©TMG Counselling Group 2020

Theresa M. Grech, MC, CCC, CPRP

TMG Counselling Group

201-1669 West 3rd Avenue
Vancouver BC, V6J 1K1 

Individual, Couples & Family Counselling

Counselling specializations offered include working with:

  • Children, Adolescents, and Adults experiencing mental health concerns around Depression, Anxiety, Mood Disorders, Obsessive Compulsive Disorder, ADHD, Emotional Dysregulation, Trauma, and Psychosis 

  • Individuals living with Autism, Fetal Alcohol Spectrum Disorder, and other Neurodevelopmental Disorders 

  • Siblings/Parents/Caregivers of individuals living with Neurodevelopmental Disorders and Behavioural Challenges 

  • Youth making the shift from Youth to Adulthood 

  • Indigenous people including those individuals registered with the First Nations Health Authority

Therapeutic Approaches


Our therapists and educators work from an Inclusive, Integrative and Holistic Approach which blends elements of different theories and approaches into practice, tailoring the treatment according to each person’s needs. Some of the approaches used include but are not limited to:

Cognitive Behavioural Therapy (CBT) is the most widely used therapy for anxiety disorders. It addresses negative patterns and distortions in the way we look at the world and ourselves. The two components of CBT are: 

Cognitive therapy which examines how negative thoughts, or cognitions, contribute to anxiety. 

Behaviour therapy which examines how you behave and react in situations that trigger anxiety. 

The basic premise of cognitive behavioural therapy is that our thoughts—not external events—affect the way we feel. In other words, it’s not the situation you’re in that determines how you feel, but your perception of the situation.

Dialectical Behavioural Therapy (DBT) is a modified form of CBT that is an evidence-based psychotherapy designed to help with treating a number of conditions including mood disorders, drug and alcohol problems, post-traumatic stress disorder, traumatic brain injuries, and eating disorders. It is designed to help people increase their emotional and cognitive regulation by learning about the triggers that lead to reactive states and helping to assess which coping skills to apply in the sequence of events, thoughts, feelings, and behaviour to help avoid undesired reactions. DBT combines the CBT techniques for emotion regulation and reality testing with concepts of distress tolerance, acceptance, and mindful awareness.

Interpersonal Therapy (IPT) is based on the principle that there is a relationship between the way people communicate and interact with others and their mental health. 

Exposure Therapy: Exposure Therapy exposes you to the situations or objects you fear. The idea is that through repeated exposures, you’ll feel an increasing sense of control over the situation and your anxiety will diminish. The exposure is done in one of two ways: Your therapist may ask you to imagine the scary situation, or you may confront it in real life. Exposure therapy may be used alone, or it may be conducted as part of cognitive behavioural therapy

Collaborative Problem Solving (CPS) approach sets forth two major tenets. First, challenging behaviour in kids is best understood as the result of lagging cognitive skills (in the general domains of flexibility/adaptability, frustration tolerance, and problem solving) rather than as the result of passive, permissive, inconsistent, noncontingent parenting. And second, the best way to reduce challenging episodes is by working together with the child – collaborating – to solve the problems setting them in motion in the first place (rather than by imposing adult will and intensive use of reward and punishment procedures).

Trauma Focused Cognitive Behaviour Therapy (TF-CBT) is a components-based psychosocial treatment model that incorporates elements of cognitive-behavioural, attachment, humanistic, empowerment, and family therapy models. It includes several core treatment components designed to be provided in a flexible manner to address the unique needs of each child and family. There is strong scientific evidence that this therapy works in treating trauma symptoms in children, adolescents, and their parents.

Eye Movement Desensitization and Reprocessing (EMDR) is recognized as an effective form of trauma treatment. EMDR psychotherapy is an information processing therapy that uses an eight phase approach to treating trauma. It address Past memories of the traumatic event(s), Present situations that trigger dysfunctional emotions, beliefs and sensations, and the Future Template, or positive experience needed to enhance future adaptive behaviours and mental health.

Psychoeducational Family Therapy Model is an empirically based form of therapy that seeks to impart information through education to families experiencing distress in their caregiving roles. This model is used by therapists at TMG both through their work with individual families as well, in the form of a group therapy program called PEGI (see Parent Educational Group Intervention under the ‘Education and Training’ tab). It includes an educational as well as a therapeutic component as part of a larger program of intervention for families and aims to treat families as a resource rather than a stress. It focuses on concrete problem solving and specific helping behaviours for coping with stress, and working in tandem with their child’s team of supports. In the psychoeducational model of family therapy, the underlying assumption is that by giving families information on the nature of the illness/disability/disorders their child may be living with, along with specific suggestions for coping with it effectively, it can decrease the intensity and conflict inherent in family life, and thus decrease the likelihood of the individual showing an increase or exacerbation of symptoms associated with their illness/disability/disorder. In the area of mental health, it aims to decrease relapse and prevent hospitalization.

Work with Indigenous People: ‘The reality of intergenerational mental health and cultural trauma suffered by First Nations peoples has led to a significant need for cultural safety amongst members of these communities’. Some of our therapists have specific training in Indigenous Cultural Safety (ICS) Core Health Training and provide services to Indigenous individuals under the First Nations Health Authority – Health through Wellness Program.

All our therapists provide treatment in a culturally safe manner in order to support individuals to achieve optimal mental wellness.