5 Tips for Helping Your Child with the Back-to-School Transition: Vancouver Sleep Consultant

The back-to-school transition can be an exciting yet challenging time for both children and parents. As a Registered Clinical Counsellor and pediatric sleep consultant in Vancouver, I understand the importance of establishing healthy sleep habits and managing behavior during this period. In this blog post, I will share five valuable tips to help your child navigate the back-to-school transition smoothly, focusing on both sleep and behavior.

1. Gradual Adjustment of Sleep Schedule:

During the summer break, children often have more relaxed sleep schedules. To ease the transition, start gradually adjusting their sleep routine a week or two before school starts. Implement earlier bedtimes and wake-up times incrementally, allowing their bodies to adapt. Consistent sleep schedules help regulate their internal clock, ensuring they are well-rested and prepared for the demands of the school day.

2. Create a Calming Bedtime Routine:

A consistent bedtime routine is crucial for promoting quality sleep. Establish a calming routine that includes activities such as reading books, taking a warm bath, or practicing relaxation techniques like deep breathing exercises. By creating a peaceful atmosphere, you can help your child unwind, signaling to their brain that it's time for sleep. Avoid stimulating activities like screen time in the hour leading up to bedtime, as it can hinder the ability to fall asleep.

3. Set Up a Sleep-Friendly Environment:

Creating a sleep-friendly environment is essential for facilitating restful sleep. Ensure your child's bedroom is dark, quiet, and at a comfortable temperature. Consider using blackout curtains, white noise machines, or soothing music to block out external disturbances. Additionally, make sure their bedding is comfortable and supportive. A cozy and inviting sleep environment can help your child fall asleep faster and stay asleep throughout the night.

4. Encourage Physical Activity and Healthy Eating:

Regular exercise and a balanced diet play a significant role in promoting healthy sleep and overall well-being. Encourage your child to engage in physical activities during the day, such as outdoor play, sports, or active games. Physical exertion helps release excess energy and promotes better sleep at night. Additionally, provide nutritious meals and snacks, avoiding sugary or caffeinated foods and drinks that can interfere with sleep patterns.

5. Address Anxiety and Manage Behavior:

The back-to-school transition can trigger anxiety and behavioral changes in children. It's important to address their concerns and provide reassurance. Talk to your child about their feelings regarding school, and help them develop coping strategies to manage any stress or worries they may have. Maintain open lines of communication with their teachers to stay informed about their academic progress and behavior, enabling you to address any concerns promptly

By implementing these five tips, you can help your child navigate the back-to-school transition with ease. Prioritizing healthy sleep habits, creating a soothing bedtime routine, and fostering a sleep-friendly environment will ensure they are well-rested and ready to learn. Additionally, promoting physical activity, healthy eating, and addressing anxiety will contribute to their overall well-being and positive behavior. Remember, consistency and patience are key during this adjustment period. Wishing you and your child a successful and restful school year!

If you require further guidance or have specific concerns about your child's sleep or behavior, don't hesitate to reach out to a pediatric sleep consultant in your area for personalized support. I offer in-person and online appointments that cater to your family’s needs. If you are a BC resident, my counselling and sleep counselling services are often covered by insurance.

The Pacifier Predicament: How it Might Prolong Sleep Training Progress

Kelsey Atkinson, Baby Sleep Consultant Vancouver

Sleep training can be a challenging journey for both babies and parents alike. While pacifiers are commonly used to soothe infants, there is evidence to suggest that their use during sleep training can potentially hinder progress. In this blog post, we will explore how pacifiers might prolong sleep training and offer alternative strategies for promoting healthy sleep habits in babies.

1. Dependency on External Soothers:

One of the main concerns with pacifiers during sleep training is the potential for creating a dependency on external soothers. When a baby relies on a pacifier to fall asleep, they may struggle to self-soothe and may wake up when it falls out of their mouth. This can disrupt their sleep and impede the development of self-soothing skills.

2. Interference with Self-Soothing:

Effective sleep training aims to teach babies how to self-soothe and fall asleep independently. The presence of a pacifier can interfere with this process by providing an artificial source of comfort. Babies may become reliant on the pacifier and struggle to develop the ability to self-soothe, leading to sleep disruptions and frequent awakenings.

