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Changeways Clinic is a psychologist-led counseling and psychotherapy service in Vancouver Canada. We offer individualized sessions for adults wishing to address a wide variety of life concerns, including depression, anxiety, panic, obsessive compulsive disorder, eating disorders, parenting, sexuality & gender issues, and difficulties associated with major life changes - including transitions, bereavement, immigration, and coping with pain and health issues. We also offer coaching for enhanced life satisfaction.

We offer cognitive behaviour therapy (CBT) and related approaches, including acceptance and commitment therapy (ACT), mindfulness-based cognitive therapy (MBCT), mindfulness-based stress reduction (MBSR), and prolonged exposure (PE) for trauma-related issues. Each is tailored to the individual.

Our experienced clinicians work as compassionate listeners, knowledgeable guides, and insightful coaches to help you navigate the terrain of your life. You define the goals. Your psychologist will work with you to help you get there. Contact us for information or to set up an appointment.

Our Clinical Team
Changeways Clinic offers a range of psychotherapy services from a skilled team of registered psychologists. We are also a training site for Simon Fraser University and the University of British Columbia, and at times offer services provided by a doctoral-level student working under the supervision of a registered psychologist. Click here to learn more about our providers.

Clinical Services
Life presents us with many challenges, and our team can help you meet them using the principles of cognitive behaviour therapy and related approaches. Click here to learn more about the many concerns we see. We welcome self-referrals and referrals from other professionals. Just call or contact us to find out more. We can be reached by email at

Internet-Based Clinical Services
Changeways Clinic offers psychological services face-to-face at our offices in Vancouver's Fairview-Broadway neighbourhood and remotely via video+audio internet connection both locally and to communities across British Columbia. Click here to learn more about this option.

Presentations, Online Courses, Books, and Media
Dr Randy Paterson, Changeways Clinic's Director, offers workshops and webinars for professional continuing education, and talks and seminars for the public. He has also published books including How to be Miserable in Your Twenties, How to be Miserable: 40 Strategies You Already Use, The Assertiveness Workbook, and Private Practice Made Simple. Click here for the full menu of possibilities and to find out about hosting.

A note about our response to Covid-19: Please click HERE.
For information on our new remote therapy services throughout BC, click