Relationship Issues Therapists in Kitsilano, Vancouver, BC

Photo of Karolina Taracha, MA, RPC, Counsellor
Karolina Taracha
Counsellor, MA, RPC
Verified Verified
1 Endorsed
Kitsilano, Vancouver, BC V6K  (Online Only)
I work with individuals and couples who are a desiring a change in their relationship but cannot seem to make it happen.
Do you feel like you cannot express your true self in relationships? People disappointed you in the past and you are very careful in how you show up to others? Or perhaps strong emotions are making it difficult for you to connect to your close ones? If you are currently struggling in your relationship and it feels like you are stuck in a cycle getting nowhere, conversing about it with a trained professional might just be the next step for you. I am certified coach and registered counsellor and I help individuals and couples improve their relationships be it with their partner, family, friends or coworkers.
I work with individuals and couples who are a desiring a change in their relationship but cannot seem to make it happen.
Do you feel like you cannot express your true self in relationships? People disappointed you in the past and you are very careful in how you show up to others? Or perhaps strong emotions are making it difficult for you to connect to your close ones? If you are currently struggling in your relationship and it feels like you are stuck in a cycle getting nowhere, conversing about it with a trained professional might just be the next step for you. I am certified coach and registered counsellor and I help individuals and couples improve their relationships be it with their partner, family, friends or coworkers.
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Photo of Sonja Huege, MCP, RCC, Counsellor
Sonja Huege
Counsellor, MCP, RCC
Verified Verified
2 Endorsed
Kitsilano, Vancouver, BC V6K
Do you often feel dissatisfied and self critical, even when you have good things in your life? Are you in a relationship right now where you are hitting a wall and struggling to communicate and connect effectively? I work with clients who deeply long to thrive, but are held back by anxiety and old insecurities – is that you? Self doubt can be discouraging, impacting our motivation and our ability to pursue the relationships and pursuits that we value in life. Here is some good news though: it doesn't need to be this way! Changing these old patterns and self beliefs is a process that can lead you to build more clarity and confidence.
Do you often feel dissatisfied and self critical, even when you have good things in your life? Are you in a relationship right now where you are hitting a wall and struggling to communicate and connect effectively? I work with clients who deeply long to thrive, but are held back by anxiety and old insecurities – is that you? Self doubt can be discouraging, impacting our motivation and our ability to pursue the relationships and pursuits that we value in life. Here is some good news though: it doesn't need to be this way! Changing these old patterns and self beliefs is a process that can lead you to build more clarity and confidence.
(782) 222-7670 View (782) 222-7670
Photo of Jason Evans - Jason Evans Counselling, MA, RCC, Counsellor
Jason Evans Counselling
Counsellor, MA, RCC
Verified Verified
3 Endorsed
Kitsilano, Vancouver, BC V6J
Are you struggling with feelings of anxiety, self-esteem or unsure of your life purpose? Are you dealing with relationship issues with your partner, family member, friend or co-worker? Are you wanting to make real changes in your life, but aren't clear about how or where to start?
Are you struggling with feelings of anxiety, self-esteem or unsure of your life purpose? Are you dealing with relationship issues with your partner, family member, friend or co-worker? Are you wanting to make real changes in your life, but aren't clear about how or where to start?
(431) 813-0802 View (431) 813-0802
Photo of Ally Abrami, BA, MC, Counsellor
Ally Abrami
Counsellor, BA, MC
Verified Verified
Kitsilano, Vancouver, BC V6J  (Online Only)
What we’ll work on together is understanding how the particulars of your life intersect with your relationship and shape your needs, communication, and boundaries.
I specialize in helping individuals and partners navigate the extra something that makes their relationship(s) a unique challenge. The folks I work with are often loving outside of the cisheteronormative & mononormative structure such as non-monogamy, kink/BDSM, and other LGBTQ2S+ relationships. I also work with clients whose experience of the world may be impacting their relationships, such as neurodivergent people, individuals living with disability, or folks for whom trauma is showing up. I help clients design the intentional relationships they are struggling to create on their own.
What we’ll work on together is understanding how the particulars of your life intersect with your relationship and shape your needs, communication, and boundaries.
