone gets mad. The trick is to catch yourself when you’re just starting to get upset or frustrated. Then you can take care of the situation quickly, before it gets out of hand – maybe by giving a time out, finding some goodness to give attention to, or taking a time out for yourself. Parents make most of their mistakes when they are mad: they yell, they argue, they give attention to badness, and they give punishments – which might also turn out to be broken promises. If you can’t catch yourself before you lose control, get help and learn how. It’s worth it.
Include your child.
Children naturally want to help out and be included. For example, even a very young child can “help” you wash dishes by stirring the dishwater with a spoon. If you take the time to include the child and to make chores fun, he will learn to be helpful and to feel good about himself.
Make your child feel special.
Avoid comparing children to each other or trying to give each child exactly the same thing all the time. That just fosters insecurity and sibling rivalry. Children don’t need “equal” treatment; they need to feel special. Find ways of appreciating each child for her own qualities. You can show this with special privileges, small gifts, attention, or activities.
Take care of yourself.
Obvious, but important anyway. Parents need nutritious food, enough sleep, exercise, friends, enjoyment, a little time off for themselves… Raising kids is a big challenge. If you’re in good shape yourself, you’ll have a better chance of being the kind of parent you want to be.
Parenting After Divorce
Divorce? First, I might try to talk you out of it. Counseling really can help. And if you don’t work out the problems in this relationship, they just might turn up in the next one. But if it’s a done deal, and if you have kids, there are two things you should know: 1) divorce can be hazardous to your child(ren); and 2) it doesn’t have to be. It’s important to understand what kids go through, so you can keep it from being worse than it has to be.
Taking Responsibility
Kids generally don’t like divorce. For one thing, the basics of life change in ways that can feel confusing and out of control. After all, the kids aren’t deciding to divorce, it just happens to them. One way kids handle this is by feeling guilty, as if the whole thing was their own fault. It might not make sense, but many kids actually believe that if they had behaved better, their parents would not have been so angry, wouldn’t have fought, etc. When a child feels at fault, at least she can feel that she has some control, can affect things. Blaming herself also allows the child to avoid blaming the parents, so she can keep on caring for both of them with minimal conflict.
In the long run, though, self-blame is a very destructive habit. It can lead to low self-esteem, depression, and chronic misbehavior. Parents can help their children to limit the self-blame by putting the responsibility where it actually belongs – with the parents. It’s important for both parents to tell the children, again and again, that the parents could not get along for grown-up reasons, nothing to do with the children. This message can be reinforced, oddly enough, by keeping your discipline consistent. How is this connected? Because then your child sees that he can’t push you around or control you – that the adults really are in charge of things. This also helps kids to feel more secure, and less likely to cling to irrational guilt.
Why should I lose a parent?
Kids also have a hard time adjusting to the logistics of parental separation. Home used to be where the heart was, and where the house was – all in one place. Now where’s home? It’s bad enough that you don’t know where your bedroom is. But what if Mom and Dad are mad at each other? Who do I love now? Will I hurt one parent’s feelings if I love the other one too?
Children can feel torn apart when their parents don’t help them with these questions. Unfortunately, some parents do things that make it much worse. It is all too typical for a parent to bad-mouth the ex in front of the children, forgetting that children love and identify with both parents, not just you. Even in the schoolyard, children will not tolerate any insult about their family. How much more it hurts when the insult about one parent comes from the other!
Some parents actually use their children as pawns or weapons in a battle with their ex. For example, one parent might retaliate against the other by cancelling a visit with the child, or by missing child support payments. Parents sometimes ask their children to spy for them, asking about the other parent’s new job or romance. And parents may pressure their children to choose one over the other, by saying bad things about the other parent, or by showing excessive need for the child’s favoritism.
These tactics might give the “winning” parent fleeting satisfaction, but the child is badly hurt. Whenever you “win” your child from the other parent, the child has lost. Your children need both parents, not just one. Just because you and your ex decided to divorce, you are still parents together. If you need to fight, keep your children out of it. They still need you to cooperate, so that they can continue to feel loved and secure. Children have enough loss and confusion without you making it worse.