3. Sleep Association Challenges:

Associating sleep with a pacifier can create challenges when the pacifier is not readily available. If a baby wakes up in the middle of the night and cannot find their pacifier, they may become unsettled and have difficulty falling back asleep. Breaking this association can be a complex task, often requiring additional effort and time.

Alternative Strategies for Sleep Training:

a. Gradual Weaning: If your baby is already reliant on a pacifier, consider a gradual weaning process. Start by using the pacifier only during naps and gradually reduce its use over time. This allows your baby to begin developing self-soothing skills while maintaining a sense of comfort during the transition.

b. Introduce Gentle Sleep Associations: Encourage your baby to establish positive sleep associations that don't involve a pacifier. This can include using a favorite blanket or a soft toy as a transitional object, creating a consistent bedtime routine, or incorporating gentle music or white noise to signal sleep time.

c. Consistency and Patience: Remember that sleep training takes time and consistency. Be patient with your baby as they learn to self-soothe and develop healthy sleep habits. Provide comfort and reassurance without relying solely on a pacifier, gradually encouraging them to rely on their own resources for falling asleep and staying asleep.

While pacifiers can provide temporary comfort to babies, their use during sleep training may prolong the process and hinder the development of independent sleep skills. By gradually weaning off pacifier use and focusing on alternative strategies to promote self-soothing, parents can support their baby's journey towards healthy and independent sleep habits. Remember, every baby is unique, and finding the approach that works best for your child is key to successful sleep training.

Co-Sleeping Safely: A Guide for Peaceful Nights with Your Baby

Kelsey Atkinson, Pediatric Sleep Consultant Vancouver, BC

Co-sleeping, the practice of sharing a bed with your baby, can create a strong bond and facilitate nighttime caregiving. However, it's crucial to prioritize safety to ensure a peaceful and secure sleep environment for both you and your little one. In this blog post, we'll explore safe co-sleeping practices that promote restful sleep and reduce risks.

1. Choose the Right Bed:

Opt for a firm mattress and avoid waterbeds or excessively soft surfaces that can pose suffocation hazards. Keep pillows, blankets, and stuffed animals away from your baby's sleeping area to prevent accidental smothering.

2. Create a Safe Sleep Space:

Consider using a co-sleeper bassinet, sidecar arrangement, or attaching a crib to your bed to provide a separate sleep surface for your baby. This way, you can maintain close proximity while minimizing the risk of accidental rollovers or entrapment.

3. Clear the Sleeping Area:

Ensure that the sleep space is free from potential hazards. Remove any loose or hanging cords, curtains, or other items that your baby could pull or grab. Install bed rails if needed to prevent accidental falls.

4. Position Baby Safely:

Place your baby to sleep on their back, as recommended by pediatricians. This position reduces the risk of Sudden Infant Death Syndrome (SIDS). Avoid positioning your baby between two adults or close to the edge of the bed to prevent accidental rolling or falling.

5. Dress Your Baby Appropriately:

Overheating can increase the risk of SIDS. Dress your baby in lightweight clothing and use a lightweight blanket if necessary. Keep the room temperature comfortable and ensure good air circulation.

6. Avoid Alcohol, Smoking, and Medications:

Do not co-sleep if you have consumed alcohol, used recreational drugs, or are taking sedative medications. These substances can impair your awareness and responsiveness, increasing the risk of accidental suffocation or injury.

7. Breastfeeding Safety:

Breastfeeding and co-sleeping often go hand in hand. Ensure you're well-informed about safe breastfeeding practices while co-sleeping. Position your baby to breastfeed, then return them to their separate sleep space afterward to minimize potential risks.

8. Be Mindful of Older Siblings and Pets:

If you have older children or pets, take extra precautions to ensure their safety around the sleeping area. Set clear boundaries, supervise interactions, and consider using safety gates or other barriers if necessary.

9. Trust Your Instincts:

Every baby and family is unique, so pay attention to your instincts and adjust your co-sleeping arrangements accordingly. If you're uncertain about safety or have concerns, consult with a pediatrician or a baby sleep specialist for guidance.

Co-sleeping can be a beautiful way to bond with your baby, but safety should always be the top priority. By following these safe co-sleeping practices, you can create a secure sleep environment, promote restful nights, and enjoy the closeness that co-sleeping offers. Remember, informed decision-making and attentiveness are key to ensuring the well-being of both you and your baby.