I specialize in helping individuals and partners navigate the extra something that makes their relationship(s) a unique challenge. The folks I work with are often loving outside of the cisheteronormative & mononormative structure such as non-monogamy, kink/BDSM, and other LGBTQ2S+ relationships. I also work with clients whose experience of the world may be impacting their relationships, such as neurodivergent people, individuals living with disability, or folks for whom trauma is showing up. I help clients design the intentional relationships they are struggling to create on their own.
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Photo of Robert M Miles - Lighthouse Counselling, MCP, RCC, EFT, OEI, CVAP, Counsellor
Lighthouse Counselling
Counsellor, MCP, RCC, EFT, OEI, CVAP
Verified Verified
1 Endorsed
Kitsilano, Vancouver, BC V6J
Stuck in your relationship? Feeling misunderstood, blamed, or attacked? Arguments and conflict weighing you down? Feeling empty or disconnected, frightened to speak your needs? If you're struggling in your relationships repeating the same pattern and in need of a way forward contact me today for your FREE 15 minute consultation. I am a relationship therapist whose aim is to help others gain insight into the problem patterns of behaviour we often fall victim to. Break-free of the painful cycles of the past. Contact me today to learn how you can enjoying the love and connection you deserve.
Stuck in your relationship? Feeling misunderstood, blamed, or attacked? Arguments and conflict weighing you down? Feeling empty or disconnected, frightened to speak your needs? If you're struggling in your relationships repeating the same pattern and in need of a way forward contact me today for your FREE 15 minute consultation. I am a relationship therapist whose aim is to help others gain insight into the problem patterns of behaviour we often fall victim to. Break-free of the painful cycles of the past. Contact me today to learn how you can enjoying the love and connection you deserve.
(604) 373-0857 View (604) 373-0857
Photo of Carrine Gelmon, MC, RCC, Counsellor
Carrine Gelmon
Counsellor, MC, RCC
Verified Verified
Kitsilano, Vancouver, BC V6K
Are you seeking deeper connection and fulfillment in your relationships? Do you struggle with intimacy, communication, or emotional regulation? As a registered clinical counsellor, I help individuals and couples navigate the complexities of their intimate lives and emotional wellbeing. With experience in relationship and sex therapy, I intend to provide a safe, compassionate space where you can explore your concerns and emotions without judgment. I work collaboratively with you to develop tailored strategies that foster understanding, growth and connection.
Are you seeking deeper connection and fulfillment in your relationships? Do you struggle with intimacy, communication, or emotional regulation? As a registered clinical counsellor, I help individuals and couples navigate the complexities of their intimate lives and emotional wellbeing. With experience in relationship and sex therapy, I intend to provide a safe, compassionate space where you can explore your concerns and emotions without judgment. I work collaboratively with you to develop tailored strategies that foster understanding, growth and connection.
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Photo of Ariel Luo Expressive Arts Therapy, PhD, EXAT, CCTS-F, Art Therapist
Ariel Luo Expressive Arts Therapy
Art Therapist, PhD, EXAT, CCTS-F
Verified Verified
Kitsilano, Vancouver, BC V6J
I refer to additional outside support if appropriate and maintain client confidentiality during and after our therapeutic relationship.
I am a Certified Expressive Arts Therapist, a professional member of the International/ Canadian Expressive Arts Therapy Associations. I facilitate healing by bringing together body-mind sensation, psychological life, imagination, and intuition using integrative, multimodal arts processes for personal and transformation. I believe that when people accept themselves just as they are, they can change; imagination, creativity and intuition will give them the capacity to reach down into the depths of the psyche, the spirit, the soul, and the body, transform and be resilient from his suffering.
I refer to additional outside support if appropriate and maintain client confidentiality during and after our therapeutic relationship.
I am a Certified Expressive Arts Therapist, a professional member of the International/ Canadian Expressive Arts Therapy Associations. I facilitate healing by bringing together body-mind sensation, psychological life, imagination, and intuition using integrative, multimodal arts processes for personal and transformation. I believe that when people accept themselves just as they are, they can change; imagination, creativity and intuition will give them the capacity to reach down into the depths of the psyche, the spirit, the soul, and the body, transform and be resilient from his suffering.