Because divorce is such a stressful time for the adults involved, children’s needs are often left unnoticed. And the more angry and upset the adults, the higher the risk of children getting hurt in the fray. So it’s important to take care of yourself. Try to get enough exercise and good food – this is a cliche because it really is important. And make sure you have other adults to talk to, so you are not tempted to start confiding too much in your children. Other kids can be their friends – they need you to be their parent.
Since divorce is so common, we do know a lot about how to help children and keep them from getting needlessly hurt. Some families seek counseling to help them get through this difficult period. And in several parts of the country, courts actually require divorcing parents to attend workshops to learn how to protect their children. Probably within a few years, these mandated workshops will be much more widespread. Meanwhile, here are the most important guidelines to follow if you are a divorcing parent:
DO:
Tell your children that they did not cause the divorce – that it was between the grown-ups.
Keep the same rules and expectations as far as possible, to help your children feel secure.
Take care of yourself. Stay healthy, talk out your problems with other adults.
Actively support your child’s relationship with your ex.
DON’T:
Don’t fight or argue with your ex in front of your kids – it’s scary and upsetting.
Don’t blame or badmouth your ex in front of your kids – it makes them choose sides.
Don’t use your child as a weapon, spy or messenger – take care of your own business.
Don’t sabotage or viciously attack your ex – you will be hurting your child’s parent.
Of course, you will have to fit these rules to your own situation. For example, if your ex is dangerous to your child and they cannot have contact, you can still support their relationship, simply by acknowledging that your child might still feel affection for that parent. For another example, if you and your ex cannot have contact without explosive arguments, then only communicate in private, or through your lawyers, so that your children do not have to see the fireworks.
Of course, divorce doesn’t have to be a tragedy for children. Some children are relieved because their home setting is less stressful. When parents can help children to understand that the kids were not at fault, and that the parents are still the same to their children (if not to each other), then most children will adjust pretty well over time. Children can even learn to enjoy the benefits of the new arrangements – perhaps eventually including new family members.
Like it or not, a divorce only ends the romance and cohabitation. You are still parents together. And the better you are able to cooperate as parents, the less your children stand to lose.
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Children who experience a trauma (such as a car accident) have reactions that may include denial, fear, anger, guilt, sadness, and confusion. These reactions are part of the normal recovery process. You can help your child by showing acceptance of her feelings, reassuring her that she is safe now, and by being consistent with your discipline and expectations, so that she will feel secure. You may observe some of the following behaviors:
Sleep Disturbance.Your child may sleep fitfully, talk in sleep, have nightmares, scream, cry out, etc. When he awakens, he might need consoling and reassurance. Even though he may not recall what he was dreaming, he was probably remembering and reliving the accident. This is normal, and how our minds resolve traumatic events. Reassure your child that he is safe; tell him that he just had a bad dream about the accident, but it’s all over now. In the child’s waking hours, encourage him to talk about the accident – tell the story over and over. If he doesn’t remember, you can talk to him about it and tell him what happened. It’s important to talk about this to help normalize it. Many parents do not know this and are afraid to make their child think about it as it is unpleasant. However, then the child is left to deal with his memories all alone. Get him to share it with you even if it is hard for you to hear.
Guilt.Some children think they have been bad and that is why the accident happened. Most children feel guilty about something they have done or thought about. Though unrelated, they think the accident is punishment. Tell your child that she is not a bad person, that she is not being punished. Reinforce this often.
Acting Younger.Some children become frightened and afraid to be alone. Some children regress – act younger than their age. This is also normal. Give your child love and reassurance, but do not change drastically how you treat him. Understand that he feels ill and may be younger acting, but do not let him “get away” with behaviors you normally would not tolerate. Otherwise, your child will get the message that you believe something is wrong with him.
Fear.Some children will continue to be afraid of things they associate with the accident, e.g., cars, the driver of the car. Gently, together, in small steps, increase their exposure to these things. Talk about each step along the way.
Your Feelings.Sometimes parents will feel guilty and responsible. Remember, it is not your fault either. Parents can never watch their children at all times. Do not spend your energy feeling guilty and trying to make it up to your child. This is the time to be focusing on your child’s feelings, and helping her recover. If your feelings persist, and get in the way of helping your child, seek the support of another adult or a professional.