"Transitioning from Crib to Bed: Finding the Perfect Time for Your Child's Sleep Success" -Kelsey Atkinson, Sleep Consultant Vancouver

Transitioning your child from a crib to a bed is an exciting milestone, but it can also be a daunting decision for parents. Determining the right time for this transition is crucial to ensure a smooth and successful shift in your child's sleep routine. In this blog post, we will guide you through the factors to consider when deciding when to make the switch and provide helpful tips to make the transition as seamless as possible.

1. Age and Development:

The first factor to consider is your child's age and developmental stage. While there is no hard and fast rule, most children are ready to transition at around 3 years old. By this age, they have typically outgrown the crib and are showing signs of increased independence. However, it's important to remember that every child is unique, and readiness can vary. Look for signs such as climbing out of the crib or expressing interest in a big kid bed.

2. Safety Precautions:

Before making the transition, ensure that your child's new sleeping environment is safe. Install bed rails or choose a bed with built-in safety features to prevent falls during the night. Remove any potential hazards from the bedroom, such as cords or small objects within reach. Taking these precautions will provide peace of mind and promote a safe sleeping environment.

3. Consistency and Routine:

Maintaining a consistent bedtime routine is essential during the transition. Familiarize your child with their new bed by involving them in the process of selecting bedding or even decorating their new sleep space. This will help create a positive association with the bed and make the transition more exciting. Stick to established bedtime rituals, such as reading a story or singing a lullaby, to provide a sense of comfort and familiarity.

4. Gradual Approach:

For some children, a gradual transition may be more successful. Start by introducing naps in the new bed while keeping nighttime sleep in the crib. This allows your child to become comfortable with the new sleeping arrangement and gradually adjust. Once naps are going smoothly, you can then move on to transitioning nighttime sleep to the bed. Remember to be patient and supportive throughout the process.

5. Communication and Encouragement:

Openly communicate with your child about the transition. Explain that they are growing up and ready for a big kid bed, emphasizing the positive aspects of this change. Encourage their independence and celebrate milestones along the way, such as staying in bed throughout the night or waking up in the morning without assistance. Positive reinforcement will motivate your child and make the transition a positive experience.

Transitioning your child from a crib to a bed is a significant step in their development. By considering factors such as age, safety, consistency, and communication, you can determine the best time for this transition. Remember, every child is unique, and the process may take time and patience. With a little planning, support, and understanding, you can help your child embrace their new sleep space and pave the way for restful nights ahead.

If you have a toddler and are wanting to make the transition a bit easier, feel free to reach out. Working with a sleep consultant can be a great help during this big change for your family. I offer BC-wide virtual appointments and in-home sleep consultations in Vancouver.

FAQ: When age can I start sleep training? Pediatric Sleep Consultant Vancouver

Although many parents have successfully sleep trained at earlier ages, I recommend sleep training when babies are over 4 months old. Sleep training can be beneficial for babies beyond the age of 4 months for several reasons:

1. Developmental Readiness: By 4 months, most babies have reached a stage of neurological and physiological development that allows them to self-soothe and develop healthy sleep habits. Their sleep patterns become more consolidated, making it easier to establish consistent routines.

2. Sleep Associations: Older babies may have developed strong sleep associations such as rocking, nursing, or being held to fall asleep. Sleep training can help them learn to self-soothe and fall asleep independently, reducing dependency on external sleep aids.

3. Sleep Consolidation: By sleep training, you can help your baby consolidate their sleep into longer stretches at night. This benefits both the baby and the parents, as longer periods of uninterrupted sleep promote better rest, energy, and overall well-being.

4. Napping Routine: Establishing a sleep training routine can also improve daytime napping. Babies who are sleep trained often have more predictable and longer naps, leading to better overall sleep quality.

5. Parental Well-being: Sleep deprivation can take a toll on parents' physical and mental health. Sleep training can help parents regain much-needed rest, leading to improved mood, increased productivity, and better bonding with their baby during waking hours.

6. Long-term Sleep Habits: Teaching healthy sleep habits early on can set the foundation for long-term sleep skills. Sleep training can help establish consistent bedtime routines and promote self-soothing, which can benefit the child as they grow and encounter future sleep challenges.

It's important to note that every baby is unique, and the decision to sleep train should be made based on the individual needs and circumstances of the family. Consulting with a pediatric sleep consultant can provide personalized guidance and support tailored to your baby's specific sleep challenges and age.

