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E-counseling Online Counselling E-therapy Patricia Roles
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counseling, ecounseling, online, skype, video, marriage, e-counseling, e-therapy, online, family therapy, individual, e-counselling, cyber, internet therapist, counselling, art, fibromyalgia, symptoms, painting, adoption, adoptive, e-mail therapy, cyber,
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Online e-counseling and e-therapy via e-mail specializing in adoption reunion, birthparent loss, bereavement, divorce, parenting, blended families, eating disorders, and family relationships.
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<p align="center"><i><H2><center><hl><font face="arial">
Welcome to Patricia Roles' Virtual E-Counseling Room ...</h2></center></i>
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<p align="center"><i>...counseling online in the privacy of your own home</h1></p><p align="center"><img src="hg-yellow.gif" width="420" height="9"></p>
<p><h3><center>Face-to-face Individual & Family Counseling </p></h3>
<p> Office in Vancouver, BC, Canada</hl></H2></center></p></i>
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<P><center><a href="index.html" title="Home Page"><img src="home.jpg" width="78" height="35" border="0"></a> <a href="etherapy-ecounseling-ecounselling-about.htm" title="What is E-therapy?"><img src="etherapy.jpg" width="78" height="35" border="0"></a> <a href="online-ecounseling-process.htm" title="Process of Online E-therapy"><img src="process.jpg" width="78" height="35" border="0"></a> <a href="etherapy-terms.htm" title="E-therapy Terms and Conditions"><img src="terms.jpg" width="78" height="35" border="0"></a> <a href="online-counseling-counselling-session-fees.htm" title="Online E-counseling & Face-to-face Fees"><img src="fees.jpg" width="78" height="35" border="0"></a> <a href="ecounseling-proceed.htm" title="Proceed with Online Counseling Session"><img src="proceed.jpg" width="78" height="35" border="0"></a> <a href="internet-counseling-etherapy-feedback.htm" title="Contact Us"><img src="feedback.jpg" width="78" height="35" border="0"></a> <a href="adoption-loss-resources-books-articles.htm" title="Online Resources, Articles, Books, Links"><img src="books.jpg" width="78" height="35" border="0"></a> </center>
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<center><H2><hl><i>Online Counseling</h2>
<h3> E-counseling or E-therapy: Counseling via Email</font></h3>
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<font face="arial"><h3>This <hl>Counseling </hl>Site Offers:</h3>
<h4><hl>Online E-counseling and Face-to-face Counseling </hl>Specializing in:</h4>
<ul><li><hl>eating disorders and eating disturbances<li> weight challenges<li> relationship and couple communication<li> family relationships - adolescent conflict<li> adoptive families<li> adoption reunion<li> birthparent loss <li>loss and grief <li>separation and divorce <li> blended families</hl>
<ul><li> <a href="etherapy-ecounseling-ecounselling-about.htm" title="More About E-therapy?"><hl>Online Counseling via Email</hl> </a>with Patricia Roles, MSW, RSW, BCATR: individual, couple and family therapy, including art therapy - over
30 years experience counseling children, youth, adults and families
<li><a href="art-therapy-therapist-Vancouver-Burnaby.htm" title="Art Therapy Sessions">About <hl>Art Therapy Sessions</hl></a> with Pat Roles
<li><a href="face-to-face-counselling-proceed.htm"/ title="About Face-to-face Counseling Sessions and Skype Sessions"><hl>Face-to-face Counseling and
Skype Appointments</a> with Pat Roles,</hl> in<hl> Vancouver, BC
<li><a href="face-to-face-counselling-proceed.htm#ANCHOR1"/ title="Consultation about Online Therapy Practice">Consultation for
Therapists</a> E-mail consultation for therapists or researchers about etherapy</hl>
<li><a href="index.html#ANCHOR2" title="Articles">Articles</a> on Related Subjects
<li><a href="adoption-loss-resources-books-articles.htm#ANCHOR2" title="Online Resources, Articles, Books, Links">Online Resources</a> on Related Subjects
<li><a href="adoption-loss-resources-books-articles.htm" title="Online Resources, Articles, Books, Links">Information on Books and Articles</a>by Patricia Roles
<li><a href="adoption-stepparent-BC-Canada.html" title="Stepparent Adoption in BC - Child Interviews">Child Interviews in Stepparent Adoption</a>provided through in-home interview for court purposes</hl>
<li><a href="index.html#ANCHOR5" title="Pat Roles - Workshops & Speaking Engagements">Current Workshops and Speaking Engagements</a> by <hl>Pat Roles on Eating Disorders, Adoption Reunion, Birth-parent Loss and Art Therapy </hl>
