Epiphany Psychological
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    • Home
    • FAQ
    • Our Psychologists
      • Sarah O'Brien
    • Services and Fees
      • Individual Sessions
      • Recovery Retreat
      • Cancellation Policy
Epiphany Psychological
  • Home
  • FAQ
  • Our Psychologists
    • Sarah O'Brien
  • Services and Fees
    • Individual Sessions
    • Recovery Retreat
    • Cancellation Policy

The ability to ask questions is the greatest resource to learning the truth.


Carl Jung

Frequently Asked Questions

Please CONTACT US if you cannot find an answer to your question.

 

Welcome to Epiphany Psychological, where we offer a range of therapeutic approaches to cater to diverse individual needs. Our skilled Psychologists/Therapists are well-versed in various psychological approaches to provide effective support and treatment. Here's a brief introduction to some of the methods we employ:


  1. Acceptance and Commitment Therapy (ACT): ACT focuses on helping individuals accept their thoughts and emotions while committing to actions aligned with their values. It emphasizes mindfulness, psychological flexibility, and acceptance of discomfort to promote positive change.
  2. Cognitive Behavioural Therapy (CBT): CBT is a widely used approach that aims to identify and modify negative thought patterns and behaviours. It helps clients develop healthier cognitive habits and coping strategies, fostering personal growth and improved emotional well-being.
  3. Eye Movement Desensitization and Reprocessing (EMDR): EMDR is particularly effective for individuals who have experienced trauma. This approach uses guided eye movements or other forms of bilateral stimulation to help process distressing memories and reduce their impact on daily life.
  4. Prolonged Exposure Therapy (PE): This approach is commonly used to treat individuals with post-traumatic stress disorder (PTSD). Prolonged Exposure Therapy involves gradually and safely confronting traumatic memories or situations to reduce fear and avoidance, promoting desensitization and healing.
  5. Dialectical Behaviour Therapy (DBT): DBT works by teaching individuals new skills to manage painful emotions and decrease conflict in relationships. This is done through four modules: mindfulness, distress tolerance, emotional regulation and interpersonal effectiveness.
  6. Internal Family Systems Therapy (IFS): This is a pioneering form of talk therapy that helps individuals to understand and harmonize their mind's subpersonalities often referred to as "parts". IFS therapy is applied by promoting a dialogue between the 'self' (the core, confident, compassionate part of a person) and their various 'parts'. The IFS model sees each 'part' as having its own perspective, feelings, memories and worldview.


At Epiphany, we recognize that every individual is unique, and their needs require tailored solutions. Our Psychologists/Therapists are skilled in blending these approaches, when appropriate, to create an effective and bespoke treatment plan that aligns with each client's goals and preferences. Our ultimate aim is to provide a supportive and nurturing environment where individuals can embark on their journey towards improved mental health and well-being.


Acceptance and Commitment Therapy (ACT) is a form of psychotherapy that combines mindfulness, acceptance, and behaviour change strategies to help individuals cope with emotional distress, manage psychological struggles, and enhance their overall well-being. ACT is rooted in the belief that suffering is a normal part of human experience and aims to help individuals build psychological flexibility, which enables them to adapt to challenging thoughts, emotions, and situations.

In the context of trauma treatment, ACT focuses on helping individuals come to terms with their traumatic experiences, rather than trying to eliminate the distress associated with them. It emphasizes the following key principles:


  1. Mindfulness: ACT encourages individuals to cultivate mindfulness, the practice of being present in the moment without judgment. This helps individuals develop a non-reactive stance towards their traumatic memories and reduces avoidance behaviours.
  2. Acceptance: ACT emphasizes the importance of accepting one's emotions, thoughts, and memories related to trauma. Rather than fighting or avoiding these experiences, individuals learn to acknowledge and make room for them.
  3. Cognitive Defusion: This technique helps individuals distance themselves from distressing thoughts by viewing them as passing mental events, rather than as objective truths. This reduces the impact of negative thought patterns.
  4. Values and Commitment: Individuals work to clarify their personal values and commit to taking actions that align with these values. This helps them create a sense of purpose and direction in their lives, even in the face of trauma-related challenges.
  5. Self-as-Context: This principle involves recognizing that one's sense of self is broader than their traumatic experiences. Individuals learn to detach from the identity constructed around their trauma, fostering a more flexible and resilient self-concept.
  6. Committed Action: Through this principle, individuals develop the ability to take purposeful actions despite the presence of trauma-related discomfort. This encourages engagement in activities that contribute to their well-being and recovery.


ACT has been shown to be a promising method of treatment for trauma due to its focus on psychological flexibility and its acceptance-based approach. Research suggests that individuals who engage in ACT-based interventions for trauma show improvements in various aspects of mental health, including reductions in symptoms of post-traumatic stress disorder (PTSD), anxiety, and depression. Its emphasis on mindfulness and acceptance helps individuals develop healthier relationships with their traumatic memories, reducing the power these memories hold over their emotional well-being.