Remember, sleep training should always be approached with sensitivity and empathy, ensuring that the chosen method aligns with your parenting philosophy and respects the needs of your baby.

The Importance of Setting Boundaries as a New Parent: Protecting Your Mental Health and Well-being

North Vancouver Counsellor + Pediatric Sleep Consultant

Welcoming a new baby into the family can be an exciting and overwhelming experience for new parents. While it is natural for friends and family to want to offer support and help during this time, it is important for new parents to set boundaries to protect their own mental health and well-being. In this blog post, we will explore why it is important to set boundaries with friends and family when you have a baby and provide examples of how to do so.

Why it is Important to Set Boundaries:

1. Protecting Your Mental Health: The first few weeks and months after having a baby can be stressful and emotionally challenging for new parents. Setting boundaries with friends and family can help reduce stress and anxiety, and allow new parents to focus on their own mental health and well-being.

2. Building a Strong Parent-Child Bond: Setting boundaries can also help new parents build a strong bond with their baby. By prioritizing their own needs and the needs of their baby, new parents can create a nurturing and secure environment for their child.

3. Avoiding Burnout: Finally, setting boundaries can help new parents avoid burnout. Caring for a new baby can be exhausting, and it is important for parents to take breaks and prioritize self-care in order to avoid feeling overwhelmed.

Examples of How to Set Boundaries:

1. Be Clear and Direct: When setting boundaries with friends and family, it is important to be clear and direct. Let them know what you need and when you need it. For example, you might say "I appreciate your offer to help, but I need some time alone with my baby right now."

2. Set Expectations: You can also set expectations with friends and family about when and how they can visit or offer support. For example, you might say "We're only accepting visitors on weekends right now, and we ask that you call ahead to schedule a visit."

3. Say No: It is also okay to say no to requests for help or visits from friends and family. Remember that your own mental health and well-being, as well as that of your baby, should be your top priority. For example, you might say "I'm sorry, we're not up for visitors right now."

In conclusion, setting boundaries with friends and family is an important part of protecting your own mental health and well-being as a new parent. By being clear and direct, setting expectations, and saying no when necessary, you can create a nurturing and secure environment for yourself and your baby. If you are struggling with adjusting to parenthood or experiencing symptoms of postpartum depression, I offer in-person counselling in North Vancouver for new parents, moms with PPD, and pediatric sleep consulting.

References:

1. American Psychological Association. (2018). Parenting: Balancing work and family. Retrieved from https://www.apa.org/helpcenter/work-parent

2. The Gottman Institute. (2017). Setting Boundaries in Your Relationship. Retrieved from https://www.gottman.com/blog/setting-boundaries-in-your-relationship/

3. National Institute of Mental Health. (2018). Postpartum Depression Facts. Retrieved from https://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml

Understanding the 4-Month Sleep Regression: Tips for Parents and the Benefits of Working with a Sleep Consultant

Baby Sleep Consultant Vancouver, BC

As your little one reaches the 4-month mark, you may notice a sudden change in their sleep patterns. This is known as the 4-month sleep regression, a common and challenging phase that many parents face. In this blog post, we will delve into what exactly the 4-month sleep regression entails, provide tips on how to navigate through this period, and highlight the benefits of working with a pediatric sleep consultant during this time of transition.

What is the 4-Month Sleep Regression?

The 4-month sleep regression refers to a developmental stage in which a baby's sleep patterns shift dramatically. It typically occurs around the 3.5 to 4.5-month mark when your baby undergoes significant neurological and physiological changes. During this regression, your baby may experience more frequent night wakings, shorter naps, and difficulty settling back to sleep.

Tips to Navigate the 4-Month Sleep Regression:

1. Establish a Consistent Bedtime Routine: A soothing and predictable bedtime routine can help signal to your baby that it's time to wind down and prepare for sleep.

2. Encourage Independent Sleep Associations: Gradually wean your baby off sleep associations such as rocking or feeding to sleep, helping them learn to self-soothe and fall asleep independently.

3. Create a Sleep-Friendly Environment: Ensure the sleep environment is comfortable, dark, and quiet. Consider using white noise machines or blackout curtains to promote better sleep.

4. Practice Responsive Feeding: During this regression, babies might experience increased hunger due to growth spurts. Offer additional feedings as needed while maintaining a consistent feeding schedule.

