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ChatGPT Image Jan 18, 2026, 04_44_50 PM_edited.jpg

Our Approach

At Dr. Karma Guindon, RSW & Associates, we believe that healing happens when people feel understood, safe, and met with care - not rushed, analyzed, or fixed.

 

Many of the difficulties people bring to therapy are not signs of weakness or pathology. They are understandable responses to experiences that were overwhelming, frightening, chronic, or mismatched with what was needed at the time. When viewed through the lens of the nervous system, relationships, and lived experience, symptoms often make sense.

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Our approach to psychotherapy is grounded in trauma-informed, neuroscience-based care, with a focus on understanding root causes rather than simply managing symptoms.

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ChatGPT Image Jan 18, 2026, 04_44_50 PM_edited.jpg

Trauma-Informed and Neurobiologically-Based

 

We approach therapy with an understanding of how trauma, chronic stress, and attachment experiences shape the brain and body.

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We understand trauma broadly. It may include single overwhelming events, but also developmental trauma, relational injury, medical experiences, loss, or long-term stress. Many people seek therapy for anxiety, depression, burnout, emotional reactivity, or relationship difficulties without identifying their experiences as trauma. Our role is not to label, but to understand how past experiences may still be influencing present patterns.

 

Rather than focusing only on thoughts or behaviours, we pay attention to how the nervous system responds to threat, safety, connection, and meaning. This allows therapy to move beyond coping strategies and insight alone, toward deeper and more lasting change.

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Relationship-Centred and Attachment-Aware

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Healing happens in relationship.

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Whether we are working with individuals or couples, we attend carefully to patterns of attachment, emotional safety, and connection. Many concerns — such as anxiety, shutdown, emotional reactivity, or conflict — can be understood as protective responses shaped by past relational experiences.

 

Our work supports greater emotional awareness, responsiveness, and trust, both internally and in relationships with others.

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Integrative, Not One-Size-Fits-All

 

We draw from a range of evidence-based and trauma-specific therapies, integrating approaches thoughtfully rather than applying them mechanically.

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This integrative approach allows us to respond flexibly to complexity - especially when people have tried therapy before and found that insight alone, coping skills, or talk-based approaches were not enough. Methods serve the person, not the other way around.

Collaborative and Individualized

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There is no single path to healing.

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Therapy is a collaborative process, shaped by your experiences, needs, and readiness. We work together to understand:

  • what you are struggling with now

  • what has shaped your responses

  • what feels supportive and manageable at this stage

 

We do not apply predetermined models or timelines. Therapy is paced with care and adapted thoughtfully, allowing change to unfold in a way that feels respectful, safe, and sustainable.

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Ethical, Reflective, and Respectful

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​Our work is grounded in strong professional ethics and reflective practice.

 

We are mindful of power, vulnerability, and the responsibility inherent in therapeutic relationships. This means being transparent, thoughtful, and responsive - not rigid or formulaic. We value humility, ongoing learning, and consultation, and we strive to create an environment where clients feel respected, not judged.

What You Can Expect

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  • A calm, supportive therapeutic environment

  • Careful attention to safety and pacing

  • Respect for your experiences and values

  • An approach focused on meaningful, lasting change

 

You do not need to know which therapy is right for you. That is something we will explore together.

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