 

Cognitive Behavioural Therapy (CBT) is a widely practiced form of psychotherapy that focuses on addressing the connections between thoughts, emotions, and behaviours. It is based on the idea that our thoughts influence our feelings and actions, and by changing negative thought patterns, we can effectively manage and alleviate psychological distress. CBT is typically structured and goal-oriented, often involving a collaborative effort between the therapist and the individual seeking treatment.

When it comes to trauma treatment, CBT has demonstrated its effectiveness and superiority through research and clinical practice. CBT for trauma, commonly referred to as Trauma-Focused Cognitive Behavioural Therapy (TF-CBT), integrates CBT techniques with specialized approaches designed to address the specific needs of individuals who have experienced trauma. This could include events like physical or sexual abuse, accidents, natural disasters, or other traumatic experiences.

TF-CBT combines several key elements to promote healing and recovery:


  1. Psychoeducation: Educating individuals about trauma and its effects helps normalize their experiences and reduces feelings of shame or isolation.
  2. Cognitive Restructuring: This involves identifying and challenging negative thought patterns related to the trauma, helping individuals reframe their beliefs and perceptions.
  3. Exposure Therapy: Controlled and gradual exposure to trauma-related thoughts, feelings, or situations helps desensitize the individual and reduce fear and avoidance behaviours.
  4. Skill Building: Teaching coping skills to manage distressing emotions, anxiety, and other symptoms associated with trauma helps individuals regain a sense of control.
  5. Stress Reduction Techniques: Mindfulness, relaxation exercises, and other techniques are often integrated to help individuals manage heightened emotional states.
  6. Processing Traumatic Memories: Through guided discussions and narrative work, individuals are supported in processing and integrating traumatic memories into their overall life story.


Numerous research studies have demonstrated the efficacy of TF-CBT in treating trauma-related conditions like post-traumatic stress disorder (PTSD) in both adults and children. TF-CBT has been shown to lead to significant reductions in trauma-related symptoms, improved emotional regulation, and an enhanced sense of well-being. It also equips individuals with practical skills to cope with triggers and distressing situations in the future.

Overall, Cognitive Behavioural Therapy, particularly in its specialized form of Trauma-Focused CBT, is considered a superior method of treatment for trauma due to its evidence-based approach, focus on addressing thought patterns, and practical skill-building elements that empower individuals to regain control over their lives after experiencing traumatic events.


Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapy approach that was developed by Francine Shapiro in the late 1980s. It is primarily used to treat trauma-related disorders, including post-traumatic stress disorder (PTSD). EMDR integrates elements of cognitive-behavioural therapy (CBT) with bilateral stimulation techniques, such as rhythmic eye movements, tapping, or auditory cues.

The EMDR therapy process typically involves the following steps:


  1. History-taking and assessment: The therapist and client collaborate to identify traumatic memories and associated distressing thoughts, emotions, and physical sensations.
  2. Desensitization: The client focuses on the distressing memory while simultaneously engaging in bilateral stimulation, usually in the form of rhythmic eye movements. This process aims to reduce the emotional intensity of the memory.
  3. Reprocessing: As the desensitization phase progresses, the client is guided to explore more adaptive beliefs and thoughts related to the traumatic memory, fostering cognitive restructuring.
  4. Installation: Positive beliefs and emotions are reinforced, promoting a sense of resolution and healing.
  5. Body Scan: The client identifies any residual tension or physical sensations related to the memory, aiming to release any remaining distress.
  6. Closure: Each session ends with the client returning to a state of emotional equilibrium.
  7. Reevaluation: In subsequent sessions, the therapist assesses the progress made and adjusts the treatment plan as needed.


EMDR's effectiveness in treating trauma has been supported by a substantial body of research. The specific mechanisms underlying EMDR's efficacy are not fully understood, but several theories propose that the bilateral stimulation used during therapy may facilitate the processing of traumatic memories by simulating the natural processing that occurs during REM (rapid eye movement) sleep. This, in turn, is thought to lead to the integration of distressing memories into a less distressing narrative, thereby reducing their emotional impact.


Numerous studies have demonstrated that EMDR can be as effective as other evidence-based therapies, such as prolonged exposure therapy and cognitive-behavioural therapy, in treating trauma-related disorders. Some proponents of EMDR suggest that its incorporation of bilateral stimulation may enhance memory processing and decrease avoidance behaviors more rapidly than traditional talk therapies.


However, it's important to note that the superiority of EMDR over other therapies is a topic of ongoing debate among researchers and clinicians. While EMDR has shown promising results and gained recognition from organizations like the World Health Organization (WHO) and the American Psychological Association (APA), the choice of therapy should ultimately be based on the individual's preferences, needs, and the expertise of the therapist.


