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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

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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

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Individual Therapy

50 minutes

$165

Happy Couple

Couples Therapy

50 minutes

$195

Family At Church

Family Therapy

50 minutes

$195

©2025 by Pistos Counselling Services

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