<li><a href="index.html#ANCHOR1" title="Patricia Roles, Counsellor, Credentials">Credentials and Counseling Experience</a> of Patricia Roles, MSW, RSW, BCATR, registered social worker and registered art therapist</hl></ul>
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<p><hl><h3>E-therapy via email</hl><u> </u> <i><u>is</u></i>:</h3>
<ul>
<li>a new modality that allows for <hl>effective communication over the internet <li>convenient<li>time efficient<li>cost effective compared with face-to-face counseling <li>anonymous <li>accessible and allows specialized counselling even in remote places
<li>a source of help to deal with a variety of life challenges</hl></p>
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<h3><hl>Therapy Online</hl><u><i> is not</i></u>:</h3>
<ul>
<li> a replacement for <hl>face-to-face psychotherapy</li>
<li>an effective way to deal with severe or acute<hl> mental health</hl> crises such as suicidal thoughts, bi-polar disorder or psychotic
episodes</li>
<li>it cannot provide safety with crises where individual may be at risk through intimate partner violence or abuse.</li>
</ul>
<p>For those who live in the lower mainland of <hl>Vancouver, BC, face-to-face counseling</hl></hl> is available.<p><B>Phone: 604-375-9215</b><p><a href=mailto:e-mailtherapy@shaw.ca?subject=question title="Contact Pat Roles by Email">Contact Patricia Roles by Email with Questions</a></P>
<p>Skype address: pat.roles</p>
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<p><b><center><a href="http://www.samaritans.org.uk"/ title="crisis counselling">Mental Health Crisis Line - Sarmaritans: Free Help with Self-harm or Suicidal Feelings</a></b></p></center>
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<font face="arial"><h3><center><hl>Fees:<br> <br>E-therapy </p><p>& Face-to-face Counseling</hl></center></h3></th>
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<h4>E-counseling Fees:</hl></h4>
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<li>Single email session for $65 CAD<br><li>Package of 3 sessions for
$180
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<p><h4><hl>Face-to-face Counseling Sessions in Office or Video Counseling using Skype:</hl></h4>
<ul>
<li>$</font></font></font><font size="2" face="arial" font>130</font>
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(C</font><font size="2" face="arial" font>AD</font><font face=arial font size=3>
<font face="arial"> funds) 1 hour session<p> <a href="art-therapy-therapist-Vancouver-Burnaby.htm#ANCHOR1" title="Counselling Office Location: Vancouver">Office Location: Vancouver - Mount Pleasant<hl></a>
<p> Payment can be made with your credit card via Paypal
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<P><center><table cellpadding=10 border=10><tr><Td bgcolor=ffff99><a href="ecounseling-proceed.htm"/ title="Start E-therapy Session"><font face=arial><center><hl>BEGIN E-COUNSELING SESSION</hl></a></td></tr></table></center>
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<a href=mailto:"e-mailtherapy@shaw.ca?subject=face-to-face consultation" title="Email to Ask About Face-to-face Counselling"><center>INQUIRE BY EMAIL ABOUT<br><hl>FACE-TO-FACE COUNSELLING OR SKYPE VIDEO CONFERENCING</hl></a> </td></tr></table></center></p>
<P><center><font face=arial><table cellpadding=10 border=10><tr><Td bgcolor=ffff99><a href="face-to-face-counselling-proceed.htm"/ title="Proceed with Payment for Face-to-face Counselling Session"><center>FIND OUT MORE ABOUT <br><hl>FACE-TO FACE COUNSELLING </hl></a></td></tr></table></center>
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<p><center><font face=arial><table cellpadding=10 border=10><tr><Td bgcolor=ffff99><a href="adoption-stepparent-BC-Canada.html" title="Child Interview in Stepparent Adoption and Adoption Counselling"><center>FIND OUT ABOUT <br><hl>STEPPARENT CHILD INTERVIEWS,<br> ADOPTION AND REUNION COUNSELING </hl>SERVICES</a><hl></td></tr></table></center></p></hl></td></tr></table>
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<i><p align="left"><h3><u><hl>Patricia Roles'</hl> Credentials</u>
</h3>
</i><br><img src="pat3.jpg" hspace="15" border="10" bordercolor="brown" alt="Pat Roles, Social Worker, Vancouver, Canada" align="left" />
<i><h4><hl>About Patricia Roles, MSW, RSW, BCATR:</h4> Patricia is a Professional Practice Co-ordinator in the discipline of social work at Children's and Women's Health Centre of British Columbia with a part-time private practice in both e-therapy and face-to-face private counseling in offices in Burnaby and Vancouver. She is a <hl>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).</hl>She is a member of the <hl>Academy for Eating Disorders</hl>.
