Clinical Counselling

We offer clinical counselling in Greater Victoria and the Gulf Islands
Clinical counselling for children and families is a supportive, collaborative process that helps children and their caregivers better understand emotions, behaviors, and relationships. From a neuroaffirming stance, it recognizes that differences in how children think, learn, communicate, and experience the world are natural and valid, not problems to be fixed. Counselling focuses on understanding each child’s unique strengths, needs, and ways of being, while supporting families in building connection, communication, and practical strategies that work for their everyday lives. The goal is to create a space where children feel safe and accepted, and where families feel empowered to support their child in ways that honour who they are.
We offer Clinical Counselling in Victoria, B
LITTLE STEPS’ COUNSELLOR:
Rylie Jepson
Frequently Asked Questions
What is pediatric clinical counselling?
Pediatric clinical counselling is a specialized form of therapy that supports children and youth with their emotional, behavioral, and mental health. It helps children understand their feelings, build coping skills, and navigate challenges in a safe and supportive environment.
What ages do you work with?
We typically work with children and adolescents ranging from early childhood through the teen years. Services are tailored to each child’s developmental stage.
We can also support parents and caregivers.
What concerns can counselling help with?
Pediatric counselling can support a wide range of concerns, including:
- Anxiety and worries
- Emotional regulation and big feelings
- Behavioral challenges
- ADHD and attention difficulties
- Social skills and friendships
- School-related stress
- Family changes (divorce, moves, new siblings)
- Grief and loss
- Self-esteem and confidence
How do I know if my child needs counseling?
You may consider counselling if your child is:
- Struggling with strong emotions or frequent meltdowns
- Showing changes in behavior, sleep, or appetite
- Having difficulty at school or with peers
- Appearing withdrawn, anxious, or overwhelmed
- Experiencing a major life change or stressful event
If you’re unsure, we’re happy to consult and help guide next steps.
What happens during a counselling session?
Sessions are tailored to your child’s age and needs. They may include:
- Play-based therapy (for younger children)
- Talk therapy (for older children and teens)
- Creative activities like drawing or storytelling
- Skill-building exercises for coping and regulation
The goal is to help your child feel comfortable, understood, and supported.
Will I be involved in my child’s therapy?
Yes—parent/caregiver involvement is an important part of the process. Depending on your child’s age and needs, this may include:
- Parent check-ins or feedback sessions
- Strategies to support your child at home
- Occasional joint sessions
It is important to note that session notes are private and confidential, they are not shared with caregivers unless required by law.
How long does counseling take?
The length of counselling varies depending on your child’s goals and needs.
Is counselling confidential?
Confidentiality is an important part of therapy. Information shared by your child is kept private, with some exceptions:
- Safety concerns (risk of harm to self or others)
- Legal requirements
We also work with families to ensure appropriate communication while respecting your child’s trust.
Do I need a referral?
No, a referral is not required. You can contact us directly to book an initial consultation.
Are services covered by insurance?
Many extended health plans cover services provided by registered clinical counsellors. Coverage varies, so we recommend checking with your provider.
What if my child is nervous about coming?
This is very common. Our therapists are trained to create a welcoming, low-pressure environment. We go at your child’s pace and use engaging, age-appropriate approaches to help them feel comfortable.
Do you offer virtual sessions?
Yes, virtual (online) sessions may be available depending on your child’s age and needs. We can help determine if this is a good fit.
What approach do you use in therapy?
We use evidence-based, child-centered approaches such as:
- Play therapy
- Cognitive Behavioral Therapy (CBT)
- Emotion-focused and attachment-based approaches
- Mindfulness and regulation strategies
How do I get started?
Visit www.mylittlesteps.net and fill out the Online Waitlist Form. One of our Directors will contact you to set up a free initial information call.





