(226) 781-4063 View (226) 781-4063
Photo of Yenny Marcela Paez, Pre-Licensed Professional
Yenny Marcela Paez
Pre-Licensed Professional
Verified Verified
1 Endorsed
Kitsilano, Vancouver, BC V6K
Are you feeling discouraged by setbacks, or like you've hit a wall with a relationship or a challenging life event? Do you find that you spend a lot of time in your head, struggling to make decisions and take action? I can help you work through your struggles with issues such as depression, anxiety, body image, relationship struggles, dating, and grief/loss. With empathy, supportive challenging, and productive curiosity (and humour!), I can help you make sense out of what is contributing to your current struggles, and how we can get to work so that you are able to show up with more confidence, connection and effectiveness.
Are you feeling discouraged by setbacks, or like you've hit a wall with a relationship or a challenging life event? Do you find that you spend a lot of time in your head, struggling to make decisions and take action? I can help you work through your struggles with issues such as depression, anxiety, body image, relationship struggles, dating, and grief/loss. With empathy, supportive challenging, and productive curiosity (and humour!), I can help you make sense out of what is contributing to your current struggles, and how we can get to work so that you are able to show up with more confidence, connection and effectiveness.
(236) 309-2454 View (236) 309-2454
Photo of Shana Cherry, MA, RCC, Counsellor
Shana Cherry
Counsellor, MA, RCC
Verified Verified
1 Endorsed
Kitsilano, Vancouver, BC V6K
I believe that every client is innately aware where they need to go (in therapy) to heal themselves. My role is to use my skills to help them along in that process. I meet clients where they are at recognizing that may change from session to session. We start with their goal(s) for counselling and work from there. I don't "need" to know anything in particular before we start. I find that with a trusting relationship, a client will share all that is relevant in order to attain their goal(s).
I believe that every client is innately aware where they need to go (in therapy) to heal themselves. My role is to use my skills to help them along in that process. I meet clients where they are at recognizing that may change from session to session. We start with their goal(s) for counselling and work from there. I don't "need" to know anything in particular before we start. I find that with a trusting relationship, a client will share all that is relevant in order to attain their goal(s).
(226) 782-4271 View (226) 782-4271
Photo of Anna Goren - The Adler Centre, RCC, Counsellor
The Adler Centre
Counsellor, RCC
Verified Verified
Kitsilano, Vancouver, BC V6K
We can support you with: Anxiety, Depression, Grief, Loss, Trauma, Attachment, Addiction / Substance Use, Immigrant / Newcomer challenges, Conflict resolution, Work/career concerns, Growth and personal development, relationship challenges, non-monogamy & polyamory, parenting, commitment, Life transitions, Chronic pain / illness, & any other challenges.
If you are reading this, please recognize your courage to get this far. Are you feeling overwhelmed, burnt out, broken, or disconnected? Whatever your challenges, our counsellors are here to walk with you as you move toward connection, empowerment, and living your life the way you want to. Our team of carefully selected Intern or Registered counsellors will meet you where you are at. They will support and work with you to make lasting change.
We can support you with: Anxiety, Depression, Grief, Loss, Trauma, Attachment, Addiction / Substance Use, Immigrant / Newcomer challenges, Conflict resolution, Work/career concerns, Growth and personal development, relationship challenges, non-monogamy & polyamory, parenting, commitment, Life transitions, Chronic pain / illness, & any other challenges.
If you are reading this, please recognize your courage to get this far. Are you feeling overwhelmed, burnt out, broken, or disconnected? Whatever your challenges, our counsellors are here to walk with you as you move toward connection, empowerment, and living your life the way you want to. Our team of carefully selected Intern or Registered counsellors will meet you where you are at. They will support and work with you to make lasting change.
(647) 952-1680 View (647) 952-1680
Photo of Elisabetta Risso, MA, CCC, RCC, Counsellor
Elisabetta Risso
Counsellor, MA, CCC, RCC
Verified Verified
Kitsilano, Vancouver, BC V6K
There are moments in life when you may feel confused, undecided, fatigued. Moments when everything seems uncomfortable, and you long for a positive change, but the way ahead is still unclear. Whether you’re a young person, adult, or part of a couple, I can help enhance your mental well-being by addressing issues like emotional isolation, stress and anxiety, relationship problems, and challenging life transitions.
There are moments in life when you may feel confused, undecided, fatigued. Moments when everything seems uncomfortable, and you long for a positive change, but the way ahead is still unclear. Whether you’re a young person, adult, or part of a couple, I can help enhance your mental well-being by addressing issues like emotional isolation, stress and anxiety, relationship problems, and challenging life transitions.
