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Fees:

Patricia Roles' Credentials

About Pat Roles, MSW, RSW, BCATR:

Pat is a therapist in private practice in Vancouver who also offers services through e-mail and skype. For 33 years she worked as a social worker and supervisor at Children's and Women's Health Centre of British Columbia. Twenty-four years of this experience includes being a Professional Practice Coordinator in this tertiary care teaching hospital including Children's, Women's, Sunnyhill and BC Mental Health and Substance Use Program. Her clinical role was in the Provincial Specialized Eating Disorders Program as a family therapist, group therapist and individual therapist. She is a registered social worker with the Board of Registration for Social Workers in British Columbia, Canada, (RSW #03316) and a registered art therapist with the British Columbia Art Therapy Association (BCATR #0075-R). She has a master's degree in social work, a bachelor's degree in social work and a post graduate certificate in art therapy. She has done training with Michael White in narrative therapy. She is also trained in Family Based Treatment (FBT), evidence based treatment for children and youth with eating disorders. She has worked as a social worker in mental health practicing psychotherapy with children, adolescents and adults, including family therapy. She has expertise in both medical and psychiatric social work with adults, children and youth. and experience in adult mental health. Her teaching faculty positions include the Vancouver Art Therapy Institute (VATI) and the Adler School of Professional Psychology (Adjunct Faculty). She teaches Adolescent Art Therapy, Family Art Therapy and Group Art Therapy.

Pat began e-counseling through this site via email in 2001 She was a pioneer in this field of developing counseling via email and video conferencing. It was a natural development from her training in therapeutic letter writing developed by Michael White and David Epston as part of Narrative Therapy. She began using telehealth to provide family therapy in 2000 and has lectured across North America on how to use video conferences for family therapy. This was prior to the development of what we have come to rely on through Skype.

She obtained a BSW from Ryerson University in Toronto in 1977 and an MSW from University of British Columbia in Vancouver, BC in 1981. In 1989 she completed her Post Graduate Certificate in Art Therapy through the BC School of Art Therapy in Victoria. Her work with children, youth and families has included special expertise in family therapy, play therapy, art therapy, adolescents and eating disorders as well as children and youth with loss, chronic and life threatening illnesses. She also has extensive experience in the adoption field with adoptive and blended families, separation and divorce, adoption reunion and birthparent loss. She is a reunited birth-mother. Her books on teenage pregnancy and birthparent loss and grief, articles on eating disorders and birth parent loss and eating disorders can be viewed on the on the Books, Articles and links page: Go To Books, Articles and Online Resources

Patricia Roles presents workshops in a variety of areas including: e-therapy, birthparent loss, adoption reunion issues, eating disorders and family therapy, family therapy via telehealth, art therapy with children and youth, art therapy and eating disorders, and family art therapy using a narrative therapy framework. You may contact Patricia Roles through the feedback email on this site to inquire about workshop presentations or speaking engagements.

The BC College of Social Workers can be contacted to verify registration in the Province of British Columbia.

Current Workshops Offered by Pat Roles

There are no current speaking engagements offered at this time.

Consultation and Clinical Supervision for Professionals

Supervision and consultation are available to other therapists upon request. This may be an individual one time consultation or regular supervision sessions. Art therapy supervision and FBT consultation are also offered. Therapists can phone or e-mail to inquire further at: 604-375-9215 or by email:

Is E-counseling Suitable for You?

For the past 11 years this e-counseling practice has specialized in relationship issues, family and couple communication, parenting concerns, bereavement support, birthparent loss with relinquishment, adoption reunion, adoptive parenting, infertility and pregnancy loss, parent-teen conflict, separation, divorce, blended families, coping with illness or disability, and eating disorders. E-mail therapy is also known as e-therapy, online therapy, counseling online, cyber counseling, cyber therapy, psychotherapy online, internet therapy, internet counseling, virtual counseling, e-counseling, or, as it spelled in some countries such as the UK, Canada, Australia

or New Zealand: e-counselling.*

E-counseling offers an opportunity for you to consult with a professional as a guide with feedback and support. It may just be a one time consultation or a series of e-mail sessions. Many individuals who choose e-counseling tend to present dilemmas that require brief solution oriented therapy with about 4-6 sessions to fulfill their needs. A smaller number of people seek ongoing sessions as they grapple with longer term issues. It it totally up to you to determine what is helpful.

You may choose online therapy as an alternative for a variety of reasons. Is is convenient and time efficient to sit at your home or office computer and compose an email. It is cost effective, at about half the cost of face to face therapy or counseling. You are in charge of the timing of your e-mail to suit your everyday needs. You can wait until you have some quiet time to write your e-mail, to reflect or to read the response.

Remaining in your own home or office may take away the emotional discomfort some people feel when they meet in person with a therapist to share problems. The privacy and anonymity provided by e-mail may be appealing, disinhibiting and comfortable. Anonymity and convenience may reduce some of the barriers to seeking help with personal stories as you be more open when you are at your keyboard in private. The internet also breaks down obstacles for those who have challenges accessing resources due to physical disabilities or communication challenges such as hearing impairment, speech or language difficulties. For various reasons you may confined to your home, and the internet is one source of reaching out for help. You may live in a remote area where there is little access to qualified professionals for counseling. If you live in a small community, your local health care professionals might already be known to you as friends or co-workers so privacy may be an concern.

Online counseling can help you cope with life problems that affect men and women of all ages. These can include adjustments to difficult situations such as transitions, changes, loneliness, health conditions, chronic or life threatening illnesses, disability, relationship conflicts, job stresses, mid-life crises, parenting challenges, adoption searches and reunions, unplanned pregnancies, marital problems, stepfamily or blended family issues, family conflict, weight struggles, anorexia, bulimia, disordered eating, or loss and grief following death, adoption relinquishment, pregnancy loss, separation, or divorce. When many changes happen together in clusters, the result may be emotional overload. You may feel overwhelmed. and need some time to reflect and reorganize your life. E-therapy can be one way of finding that feedback to help get you back on track with your life, work through issues and feel less helpless. This can help you regain focus and control to move forward in your life. You do not need to be alone with your problems.

If you are considering counseling online. take the time to explore all the aspects of this site to fully understand the process. Then you can evaluate if it is right for you.

Is Face-to-face Counseling an Option for You?

Face-to-face psychotherapy is available for children, adolescents, adults, couples and families, in the the Lower Mainland in Vancouver, B.C. Canada. Her office is in the Mount Pleasant area on Broadway near Cambie Street. Skype video conferencing over the internet via webcams may be available if you are out of town traveling or live out of the lower mainland. Individual art or sandplay therapy sessions are also available. Art and sandplay therapy can be helpful for children, teens, adults and families. More information on art therapy and art therapy sessions at: About Art or Sandtray Therapy Sessions with Pat Roles In-home visits are provided for child interviews required for stepparent adoptions in British Columbia. Some family therapy, couple or parental counseling sessions may take place in your home. You may inquire about face-to-face counseling or schedule an appointment via email, text or phone at: 604-375-9215. Weekend and evening appointments are available. The hourly rate for therapy is $130 payable by cash, cheque or credit cards via paypal.

What about Adoption Adjustments, Reunion Counseling Services and Stepparent Adoption Child Interviews?

Adoption counseling services including: e-therapy or face-to-face counseling support for birthparent loss and grief; coaching for adoption triad members in the process of or contemplation of adoption reunion; losses experienced by adoptive parents before choosing adoption; adoptive and blended family adjustments; and stepparent adoption child interviews.

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