Providing therapy is deeply meaningful work. It can also be demanding and professionally isolating, particularly when working with trauma, dissociation, or longstanding patterns that are difficult to shift.

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I’m Dr. Karma Guindon, and I offer clinical consultation for therapists seeking support with the complexities of their work. I bring over 30 years of clinical experience and extensive training across therapeutic approaches, including EMDR and Deep Brain Reorienting (DBR), Dialectical Behaviour Therapy, and Relational Life Therapy.

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As a DBR Approved Provider, I offer consultation for therapists working with trauma, attachment injury, dissociation, and the integration of DBR into clinical practice.

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You may be looking for help with a particular case, a clearer understanding of the therapeutic process, or room to consider how the work is affecting you. Consultation offers an opportunity to explore these questions with an experienced colleague who respects your knowledge and takes your concerns seriously.

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​What I Often See in Consultation

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Over the years, I have noticed that many skilled therapists can be quite hard on themselves - holding themselves to impossible standards and feeling shame or fear when they don't meet them.

 

Often, clinicians seek consultation because they feel stuck, uncertain, or concerned that they are missing something important—even when they are already thinking deeply and acting thoughtfully.

 

Sometimes the work is about finding a new direction. Just as often, it is about creating enough space to think more clearly about what is already happening in the room.

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Clinical Consultation for Therapists & Mental Health Practitioners

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Consultation is individualized to your questions, clinical context, and experience.

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Areas we may explore include:

• Case consultation and clinical formulation

• Complex and developmental trauma, attachment injury, and dissociation

• Integrating approaches such as DBR, EMDR, DBT, and narrative therapy

• Pacing, therapeutic process, and the therapeutic relationship

• Use of self, reflexivity, and ethical decision-making

• Clinical confidence and professional identity

• The impact of the work, burnout, and sustainable practice

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​​​​​​​​​My Approach to Consultation​​​​​

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I pay attention to what is happening for the client, for the therapist, and between them. This includes the influence of nervous system responses, personal histories, professional expectations, and the wider context of the work.

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When clinical material is intense or progress is unclear, it can be difficult to know whether to stay with the process, adjust the pace, or take a different direction. We can examine these questions together, drawing on clinical knowledge while remaining attentive to the particular person and relationships involved.

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There is also room to consider your own responses. Feeling pressured, protective, frustrated, uncertain, or emotionally affected can provide useful information. Exploring these experiences with curiosity can deepen clinical understanding and support ethical practice.

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The demands of providing therapy deserve attention in their own right. Consultation offers space to consider boundaries, workload, and the support you need to continue doing work that matters to you.

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Deep Brain Reorienting (DBR) Therapy for Therapists

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Some therapists seek DBR for their own personal therapeutic work, including those who want to experience the approach directly.

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I also offer DBR therapy to therapists and other mental health professionals. Personal therapy and clinical consultation are distinct services; we would clarify which you are seeking before beginning.

 

​Explore DBR therapy for therapists

 

Online Trauma Therapy Consultation — Canada & International

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I offer online consultation to therapists and other mental health practitioners across Canada and internationally, including clinicians seeking support with their DBR practice.

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These sessions are offered as professional consultation, rather than psychotherapy or formal clinical supervision.

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Consultation Experience

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My consultation work draws on more than 30 years of clinical practice, extensive training in trauma therapy, and my research on therapists’ use of self. This background informs my attention to the therapeutic relationship, reflexivity, and the ethical responsibilities of clinical work.

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Curriculum Vitae (PDF)

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Professional Ethics Workshop

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I also offer a professional ethics workshop for mental health professionals. The workshop explores ethical decision-making in everyday clinical practice, with attention to use of self, reflexivity, relationships, and the influence of nervous system responses under pressure.

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Professional Ethics Workshop

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Inquire About Consultation

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If you would like to discuss consultation, please get in touch with a brief description of what you are seeking. We can consider whether my experience fits your needs and discuss availability.