(579) 700-6446 View (579) 700-6446
Photo of Zoë Younger, MCP, CCR, RCC, Counsellor
Zoë Younger
Counsellor, MCP, CCR, RCC
Verified Verified
1 Endorsed
Kitsilano, Vancouver, BC V6K
We will start by talking about what matters most to you (work, relationship, lifestyle), and what isn't working.
Clients come to me when they feel that something in their life needs to change, but can't quite see the path forward. Some clients aren't quite sure where to start, or even exactly where they want to go. Many feel overwhelmed, stuck, frustrated or exhausted by the experiences and cycles in their life that seem to repeat themselves despite desperately wanting them to change! Our work together could help you gain clarity about where you want to go, identify and remove obstacles (internal & external), provide you with practical new tools for navigating a complex world, seeing changes, and moving forward with joy and confidence!
We will start by talking about what matters most to you (work, relationship, lifestyle), and what isn't working.
Clients come to me when they feel that something in their life needs to change, but can't quite see the path forward. Some clients aren't quite sure where to start, or even exactly where they want to go. Many feel overwhelmed, stuck, frustrated or exhausted by the experiences and cycles in their life that seem to repeat themselves despite desperately wanting them to change! Our work together could help you gain clarity about where you want to go, identify and remove obstacles (internal & external), provide you with practical new tools for navigating a complex world, seeing changes, and moving forward with joy and confidence!
(604) 373-0517 View (604) 373-0517
Photo of Daphne Georghiou - Daphne Georghiou, RMFT, RCC, RCC, RMFT, MA, Marriage & Family Therapist
Daphne Georghiou, RMFT, RCC
Marriage & Family Therapist, RCC, RMFT, MA
Verified Verified
2 Endorsed
Kitsilano, Vancouver, BC V6H
My expertise lies in supporting clients suffering from Borderline Personality Disorder, symptoms of narcissistic abuse, painful relationship and family issues.
Are you grieving a loss, or suffering from bouts of Anxiety and/or Depression? Do you struggle in relationships and getting your needs met? Do you overthink things and obsess to the degree it's impacting your happiness and well being? Are you finding yourself behaving in self-destructive ways? You are not alone. I can help you get to the root of what's binding you and gain emotional relief. My expertise lies in creating nurturing, healing environments for psychotherapeutic process. Come and make conscious what may be repressed and find inner harmony and balance again. You deserve to feel hope and promise for a better future.
My expertise lies in supporting clients suffering from Borderline Personality Disorder, symptoms of narcissistic abuse, painful relationship and family issues.
Are you grieving a loss, or suffering from bouts of Anxiety and/or Depression? Do you struggle in relationships and getting your needs met? Do you overthink things and obsess to the degree it's impacting your happiness and well being? Are you finding yourself behaving in self-destructive ways? You are not alone. I can help you get to the root of what's binding you and gain emotional relief. My expertise lies in creating nurturing, healing environments for psychotherapeutic process. Come and make conscious what may be repressed and find inner harmony and balance again. You deserve to feel hope and promise for a better future.
(778) 763-1451 View (778) 763-1451
Photo of Nicole Persall, MEd, RCC, Counsellor
Nicole Persall
Counsellor, MEd, RCC
Verified Verified
Kitsilano, Vancouver, BC V6J  (Online Only)
As a Registered Clinical Counsellor (RCC), I offer online counselling to individuals and couples facing issues such as anxiety, trauma, and relationship concerns. I help people understand how past experiences may have shaped their beliefs and how they relate to themselves and others, and how the patterns they developed to survive in childhood may no longer be as helpful in their current relationships. I help clients learn new skills including understanding their feelings and needs, communicating effectively with others, setting boundaries, managing stress and anxiety, and regulating their nervous system through various strategies.
As a Registered Clinical Counsellor (RCC), I offer online counselling to individuals and couples facing issues such as anxiety, trauma, and relationship concerns. I help people understand how past experiences may have shaped their beliefs and how they relate to themselves and others, and how the patterns they developed to survive in childhood may no longer be as helpful in their current relationships. I help clients learn new skills including understanding their feelings and needs, communicating effectively with others, setting boundaries, managing stress and anxiety, and regulating their nervous system through various strategies.
