Pistos Counselling Services
Specialized Obsessive-Compulsive Disorder (OCD) &
Anxiety Counselling Therapy in Vancouver, Richmond, Burnaby, Coquitlam and beyond in BC.
Evidence-based treatment, grounded in Cognitive Behavioral Therapy (CBT) and Exposure & Response Prevention (ERP), helping you rebuild
clarity,
Calm,
and meaningful
connection.
Counselling in English, Cantonese (廣東話), and Mandarin (國語).
Ruby Au, MA, RCC
Registered Clinical Counsellor & OCD Specialist
Ruby Au, MA, RCC is a Registered Clinical Counsellor(#3429) with extensive experience in evidence-based mental health treatment across hospital, community, and primary care settings. With advanced training in Cognitive Behavioral Therapy (CBT) and Exposure & Response Prevention (ERP), Ruby specializes in helping clients break free from obsessive-compulsive cycles, anxiety patterns, and relationship-related distress.
Ruby’s clinical background includes work in cross-cultural psychiatry, group therapy programs, and multidisciplinary primary care networks. Her understanding of cultural identity, acculturation experiences, and intergenerational stress informs a compassionate, nuanced approach to therapy particularly for individuals navigating mental health concerns within multicultural contexts.
Ruby is fully fluent in English, Cantonese (廣東話), and Mandarin (國語), and is also an approved ICBC health care provider for motor vehicle accidents related mental health care across the province of BC, including Vancouver, Richmond, Burnaby, Coquitlam, Surrey, Victoria, Kelowna and beyond.
Clear, Structured, and Effective Treatment for Obsessive-Compulsive Disorder (OCD)
Obsessive-Compulsive Disorder (OCD) requires targeted, specialized treatment. Ruby provides structured, research-supported Exposure & Response Prevention (ERP) to help you break free from intrusive thoughts, compulsions, and the exhaustion of constant mental checking or avoidance. Treatment is personalized, paced, and designed to help you regain confidence and autonomy.
Core Benefits:
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Master proven ERP tools to reduce compulsions
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Build resilience to intrusive thoughts
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Learn sustainable coping strategies
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Reclaim your daily life from OCD patterns
When Anxiety Shapes Your Thoughts, Behaviors, and Relationships
Anxiety often touches more than your internal world. It influences communication patterns, emotional responses, and relationships. Ruby integrates CBT-informed strategies to help you understand and navigate:
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Generalized anxiety
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Health anxiety
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Social and interpersonal stress
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Communication difficulties
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Relationship conflict
By grounding therapy in CBT, emotional regulation, and behaviour change models, clients learn to build healthier relational patterns and deepen meaningful connection.
Support After Motor Vehicle Accidents (ICBC)
Motor vehicle accidents can trigger anxiety, intrusive thoughts, panic, and avoidance—symptoms that overlap significantly with OCD and anxiety processes. Ruby provides structured counselling to help clients stabilize after an MVA, process trauma reactions, rebuild day-to-day functioning, and return to normal routines.
Ruby is an approved ICBC health care provider and bills ICBC directly for qualifying clients.
