Counselling Therapy Services
Specialized OCD, Anxiety, Relationship, and ICBC MVA Therapy in Vancouver, Richmond, Burnaby, Coquitlam and beyond in BC

OCD Treatment Using Exposure & Response Prevention (ERP)

OCD often creates cycles of intrusive thoughts, doubt, fear, and compulsive behaviors that feel impossible to break alone. Ruby Au, MA, RCC offers targeted, structured therapy using Exposure and Response Prevention (ERP) — the gold-standard, evidence-based treatment for OCD.

ERP helps you:

Reduce obsessions and compulsions
Face triggers safely with professional guidance
Build emotional resilience
Regain confidence and control in your daily life
Break long-standing patterns of avoidance and fear

Ruby develops a personalized ERP plan tailored to the exact form of OCD you experience, including:

Contamination OCD
Checking OCD
Pure O / rumination
Relationship OCD (ROCD)
Harm OCD
Religious / scrupulosity OCD
Symmetry / order OCD
Health-related OCD

Anxiety Counselling Therapy (CBT-Based)

Anxiety can affect the way you think, feel, respond, and relate. Ruby provides structured Cognitive Behavioral Therapy (CBT) to help you understand your anxiety patterns, reduce unhelpful thoughts, and develop long-lasting coping strategies.

Common concerns Ruby supports:

Generalized anxiety and chronic worry
Panic attacks
Health anxiety
Fear-based avoidance
Stress from daily responsibilities
Perfectionism and overthinking

Therapy focuses on:

Rewiring unhelpful thought patterns
Managing physical symptoms of anxiety
Building tools for emotional regulation
Restoring clarity and calm

Relationship & Communication Counselling

Strengthening Emotional Connection and Relational Well-Being

Relationships often suffer when anxiety, stress, cultural pressures, or unspoken expectations get in the way. Ruby helps individuals improve communication, emotional expression, conflict resolution, and relationship patterns using CBT-based and interpersonal approaches.

Common concerns treated:

Communication difficulties
Relationship anxiety
Conflict patterns
Emotional disconnect
Cultural or family-of-origin expectations
Interpersonal stress

You will learn:

Healthier communication habits
Emotional regulation skills
Boundary-setting strategies
Tools for rebuilding trust and connection

ICBC MVA Counselling (Direct Billing Available)

Support After Motor Vehicle Accidents

Motor vehicle accidents can create trauma symptoms that disrupt daily functioning. Ruby provides ICBC-funded counselling to assist in stabilizing emotional, cognitive, and physical reactions after an accident.

Common post-MVA symptoms:

Anxiety or panic
Hypervigilance
Intrusive memories
Driving-related fear
Sleep disturbance
Emotional overwhelm

Ruby uses a trauma-informed, CBT-based approach to help restore emotional safety, reduce avoidance, and rebuild functioning.

ICBC Billing:
Ruby bills ICBC directly—no upfront fees for eligible clients.

Culturally Sensitive Counselling Therapy in English, Cantonese & Mandarin

Ruby integrates her research and clinical background in cross-cultural mental health to deliver therapy that acknowledges identity, acculturation stress, and cultural expectations.

This service especially supports:

Chinese Canadian clients
Multilingual individuals
First- and second-generation immigrants
Clients navigating cultural and family pressures

Ruby provides counselling therapy in:

English
Cantonese
Mandarin

What to Expect in Therapy

Regardless of why you come to counselling, you can expect:

A structured, evidence-based approach
Compassionate and clear guidance
Collaboration and empowerment
A focus on your strengths and values
Tools you can apply immediately in daily life

Ruby’s approach blends clinical expertise with a warm, grounded therapeutic style.

Begin Your Recovery Journey Today

Whether you’re seeking help for OCD, anxiety, relationship patterns, cultural stress, or reactions after an MVA, Ruby offers specialized and effective care tailored to your needs.