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Photo of Hearts Matter Counselling Leanne Clarkson, RPC,  MPCC, Counsellor
Hearts Matter Counselling Leanne Clarkson
Counsellor, RPC, MPCC
Verified Verified
1 Endorsed
Kitsilano, Vancouver, BC V6K
Leanne has a track record for helping couples create the relationship they deeply desire! With her specific couples therapy training and over 10 years of experience, she has the skills & ability to handle the most challenging of circumstances.
Listed as one of Vancouver’s top 3 marriage counsellors in Vancouver by Three Best Rated, Leanne’s specialty IS couples counselling. Are you in a relationship but feel alone, sad, hurt, resentful? Are you arguing about the same issues over & over with no change? Do you have unresolved hurt? Leanne can help. Her clients are couples struggling to find connection & happiness in their relationships. As a certified couples therapist, Leanne has the skills, experience & ability to handle the most challenging of circumstances. Leanne offers a free 15 minute consultation to see if she is a fit for you.
Leanne has a track record for helping couples create the relationship they deeply desire! With her specific couples therapy training and over 10 years of experience, she has the skills & ability to handle the most challenging of circumstances.
Listed as one of Vancouver’s top 3 marriage counsellors in Vancouver by Three Best Rated, Leanne’s specialty IS couples counselling. Are you in a relationship but feel alone, sad, hurt, resentful? Are you arguing about the same issues over & over with no change? Do you have unresolved hurt? Leanne can help. Her clients are couples struggling to find connection & happiness in their relationships. As a certified couples therapist, Leanne has the skills, experience & ability to handle the most challenging of circumstances. Leanne offers a free 15 minute consultation to see if she is a fit for you.
(604) 306-7140 View (604) 306-7140
Photo of Orli R Paling, BA, MA, RCC, Counsellor
Orli R Paling
Counsellor, BA, MA, RCC
Verified Verified
5 Endorsed
Kitsilano, Vancouver, BC V6J  (Online Only)
We've all been in a place where we feel desperate for change with no idea how to begin. Many of us seek out counselling to address specific issues while others look for an ongoing therapeutic relationship to serve as a sounding board. Counselling can nurture the development of the necessary tools to make meaningful changes in pursuit of a more balanced and fulfilling life, something everyone deserves to have. Through an eclectic therapeutic approach, I strive to connect with each client in unique ways to best match their strengths and goals. Let's work together to figure out what works best for you to get you where you need to go.
We've all been in a place where we feel desperate for change with no idea how to begin. Many of us seek out counselling to address specific issues while others look for an ongoing therapeutic relationship to serve as a sounding board. Counselling can nurture the development of the necessary tools to make meaningful changes in pursuit of a more balanced and fulfilling life, something everyone deserves to have. Through an eclectic therapeutic approach, I strive to connect with each client in unique ways to best match their strengths and goals. Let's work together to figure out what works best for you to get you where you need to go.
(778) 762-3513 View (778) 762-3513
Photo of Karen Williams, MA, Psychologist
Karen Williams
Psychologist, MA
Verified Verified
1 Endorsed
Kitsilano, Vancouver, BC V6K  (Online Only)
Issues I work with are mid-life transitions, relationship and attachment issues, anxiety, depression, loss/bereavement, spiritual issues and emotional distress.
DREAMS are a creative way to work with the unconscious; to be creative means to bring something into being, and the unconscious is a source for that new being. We are not just what we know of ourselves. Our suffering has meaning and if we are struggling or in crisis this can be the catalyst for change. Carl Jung (1875-1961), tells us that "certain types of pain...are symbolically meaningful. This is one way the unconscious expresses itself." Our psyche is a part of nature and dreams come from that nature to speak to us in a metaphoric language.
Issues I work with are mid-life transitions, relationship and attachment issues, anxiety, depression, loss/bereavement, spiritual issues and emotional distress.
DREAMS are a creative way to work with the unconscious; to be creative means to bring something into being, and the unconscious is a source for that new being. We are not just what we know of ourselves. Our suffering has meaning and if we are struggling or in crisis this can be the catalyst for change. Carl Jung (1875-1961), tells us that "certain types of pain...are symbolically meaningful. This is one way the unconscious expresses itself." Our psyche is a part of nature and dreams come from that nature to speak to us in a metaphoric language.