Prolonged Exposure Therapy (PE) is a widely used and evidence-based psychotherapy approach designed to treat trauma-related disorders, particularly Post-Traumatic Stress Disorder (PTSD). Developed by Dr. Edna Foa, PE aims to reduce the distress and symptoms associated with traumatic memories by helping individuals confront and process their traumatic experiences in a safe and controlled manner.


The therapy involves exposing the individual to memories, thoughts, feelings, and situations that trigger their traumatic responses, in a gradual and systematic manner. This exposure is intended to help them confront their fears and anxieties, allowing them to process and adapt to the traumatic memories over time. PE typically consists of several components, including education about trauma reactions, breathing techniques to manage anxiety, and repeated exposure to the traumatic memories through recounting the event and engaging in situations they have been avoiding.


PE is considered superior for trauma treatment due to its strong empirical support. Numerous clinical trials and research studies have demonstrated its effectiveness in reducing PTSD symptoms, improving overall functioning, and promoting long-term recovery. This therapy is rooted in cognitive-behavioural principles and has been shown to lead to significant reductions in avoidance behaviours, intrusive thoughts, and emotional distress associated with traumatic memories.


Comparative studies have suggested that PE is more effective than some alternative treatments in reducing PTSD symptoms. Its success can be attributed to its focus on habituating individuals to their traumatic memories and teaching them effective coping strategies, which gradually reduces the emotional charge and power of those memories over time. However, it's important to note that while PE has shown promising results for many individuals, the effectiveness of any therapy can vary based on individual differences, the severity of trauma, and other factors. Therefore, a personalized and comprehensive assessment by a mental health professional is essential to determine the most suitable treatment approach for each individual.


Dialectical Behavioral Therapy (DBT) is a therapeutic approach that was originally developed by Dr. Marsha Linehan in the 1980s, primarily to treat individuals with borderline personality disorder (BPD). However, it has since been adapted and proven effective for a wide range of mental health issues, including trauma-related conditions. Here's a brief summary of what DBT is and how it has demonstrated its effectiveness in treating trauma:


          1. Core Principles of DBT:

  • Dialectical: DBT combines opposing therapeutic strategies, such as acceptance and change, to help individuals find a balance between accepting themselves as they are and working towards positive change.
  • Behavioural: DBT emphasizes the role of behaviour and focuses on teaching individuals new skills to improve emotional regulation, interpersonal effectiveness, distress tolerance, and mindfulness.

          2. Components of DBT:

  • Individual Therapy: Clients work one-on-one with a therapist to address specific issues, set goals, and develop personalized coping strategies.
  • Group Skills Training: Clients participate in group sessions to learn and practice the four core DBT skill modules: mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.
  • Phone Coaching: Clients have access to phone coaching with their therapist between sessions to apply DBT skills in real-time when facing challenging situations.
  • Consultation Team: Therapists themselves receive ongoing support and supervision from a consultation team to ensure effective DBT implementation.

          3. How DBT Treats Trauma:

  • DBT is effective in trauma treatment due to its focus on emotional regulation and distress tolerance skills. Trauma survivors often struggle with overwhelming emotions and may engage in harmful coping mechanisms. DBT equips individuals with healthier ways to manage intense feelings and distressing situations.
  • Mindfulness practices in DBT help trauma survivors become more aware of their thoughts, emotions, and bodily sensations, facilitating the processing of traumatic memories and reducing emotional reactivity.
  • Interpersonal effectiveness skills teach individuals how to establish and maintain healthier relationships, which is crucial for trauma recovery as it can help rebuild a support network.
  • The dialectical approach encourages self-acceptance and self-compassion, which can be vital for individuals who may blame themselves for their traumatic experiences.


DBT's effectiveness in trauma treatment has been demonstrated through clinical research and practice. While it was originally designed for borderline personality disorder, it has shown promise in addressing various mental health challenges, including trauma-related conditions like post-traumatic stress disorder (PTSD) and complex trauma. The combination of skills training, individual therapy, and ongoing support makes DBT a valuable and evidence-based approach for helping individuals heal from trauma. However, it's important to note that the choice of therapy should be tailored to individual needs and preferences, and DBT may not be the best fit for everyone.


Internal Family Systems Therapy (IFS) is a therapeutic approach developed by Richard Schwartz in the 1980s that views the human psyche as consisting of multiple "parts" or subpersonalities within an individual's mind. These parts can be characterized by various emotions, beliefs, and roles, and they often interact with one another. IFS posits that these internal parts are organized around the core Self, which represents the person's true, authentic nature.


In IFS therapy, the therapist helps the client explore and understand these internal parts, fostering communication and cooperation among them. The primary goal is to help the client achieve Self-leadership, where the core Self can effectively manage and harmonize the various parts of the psyche. This inner harmony is believed to lead to improved emotional well-being and greater resilience.

