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Make a direct therapy referral
in-person in North Vancouver, virtually across BC.
Support for OCD & anxiety in teens and young adults.
Collaborative, evidence-based therapy for your patients.When anxiety, overthinking, and avoidance persist despite reassurance, medication, and standard supports, evidence-based psychotherapy can help.
Cognitive and behavioural therapies such as CBT, Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP) are evidence-based, gold standard approaches to treating an array of anxiety and related disorders, including GAD and OCD.
OCD is often associated with contamination and visible compulsions, but many individuals experience less obvious presentations that can be easily missed in primary care.
This can include:
Intrusive thoughts related to harm, relationships, morality, or identity
Excessive doubt and inflated responsibility
Mental compulsions (e.g., rumination, reassurance-seeking, “figuring it out”)
Checking behaviours (including Google/research)
Avoidance and procrastination driven by anxiety
These patterns often follow an OCD cycle, even when compulsions are primarily internal:
intrusive thoughts → anxiety → compulsions → temporary relief → repeat.
I have a particular interest and skill in identifying and working with these more subtle presentations, including “sneaky” compulsions, like rumination, that can maintain distress over time.
❋ Understanding OCD (beyond contamination)how does anxiety and OCD therapy work?
The focus of this work is not to eliminate intrusive thoughts, but to help clients change how they respond to them
I provide evidence-based therapy for OCD and anxiety, primarily using Exposure and Response Prevention (ERP), along with CBT and ACT-informed strategies.
ERP is a structured, well-researched approach that helps people respond differently to intrusive thoughts and anxiety, rather than trying to eliminate them. In OCD and anxiety patterns, distress is often maintained by avoidance and compulsive behaviours (including mental rituals like rumination or reassurance-seeking). Treatment focuses on gradually reducing these patterns so symptoms become more manageable over time.
Sessions are collaborative, paced, and tailored to the individual. Clients are supported in gradually facing feared thoughts or situations in a structured way, with attention to readiness and tolerance for discomfort. The goal is improved functioning, reduced impairment from anxiety patterns, and greater flexibility in day-to-day life.
Clinical fit
I specialize in working with children, adolescents, and young adults (ages 10–25), though I see clients across the lifespan.
Common referral presentations include:
OCD
Generalized anxiety with compulsive features
Perfectionism and self-doubt
Rumination and intrusive thoughts
Reassurance-seeking and checking behaviours
I am not a good fit for primary concerns related to trauma, eating disorders, or psychosis.
Collaborative Care
I value working collaboratively with referring providers and aim to support continuity of care.
With client consent, I can:
Provide brief progress updates (every 1–2 sessions as needed)
Offer collateral information to support diagnostic clarification
Coordinate care alongside medication management
Connect via phone or secure communication when helpful
My goal is to make collaboration straightforward, useful, and respectful of your time.
ABOUT ALEXINA
📍 I’m a Registered Clinical Counsellor in North Vancouver.
🗣️ I work with anxiety, perfectionism, and negative self-talk in kids, teens, and young adults (ages 10–25).
☕️ My approach is warm, collaborative, and humorous.
🧠 I primarily use Cogntive Behaviour Therapy.
📚 I have a Master of Counselling Psychology, where I specialized in school and youth populations.
✨ I completed my clinical practicum at Foundry North Shore.
🤓 I tutored high school math for 10 years.
🏃♀️ My sport of choice is trail ultramarathons.
🐶 I have a dog named Chauncey.
Referral Process
Referrals can be made in the following ways:
Submit a referral form via my website
Direct clients to self-book through JaneApp
I also offer a 15–20 minute consultation to ensure fit prior to starting therapy.
Wait time: Typically within 1 week
Format: In-person (North Vancouver) and virtual across BC
Fees & Coverage
Rate: $160/50-minute session.
Services are private pay and not covered by MSP.
Clients may be eligible for reimbursement through extended health benefits.
A limited number of sliding scale spaces are available ($100/50-minute session).
Get in Touch / Refer
You can refer a patient or learn more about my approach using the link below:
