Counselling Approaches & Philosophy

Counselling Approach: How I Work

I specialize in working with individuals and/or their family members, who are experiencing mental health and/or addictions including PTSD, depression, anxiety, substance misuse or addictions, transitions, and impact on relationships and families.

I also work with military veterans and first responders, and their family members, who have experienced operational stress injuries such as PTSD, depression, substance misuse or addictions, and moral injury. I also have an interest working with mens' issues and fathers.


  • Mindfulness-Integrated Cognitive Behavioral Therapy (MiCBT) for anxiety, emotional reactivity, and suffering from intrusive thinking.

  • Eye Movement Desensitization Reprocessing (EMDR) for Post Traumatic Stress Disorder, addictions.

  • Accelerated Resolution Therapy (ART) for Post Traumatic Stress Disorder.

  • Cognitive Processing Therapy (CPT) for Post Traumatic Stress Disorder.

  • Cognitive Behavourial Therapy (CBT) for Anxiety and Generalized Anxiety Disorder.

  • Interpersonal Therapy (IPT) for depression.

  • Unified Protocol for Transdiagnostic Treatment of Emotional Disorders for difficulty accepting and processing emotions.

  • Dialectic Behavioural Therapy (DBT skills) for interpersonal effectiveness, emotional regulation, and distress tolerance.

  • Relapse Prevention Planning, psychoeducation, and motivational interviewing for substance misuse and/or dependency.


  • Cognitive Behavioural Conjoint Therapy (CBCT) for Post Traumatic Stress Disorder.

  • Emotionally Focused Therapy (EFT) for couples conflict.

  • Gottman Method for Couples Therapy.

  • Psychoeducation for spouses/significant others and children.


  • Operational Stress Injury / PTSD.

  • Unified Protocol for Transdiagnostic Treatment of Emotional Disorders.

  • Concurrent Disorders (individuals with mental health condition and substance abuse/dependency).

  • Moral Injury (distressing psychological, behavioural, social, and spiritual aftermath of an exposure to event(s) that contradict one's moral beliefs and values).

  • Managing Anxiety & Panic.

  • Managing Depression.

  • Survival Skills for Spouses & Partners of RCMP workshop.

  • Family education and support for psychiatric hospitalizations and crises.

Counselling Philosophy: What I Do

We do not see things as they are... we see things as we are (Anais Nin)

We will often do more of the same to solve a problem even when it is not working. Sometimes it is about trusting in yourself and allowing for new possibilities and a different way of being. And life is practice... we do the best we can and learn.

Counselling starts with your identified problem and ends with what you might be thinking, doing, or feeling differently once we've reach our goals. I aim to establish a genuine and trusting relationship with you during our work together.

I have helped clients who have experienced issues such as depression, anxiety, trauma, alcohol & drugs, self esteem, emotional overwhelming, anger, stress, family and relationship conflicts, grief & loss, and life transitions. I enjoy working with a diversity of clients from all backgrounds and strive to create an inclusive and safe space for all.

I like to work collaboratively with clients with the belief that all of us have cracks which allow the light to shine within us. The most important factor in counselling is developing a trusting and effective relationship between the client and counsellor. My approach is conversational and empathic. I prefer to use plain language, rather than clinical jargon, and start with where the client is without judgment or assumptions.

Good counselling is about tuning in with the client and working collaboratively to enhance awareness, wisdom, and resources for change. Counselling can be effective but may not be the entire solution for all problems. We often need more beyond counselling such as meaningful relationships, belonging and community. In addition, part of my practice as a social worker is to understand how we are influenced by broader economic and social contexts, culture and media on our personal identity and histories (such as gender, age, race, sexual orientation, income, family, etc).

I would like to acknowledge that we are gathered on the traditional, ancestral and unceded territory of the Coast Salish peoples–Sḵwx̱wú7mesh (Squamish), Stó:lō and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) and xʷməθkʷəy̓əm (Musqueam) Nations.

2012 Otto Lim