(587) 905-5455 View (587) 905-5455
Photo of Sophie Darch McEntee, MA, MFT, RCC, Counsellor
Sophie Darch McEntee
Counsellor, MA, MFT, RCC
Verified Verified
1 Endorsed
Kitsilano, Vancouver, BC V6K
I have sixteen years of training and clinical experience working with individuals and couples. Clients come to me usually when they are feeling stuck, overwhelmed or at a crossroad. My clients are often wanting a deeper sense of self-understanding, more peace and fulfillment in their lives. I offer compassionate, skilled, and informed assistance to support my clients in exploring core emotional issues, relationship dynamics and behavioral patterns. My style is warm, attentive, & engaged. I am strongly committed to my clients and will accompany and support you as you find your way through what life has brought you.
I have sixteen years of training and clinical experience working with individuals and couples. Clients come to me usually when they are feeling stuck, overwhelmed or at a crossroad. My clients are often wanting a deeper sense of self-understanding, more peace and fulfillment in their lives. I offer compassionate, skilled, and informed assistance to support my clients in exploring core emotional issues, relationship dynamics and behavioral patterns. My style is warm, attentive, & engaged. I am strongly committed to my clients and will accompany and support you as you find your way through what life has brought you.
(415) 463-1788 View (415) 463-1788
Photo of Lorraine Milardo Bennington, MEd, Psychologist
Lorraine Milardo Bennington
Psychologist, MEd
Verified Verified
Kitsilano, Vancouver, BC V6K  (Online Only)
A Registered Psychologist in Vancouver since 1980, I am passionate about exploring the subconscious mind, assisting my clients to clarify and accomplish their goals, personal and professional. My ideal client has some knowledge of themselves and is deeply motivated to change. Patterns that respond very well to hypnotherapy include smoking, emotional eating, addictions, phobias and insomnia. Hypnotherapy can clear sabotages to success, blocks to self esteem, blocks to creativity, procrastination, fear of public speaking, and help athletes achieve optimal sports performance. Relationships: I love to work with couples experiencing relationship issues, helping them learn to express and listen to each other from the heart.
A Registered Psychologist in Vancouver since 1980, I am passionate about exploring the subconscious mind, assisting my clients to clarify and accomplish their goals, personal and professional. My ideal client has some knowledge of themselves and is deeply motivated to change. Patterns that respond very well to hypnotherapy include smoking, emotional eating, addictions, phobias and insomnia. Hypnotherapy can clear sabotages to success, blocks to self esteem, blocks to creativity, procrastination, fear of public speaking, and help athletes achieve optimal sports performance. Relationships: I love to work with couples experiencing relationship issues, helping them learn to express and listen to each other from the heart.
(844) 719-8056 View (844) 719-8056
Photo of Lee Lourdeaux, PhD, MSW, RCSW, Registered Social Worker
Lee Lourdeaux
Registered Social Worker, PhD, MSW, RCSW
Verified Verified
Kitsilano, Vancouver, BC V6K  (Online Only)
With over twenty-five years of experience, I can help with relationship problems such as poor communication, conflict, or sex.
Everyone's story is unique and no therapy session follows a predictable path. Yet the following steps provide a general outline of how your therapy sessions with me may progress. We investigate your particular problem thoroughly, its destructive dramas and dark messages, until we see exactly how it turns up in your day. Just as important, we clarify your core values, hopes, and skills from which emerges a clear direction for your life.
With over twenty-five years of experience, I can help with relationship problems such as poor communication, conflict, or sex.
Everyone's story is unique and no therapy session follows a predictable path. Yet the following steps provide a general outline of how your therapy sessions with me may progress. We investigate your particular problem thoroughly, its destructive dramas and dark messages, until we see exactly how it turns up in your day. Just as important, we clarify your core values, hopes, and skills from which emerges a clear direction for your life.
(587) 907-5029 View (587) 907-5029
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Relationship Issues Counsellors
While need for human connection appears to be innate, the ability to form healthy, loving relationships is learned. Some evidence suggests that the ability to form a stable relationship starts to form in infancy, in a child's earliest experiences with a caregiver who reliably meets the infant's needs for food, care, warmth, protection, stimulation, and social contact. Such relationships are not destiny, but they are theorized to establish deeply ingrained patterns of relating to others. The end of a relationship, however, is often a source of great psychological anguish.