Blake Rupert Counselling

FAQ

Frequently asked questions

Practical answers to the questions people usually ask before booking. If yours isn't here, the easiest way to get an answer is on the consultation call itself.

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Starting Therapy

What happens on the free consultation?

The consultation is a short call, usually about 20 minutes, where you describe what you're working with and I describe how I work. The goal is to figure out whether this is the right kind of help for what you're carrying. There's no pressure to book afterwards. If we're not a fit, I'll often suggest someone who might be.

How do I book?

Book a free consultation directly through the booking link. After the consultation, if we both think it's a fit, we set up a first session at a time that works. Sessions can be online or in-person depending on availability and your preference.

How much does counselling cost?

Sessions are $60 + tax for a 50-minute session at the introductory rate, while I complete the final stage of registration. The standard rate will be higher once registration is complete. A limited number of spots remain at the current rate; clients who begin before May 31 keep this rate going forward.

Are sessions covered by extended health benefits?

Direct billing isn't currently available, but many extended health plans reimburse counselling sessions when you submit a receipt. Coverage depends on your specific plan and what type of practitioner it covers. The best step is to check with your benefits provider before your first session.

Do you offer online counselling in Canada?

I'm based in British Columbia and offer virtual counselling to clients in BC and select Canadian jurisdictions where permitted. Counselling regulation varies significantly by province. Some are unregulated and straightforward; others require specific provincial registration that I don't currently hold. If you're located outside BC and interested in working together, mention your location when booking the consultation and I'll let you know honestly whether it's something I can offer.

Do you offer in-person counselling in Vancouver?

Yes, in-person counselling is available in Vancouver depending on schedule and availability. Many clients mix in-person and online sessions depending on what's logistically easier in a given week.

Fit

Who do you typically work with?

Thoughtful, accomplished people who feel caught in repeating dynamics. Often analytical and self-aware, successful by external measures, and quietly stuck on something they can't think their way out of. Many are professionals: founders, executives, physicians, leaders. Common reasons people come in include anxiety, relationship strain, emotional numbness, burnout, life transitions, and a sense that the version of themselves who built their current life isn't the one who can grow into what's next.

Do you work with men?

Yes. A significant part of my practice is with men who can think clearly but struggle to feel clearly. Articulate, responsible, and capable, but disconnected from what's actually happening underneath. A lot of contemporary counselling doesn't really know what to do with men, and I've made working with men a deliberate focus of the practice.

I overthink everything. Is this work useful for that?

Yes. Overthinking is one of the most common reasons people I work with seek therapy. The work isn't about stopping the thinking; the thinking is often a strength. It's about getting the thinking to point in useful directions and learning to recognize when more analysis is solving the problem and when it's avoiding it. Anxiety and rumination respond well to this approach.

I've done therapy before. What's different here?

Most of the people I see have done therapy before, sometimes a lot of it. What's usually different here is the emphasis on actual change in real life rather than continued self-exploration. The first sessions focus on getting clear about what's worked and what hasn't in your previous therapy, what you're actually trying to change now, and how we'll work. The goal is movement, both quick practical wins where they're available and deeper work where it's needed.

How do I know if I need therapy?

You usually don't need a formal answer to start. Most people who'd benefit from therapy aren't sure whether they qualify for it. If something in your life isn't working the way you want it to, and you've already tried to think your way through it, that's usually a reasonable signal. A free consultation is the cleanest way to find out. Describe what you're working with, I'll tell you honestly whether I think this work fits.

Who is this not a good fit for?

A few situations where I'd recommend a different clinician:

  • If you're in crisis or experiencing active suicidality.Crisis intervention isn't my specialty and you deserve immediate support from someone trained specifically for it. In a crisis, call or text 9-8-8 for the Canada Suicide Crisis Helpline. If there is immediate danger, contact local emergency services or go to the nearest emergency department.
  • If your central struggle is substance use, an eating disorder, OCD, or panic disorder.There are clinicians who specialize in those areas, and that specialization matters.
  • If you're looking for couples or family therapy.I work with individuals only.
  • If you need formal assessment or diagnosis.That's the work of psychologists or psychiatrists.
  • If you're looking for someone to validate that the problem is someone else.That work tends not to go anywhere, and I'd rather be upfront about it.

The Work

What's a session like?

Sessions are 50 minutes. The first one or two focus on getting clear about what you're working with and how we'll work together. After that, sessions vary. Some are practical and skill-focused (behaviour design, communication, decision-making), others go deeper into emotional or relational patterns. I check in often to make sure we're going where you actually want to go. The work is collaborative; you set the pace and direction.

Is your approach evidence-based?

Yes. The approach draws from AEDP (Accelerated Experiential Dynamic Psychotherapy), somatic therapy, ACT (Acceptance and Commitment Therapy), solution-focused approaches, relational therapy, and mindfulness. All with substantial research support. I use them as tools responsive to the work, not as a rigid protocol.

How quickly do people see change?

Some change usually starts in the first few sessions. Clarity about what's actually happening, a few practical shifts, a sense of momentum. Deeper changes take longer and look different: more options in difficult moments, less reactivity, a wider emotional range. Most clients report meaningful change within the first two to three months. The pace depends on what you're working with and how often we meet.

Is this therapy or coaching?

This is counselling. The work is grounded in clinical training, ethics, and the therapeutic relationship, not coaching.

That said: some clients want a coaching engagement instead. The work looks similar in some ways (frameworks, behaviour design, communication, decision-making) but coaching is structurally different. It isn't licensed clinical practice, it doesn't carry the same protections, and the focus stays on present-oriented goals rather than the deeper psychological work. If a coaching arrangement is what you're actually looking for, that's worth naming in the consultation. We'll figure out which one fits.

Do you work with questions of meaning, values, or spirituality?

Yes, where relevant. I'm fluent in the practical and in the deeper registers: spiritual, existential, philosophical. Meditation has played a meaningful part in my life, and the work of teachers in the Insight Meditation tradition has shaped how I think about presence and attention. This work can hold those questions without losing its practical ground.

Practical Boundaries

Are you a registered counsellor in BC?

I hold a Master of Counselling (MC) and completed clinical training through UBC Counselling Services. I'm currently in the final stage of registration with the British Columbia Association of Clinical Counsellors (BCACC) and the Canadian Counselling and Psychotherapy Association (CCPA). The introductory session rate reflects this period; once registration is complete, the standard rate will apply. Clients who begin at the introductory rate keep it.

Is what we talk about confidential?

Yes. Counselling sessions are confidential by professional ethics and BC privacy legislation. There are a few legal exceptions where confidentiality cannot be maintained: risk of serious harm to yourself or others, suspected harm to a minor, court orders, and similar. I'll go over the specifics in our first session so you know exactly what to expect.

What's your cancellation policy?

I ask for at least 24 hours' notice for cancellations or rescheduling. Sessions cancelled with less than 24 hours' notice may be charged the full session fee, except in cases of emergency, illness, or circumstances outside your control.

Can I stop if it isn't a fit?

Yes, always. Counselling works because you've chosen it; it doesn't work when you haven't. If something isn't fitting (the approach, the chemistry, the pace, anything) I'd rather know so we can either adjust or you can find someone who fits better. No hard feelings, no pressure, no awkward exit conversation required.


If your question isn't here, the easiest way to get an answer is a short call.

Book a free consultation