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At The Pathways to Change, we support children, teens, and adults who are dealing with anxiety, low mood, big emotions, autism and neurodevelopmental differences, behavior challenges, school difficulties, social skills, and family relationship stress.
We don’t wait for things to become “serious enough” — if something is affecting everyday life, school, work, or family routines, it’s worth talking about.
A good rule of thumb is: when worry, sadness, or behavior is starting to get in the way of daily life.
You might notice school refusal, meltdowns, sleep changes, withdrawal from family and friends, constant arguments at home, or feeling “on edge” most of the time.
You don’t need a diagnosis before you come. Part of our job is to help you figure out what’s going on and what kind of support will actually help.
We do both. Our team includes a Board Certified Behavior Analyst (BCBA) for ABA Therapy (1:1) and a licensed mental health therapist for counselling.
That means we can support autistic and neurodivergent children with behavior and skill-building and offer counselling for anxiety, depression, stress, family relationships, and emotional regulation for children, teens, and adults.
Together, we build one plan for your family instead of sending you to three different places.
You do not need a doctor’s referral to contact us.
You can start by filling out our Intake Form or Send Your Question form, or by calling/emailing our office.
We’ll ask a few brief questions, match you with the right service (ABA, counselling, or training), and book an initial appointment based on your schedule and preferences.
The Pathways to Change is not a crisis or emergency service.
If you or someone you love is in immediate danger, please call your local emergency number or go to the nearest emergency department.
For urgent mental health support, contact your local crisis line or community mental health service. We can then follow up with ongoing, non-emergency care.
The first session is mostly a conversation. We’ll ask about your concerns, your child’s strengths, your family routines, and what has or hasn’t helped so far.
For children, we may spend a bit of time with you together and some time with the child, depending on age and comfort.
By the end of the appointment, we’ll share our first impressions and recommend next steps, such as ABA Therapy, individual counselling, family sessions, or parent coaching.
ABA Therapy (1:1) focuses on building everyday skills and reducing behaviors that get in the way of learning, independence, or safety, especially for autistic and neurodivergent children.
CBT (Cognitive Behavioural Therapy) helps children, teens, and adults notice patterns in thoughts, feelings, and behavior and learn practical tools to manage anxiety, low mood, and stress.
DBT (Dialectical Behaviour Therapy) adds skills for big emotions, impulsivity, and conflict — things like distress tolerance, mindfulness, and healthier ways to cope and communicate.
Yes. Most of our counselling and parent training sessions can be offered online through secure video.
This can be especially helpful for busy families, parents who live further away, or young people who feel more comfortable at home.
Together, we’ll decide whether online, in-person, or a mix of both is the best fit for your situation.
For children and teens, parents and caregivers are an important part of the process.
In ABA Therapy, we actively coach you on how to use strategies at home so skills don’t stay only in the clinic.
In counselling, we balance private space for the young person with regular check-ins and guidance for parents, so everyone is working toward the same goals.
It depends on your goals. Some families come for a short series of focused sessions (6–12) to learn specific skills, while others benefit from longer-term support.
Your therapist will discuss a plan with you after the assessment and will review progress regularly so you know what’s working and what might need to change.
Your Questions Deserve Clear Answers
If you’re still unsure about your child’s behaviour, emotions, or school struggles, you don’t have to figure it out on your own.
Send us your question and a clinician at The Pathways to Change will review it and help you understand what support might be most helpful for your family.
Help Center
Still Need Help? Here’s What You Can Do Next
Not every question fits in an FAQ. If you’d like more personal guidance, here are a few ways we can support you and your family.
Consultation Call
Schedule a one-to-one consultation with a licensed clinician to talk through your child’s needs and possible next steps.
Parent Guides & Resources
Explore practical guides, checklists, and articles on autism, anxiety, behaviour, and school challenges.
Ask Our Team a Question
Send us a brief question about your situation. Our team will review it and let you know whether our services may be a good fit.