5. Implement Age-Appropriate Sleep Schedule: Adjust your baby's sleep schedule based on their age and individual needs, aiming for an appropriate balance of daytime naps and nighttime sleep.

The Benefits of Working with a Sleep Consultant:

Navigating the 4-month sleep regression can be overwhelming for parents. Seeking guidance from a pediatric sleep consultant can offer several benefits, including:

1. Expertise and Individualized Support: A sleep consultant can assess your baby's sleep patterns, provide personalized strategies, and troubleshoot specific challenges based on your family's unique circumstances.

2. Tailored Sleep Plans: Sleep consultants can create customized sleep plans that align with your parenting philosophy and address your baby's specific sleep needs.

3. Knowledge of Developmental Milestones: Sleep consultants are well-versed in the developmental stages that can impact sleep. They can guide you through each regression, including the 4-month sleep regression, with strategies to help your baby adjust.

4. Continuous Support and Accountability: Sleep consultants provide ongoing support and guidance throughout your sleep journey, offering reassurance, troubleshooting, and motivation to help you stay on track.

Sign Up for a Free Intro Call:

If you are struggling with your baby's sleep during the 4-month sleep regression, consider working with a pediatric sleep consultant. Sign up for a free introductory call to discuss your concerns, explore potential solutions, and gain valuable insights into helping your baby sleep better.

References:

1. Mindell, J. A., & Williamson, A. A. (2018). Benefits of a bedtime routine in young children: Sleep, development, and beyond. Sleep Medicine Reviews, 40, 93-108.

2. St James-Roberts, I., Roberts, M., Hovish, K., & Owen, C. (2015).

Effective Co-Parenting Tips: How to Work with Your Ex for Your Children's Well-Being

North Vancouver Family Counselling

Co-parenting can be a challenging and emotional experience for many families, especially after a separation or divorce. However, with the right mindset and strategies, it is possible to create a positive co-parenting relationship with your ex that benefits your children's well-being. Here are some tips on how to co-parent effectively:

1. Communicate clearly and respectfully: Open and honest communication is essential for effective co-parenting. It is important to be clear with your ex about your expectations, concerns, and plans for your children. However, it is equally important to be respectful and avoid using hostile or aggressive language during conversations. According to a study published in the Journal of Divorce & Remarriage, effective communication between co-parents can lead to more positive outcomes for children (Buehler et al., 2010).

2. Create a co-parenting plan: A co-parenting plan can help you and your ex establish clear guidelines and expectations for raising your children. This can include details about schedules, pick-up and drop-off times, holidays, and communication protocols. A study published in the Journal of Family Psychology found that having a detailed co-parenting plan can help reduce conflict and promote positive co-parenting relationships (Feinberg et al., 2012).

3. Prioritize your children's needs: It is important to put your children's needs first when co-parenting. This means making decisions that are in their best interests, even if they may not align with your own preferences. According to a study published in the Journal of Marriage and Family, parents who prioritize their children's needs over their own are more likely to have positive co-parenting relationships (Kramer et al., 2016).

4. Seek support when needed: Co-parenting can be emotionally challenging, and it is okay to seek support from a therapist or counsellor when needed. A mental health professional can help you navigate difficult emotions and provide tools for effective communication and problem-solving. According to a study published in the Journal of Child and Family Studies, parents who receive support from mental health professionals have better co-parenting outcomes (Hardesty et al., 2016).

Co-parenting can be a positive experience for families when approached with the right mindset and strategies. By communicating clearly, creating a co-parenting plan, prioritizing your children's needs, and seeking support when needed, you can establish a healthy co-parenting relationship with your ex that benefits your children's well-being. If you are looking for counselling support to help navigate co-parenting with an ex, please feel free to book a free 15 min intro call. In-person counselling in North Vancouver is available, as well as online appointments across BC.

References:

Buehler, C., Gerard, J.M., & Cummings, E.M. (2010). Parental communication and children's behavior in divorced and intact families. Journal of Divorce & Remarriage, 51(3), 168-182.

Feinberg, M.E., Jones, D.E., Hostetler, M.L., Roettger, M.E., Paul, I.M., & Ehrenthal, D.B. (2012). Couple-focused prevention at the transition to parenthood, a randomized trial: Effects on coparenting, parenting, family violence, and parent and child adjustment. Journal of Family Psychology, 26(2), 229-240.