</a> <a href="http://www.aedweb.org/index.cfm" title="Eating Disorders">Academy for Eating Disorders Website</a> 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 has worked as a social worker providing counseling with children, adolescents, adults and families, including family therapy, for
over 30 years; 19 years of this experience includes being a clinical supervisor in the social work department of a tertiary care pediatric teaching hospital in both medical and <hl>psychiatric social work with adults, children and youth. She is on the teaching faculty at the Vancouver Art Therapy Institute (VATI).</hl> Pat began <hl>e-counseling </hl>through this site in 2001. 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, <hl>play therapy, art therapy, adolescents and eating disorders as well as children and youth with loss, chronic and life threatening illnesses.</hl> She also has extensive experience in the <hl>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</hl>, articles on eating disorders and birth parent loss and eating disorders can be viewed on the on the Books, Articles and links page: <a href="adoption-loss-resources-books-articles.htm" title="Online Resources, Articles, Books, Links">Go To Books, Articles and Online Resources</a><p>
Patricia Roles presents workshops in a variety of areas including: <hl>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.</hl> You may contact Patricia Roles through the feedback email on this site to inquire about workshop presentations or speaking engagements. </p>
<p>The BC College of Social Workers can be contacted to verify registration in the Province of British Columbia.</p>
<div align="center"><a href="http://www.bccollegeofsocialworkers.ca" title="BC College of Social Workers">British Columbia College of Social
Workers in B.C.</a></div></i><br>
<A NAME="ANCHOR5">
<br>
<p><h3>Current Workshops Offered by Pat Roles</h3>
<p>There are no current speaking engagements offered at this time. </p><p>You can request a workshop or presentation via email at: <a href=mailto:e-mailtherapy@shaw.ca?subject=workshop title="Contact Pat Roles for Presentation">Contact Patricia Roles Re: Inquiry About Workshop</a> or phone at: 604-375-9215 </p>
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<p><br><h3><hl>Consultation and Clinical Supervision for Professionals</h3>
<p>Supervision and consultation</hl> are available to other therapists upon request. This may be an individual one time consultation or regular supervision sessions. Therapists can phone or e-mail to inquire further at: 604-375-9215 or by email: </p><a href=mailto:e-mailtherapy@shaw.ca?subject=supervision title="Contact Pat Roles for Supervision">Contact Patricia Roles Re: Inquiry About Clinical Consultation</a></center><br>
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<p><H3>Is E-counseling Suitable for You?</h3>
<font face="arial">
<p>
For the past 8 years this <hl>e-counseling practice has specialized in <hl>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</hl> is also known as <hl>e-therapy, online therapy, counseling online, cyber counseling, cyber therapy, psychotherapy online, internet therapy, internet counseling, virtual counseling, e-counseling,</hl> or, as it spelled in some countries such as the UK, Canada, Australia or New Zealand: <hl>e-counselling.* </hl>
<p><hl>E-counseling </hl>offers an opportunity for you to consult with a <hl>professional </hl>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 <hl>e-counseling </hl>tend to present dilemmas that require <hl>brief solution oriented therapy</hl> 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. </p>
<p>You may choose <hl>online therapy</hl> 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.