IFS has gained recognition as a valuable approach for trauma treatment for several reasons:


  1. Empowerment and Self-Compassion: IFS emphasizes self-compassion and self-empowerment. Clients learn to approach their internal parts with curiosity and understanding rather than judgment, which can be particularly beneficial for trauma survivors who may have deep-seated self-blame or shame.
  2. Trauma-Informed: IFS is inherently trauma-informed, recognizing that traumatic experiences can lead to the fragmentation of the psyche. It provides a framework for addressing and healing the emotional wounds that result from trauma.
  3. Non-Reactivity: IFS encourages clients to remain non-reactive to their traumatic memories and emotions. Instead of retraumatizing individuals, it helps them gently explore their inner world and gradually heal.
  4. Emotional Regulation: Clients learn to better regulate their emotions as they become more in tune with their inner dynamics. This can be crucial for individuals with trauma-related emotional dysregulation.
  5. Long-Lasting Results: IFS is known for its potential to produce lasting results. By addressing the root causes of emotional distress and fostering inner harmony, it aims to create sustainable improvements in mental health.


While IFS has shown promise in trauma treatment and has garnered support from many therapists and clients, it is essential to note that no single therapeutic approach is universally superior for everyone. The effectiveness of any therapy depends on individual factors, the nature of the trauma, and the skill of the therapist. Therefore, IFS may be a valuable option within the broader spectrum of trauma treatment methods, but its suitability should be assessed on a case-by-case basis.


We do offer direct billing to many insurance providers. However, there are numerous insurance providers, with varying policies and processes. It's not possible for us to work with all of them directly. If we are unable to direct bill your insurance, you can submit for reimbursement from your insurance for our services. All relevant information needed about your Psychologist/Therapist will be on your receipt. Your Insurance will then review your claim and determine the eligible amount for reimbursement based on your policy terms. If you have any further questions about this process, I recommend reaching out to your insurance provider directly. 


Each session with your Psychologist/Therapist will last 50 minutes. Double appointments are booked for 100 minutes of time with your Psychologist/Therapist.


Please review our SERVICES AND FEES area for this information. Session costs are based on the length and type of session. If you would like discuss the possibility of a "sliding scale" due to financial concerns, please discuss this individually with your Psychologist/Therapist.




We understand that unforeseen circumstances can arise, requiring changes to your scheduled appointment. To provide you with the best service and accommodate individual situations, we have developed the following cancellation policy:


  • If you need to cancel or reschedule your appointment, kindly provide a minimum of 48 hours' notice. This allows us to adjust our schedule and offer the time slot to other clients.
  • Cancellations made with less than 48 hours' notice may result in a charge equivalent to the full appointment duration.
  • We recognize that exceptional circumstances can occur, and we are open to discussing individual situations on a case-by-case basis. Please contact us as soon as possible if you find yourself in such a situation.


We appreciate your understanding of our cancellation policy, which enables us to maintain the quality and availability of our services.


 

In Alberta, the roles of Psychologist, Counsellor, and Clinical Social Worker have distinct differences:


  1. Psychologist: A Psychologist is a professional who holds a doctoral degree in psychology. They are licensed to diagnose and treat a wide range of mental health issues using evidence-based therapies and psychological assessments. Psychologists have extensive training in psychological theories, research, and clinical practice, allowing them to provide in-depth psychological interventions and therapy.
  2. Counsellor: A Counsellor typically holds a master's degree in counseling or a related field. They provide guidance, support, and therapeutic interventions to individuals, couples, or groups to address various personal, emotional, and psychological challenges. Counsellors often use talk therapy and other therapeutic techniques to help clients manage their concerns and improve their mental well-being.
  3. Clinical Social Worker: A Clinical Social Worker possesses a master's degree in social work and specialized training in clinical practice. They focus on helping individuals and families navigate social and emotional difficulties. Clinical Social Workers provide therapy, counseling, and advocacy, utilizing a holistic approach that considers the social, cultural, and environmental factors affecting clients' lives.


In Alberta, these professionals are regulated by different licensing bodies, such as the College of Alberta Psychologists, the Alberta College of Social Workers, and the Canadian Counselling and Psychotherapy Association. Each role has its own scope of practice, training requirements, and areas of expertise, but they all contribute to supporting individuals' mental health and well-being.


For your convenience, we use an online platform to book and host your appointments, Owl Practice. You can use this platform to create a user account that will allow you to book your appointments, communicate with your Psychologist/Therapist, and access your invoices Please CONTACT US if you need support in setting up your booking account. If you are interested in booking, please click BOOK NOW


Epiphany is happy to support anyone who lives in Alberta. If you are unable to attend your appointments in person, we are happy to offer online sessions for those who prefer or need this service.


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