Hardesty, J.L., Crossman, K.A., Haselschwerdt, M.L., Raffaelli, M., Ogolsky, B.G., & Johnson, D.B. (2016). Making parenting plans in high-conflict custody cases: A randomized controlled trial. Journal of Child and Family Studies, 25(8), 2462-2474.

Kramer, L., Kleiboer, A., & Willemsen, T.M. (2016). Parenting after separation and divorce: Factors affecting co-parenting well-being. Journal of Marriage and Family, 78(4), 908-924.

FAQ: Is it worth paying for a sleep consultant?

Sleep Consultant Vancouver, BC

As a pediatric sleep consultant, I often get asked whether hiring a sleep consultant is worth it. The short answer is yes, absolutely. But let me explain why.

Firstly, sleep is incredibly important for both children and parents. Lack of sleep can lead to a whole host of problems, from irritability and fatigue to developmental delays and even mental health issues. When children aren't sleeping well, it affects the entire family's well-being, and can strain relationships and make it difficult to function in day-to-day life.

That's where a sleep consultant comes in. A trained sleep consultant can assess your child's sleep habits and develop a personalized plan to help them sleep better. This can involve everything from establishing a consistent bedtime routine to addressing sleep associations and teaching your child self-soothing techniques.

But aside from the obvious benefits of better sleep, there are a few other reasons why hiring a sleep consultant is worth it. For one, a sleep consultant can save you time and stress. Trying to figure out your child's sleep issues on your own can be overwhelming, and often leads to conflicting advice and frustration. A sleep consultant can cut through the noise and give you a clear, actionable plan to follow.

Additionally, a sleep consultant can provide ongoing support and guidance as you implement the plan. They can answer questions and troubleshoot any issues that arise, which can be especially helpful for parents who are feeling overwhelmed or unsure of what to do.

Of course, hiring a sleep consultant is an investment but if you have insurance, sleep counselling can often be covered. When you consider the long-term benefits of better sleep, both for your child and your family as a whole, it's certainly worth it. Plus, many sleep consultants offer different packages and payment plans to fit a variety of budgets.

In short, if you're struggling with your child's sleep, hiring a sleep consultant is absolutely worth it. Not only can they help your child sleep better, but they can also provide you with the support and guidance you need to feel confident and empowered as a parent. Many of my clients tell me that working together was a “game changer” or a “life-changing experience”. Sleep has the ability to transform our lives completely. If you have been on the fence about whether or not to hire a sleep consultant, this is your sign to take the step to make a lasting change in your family’s life! You can contact me to schedule a free 15- intro call to see if we’d be a good fit in working together. Pediatric Sleep Consultant located in Vancouver.

The Distinction Between Guilt and Shame: How Shame Contributes to Mental Health Disorders: North Vancouver Therapist

Shame and guilt are often used interchangeably, but they are actually different emotions with distinct effects on one’s mental health. Guilt can be a healthy emotion, as it can motivate us to make amends and change our behavior. However, shame can be very detrimental to our mental health, as it can lead to feelings of worthlessness, self-doubt, and depression. 

Moreover, shame contributes to certain mental health disorders such as anxiety, eating disorders, and addiction. Individuals with anxiety often experience intense feelings of shame and self-doubt, which can exacerbate their symptoms. Those with eating disorders often feel shame surrounding their bodies and their relationship with food. Shame can also contribute to addiction, as individuals may turn to drugs or alcohol to numb their feelings of shame and self-doubt.

In her book, "Daring Greatly," Brené Brown notes that shame can be particularly damaging because it is often accompanied by secrecy and silence. When we feel ashamed, we may be reluctant to talk about our feelings with others, which can make us feel even more isolated and alone. 

However, seeking counselling can help individuals struggling with shame to open up and talk about their feelings in a safe and supportive environment. Counsellors can offer a non-judgmental space where individuals can explore their emotions and work through feelings of shame. By doing so, individuals can break free from the cycle of shame and move towards a healthier, more fulfilling life.

If you are interested in therapy to help overcome your feeling of shame, please feel free to reach out and book a counselling session. Kelsey Atkinson offers in-person counselling in North Vancouver as well as BC-wide online counselling. Book today: https://kelseyatkinsoncounselling.janeapp.com/#/staff_member/1