</p>Remaining in your own home or office may take away the<hl> emotional discomfort</hl> some people feel when they meet in person with a therapist to share<hl>problems</hl>. The privacy and anonymity provided by <hl>e-mail </hl>may be appealing,
dis-inhibiting and comfortable. Anonymity and convenience may reduce some of the barriers to seeking help with <hl>personal stories</hl> as you be more open when you are at your keyboard in private. The <hl>internet </hl>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.</hl>
You may live in a remote area where there is little access to <hl>qualified professionals for counseling</hl>. 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.
<hl>
<p>Online counseling</hl> can help you cope with life <hl>problems</hl> that affect <hl>men and women</hl> of all ages. These can include <hl>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.</hl> When many <hl>changes</hl> happen together in clusters, the result may be <hl>emotional overload</hl>. You may feel <hl>overwhelmed</hl>, and need some time to reflect and reorganize your life. <hl>E-therapy</hl> 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 <hl>problems.</hl></p>
<p>If you are considering <hl>counseling online</hl>, 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.</p>
<p><br/><H3><hl>Is Face-to-face Counseling </hl>an Option for You?</h3>
<p><b>Face-to-face consultations</b> are available in the the Lower Mainland in Burnaby and Vancouver, B.C., Canada. 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. Patricia Roles offers individual, couple, parental and family counselling. Individual art or sandplay therapy </hl>sessions are also available in<hl> Vancouver. Art and sandplay therapy can be helpful for children, teens, adults and families</hl>. More information on <hl>art therapy and art therapy sessions at: <a href="art-therapy-therapist-Vancouver-Burnaby.htm" title="Art Therapy Sessions">About Art or Sandtray Therapy Sessions with Pat Roles</a></hl> In-home visits are provided for child interviews required for <hl>stepparent adoptions in British Columbia. Some family therapy, couple or parental
counseling sessions may take place in your home.</hl> You may inquire about face-to-face counseling or schedule an appointment via email or phone at: 604-375-9215. In Vancouver, appointments options are: Thursday evenings, Saturday and Sunday mornings. The hourly rate for face-to-face counseling is $120 Canadian funds payable by cash, cheque or credit cards via paypal.</p>
<p><br/><H3>What about <hl>Adoption Adjustments, Reunion Counseling Services and Stepparent Adoption Child
Interviews?</hl></h3>
<b>More information is available about </b>adoption counseling </hl>services including: <hl>E-therapy or face-to-face counseling support for birthparents' loss and grief; online coaching for adoption triad </hl>members in the process of or contemplation of <hl>adoption reunion; losses</hl> experienced by <hl>adoptive parents</hl> before choosing <hl>adoption; adoptive and blended family</hl> adjustments; and <hl>stepparent adoption child interviews.</hl>
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<p>Book Review by <hl>Patricia Roles<br> Book Entitled: Online Counseling - A Handbook for Mental Health Professionals</hl><br>Editors: Ron Kraus, Jason Jack and George Stricker<br><br><a href="Online Counseling-Handbook for Mental Health Professionals.htm" title="E-therapy - Online Counseling Handbook for Mental Health Professionals">Online Counseling Handbook for Mental Health Professionals</a>
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<h3><hl>Loss and Grief:</h3>
<P>Article written by Patricia Roles on Birthparent Loss and Grief: <a href="birthmothers-loss-grief-birthfathers-birthparents-support.htm" title="Birthmother Loss and Grief in Adoption">Birth Parent Loss and Grief:</a> </hl>
<p>Article on Children and Teens Coping with Death by Gary Direnfeld: <a href="death-coping-children-teens.htm" title="Grief of Children and Teens">Coping With Death</a></p>
<p>Article of Grief in the Gay and Lesbian Community by Christina Limmer: <a href="gay-grief-loss.htm" title="Grief and Loss in Gay and Lesbian Community">Grief in a Disenfranchised Community</a></p>
<p>Article of Going through Grief as a Widow by Marie A. O'Neill: <a href="grief-loss-bereavement-counselling-counseling.htm" title="Loss and Grief with Death of Spouse">How Long Should Grief Last?</a></p>
<p>Article on Stillborn Grief by J