Keep On Keeping On

Carole and I are working out how to “keep on keeping on” in the midst of increasing demands for our counselling time. We are both concerned about our long waiting lists and the urgencies caused by covid crises. And we are also aware that we can’t work as hard as we have up until this point.

We love the work of listening, wondering, consoling and challenging and we hope to continue our work with you for some time to come. So, to be able to do this and to do so effectively, we are making some changes. Here they are:

  • First — we are going to limit the number of new clients so that we can better serve the people we visit with now. This will begin on April 1, 2021.
  • Second — we are going to re-package our workdays so that we are not carrying as many hours each day. This will be in effect by September 2021.
  • Third — when covid has lifted, we are going to limit in-office visits and keep much of our work online.
  • Fourth — we will actively refer people who inquire about working with us. We have an extensive network of counsellors and we think we can match clients and counsellors quite effectively.

In summary, this means that we want to continue to work with you because we have a commitment to you, and we value the work we have accomplished together. But we are going to restrict new commitments to others.

Let us know your thoughts. Write to us at life@theducklows.ca. We will be sure to get back to you. And thanks.

UPDATE 2021 — Opening and Closing the Office Door

[Updated JANUARY 17, 2021]

BECAUSE OF THE CURRENT PANDEMIC CONCERNS, IN-OFFICE MEETINGS WILL BE POSTPONED UNTIL RESTRICTIONS ARE LIFTED. PLEASE WATCH MY WEBSITE FOR UPDATES.

Paddy has now opened the office doors to in-person counselling. (Carole will continue visiting with people online.) Good news for those tired of staring at computer monitors (like me)! And for those who like the convenience and lack of commute, we are still offering counselling via Doxy and Zoom. Two more open doors!

If you decide at any time that you would feel safer or prefer to meet online, then we shall do that. Paddy will continue offering online counselling for those who prefer and his off-time appointments (Tuesday and Wednesday mornings) are online only.

Here is some info already published on our website that will orient you to our care for you during the pandemic. There are a few other blogs published on the topic as well.

If you wish to meet in-person, there are a few cautions to understand and ideas to respond to.

• You will only keep your in-person appointment if you are symptom-free. If you are feeling unwell, please cancel as quickly as you are able. No fee will be assessed for cancelled fees related to sickness. Still, give us 48 hours if you can.

• If you have any symptoms of the coronavirus (self-check), I trust that we can meet online — rebooking can be difficult for you and for me.

• Come into the office on time (not too early) and wait on the “sinner’s bench”! (Sorry, that’s a joke.) Text me to let me know you are ready and able (604-315-9543) and I will come to find you. You may park in the carport or on the parking pad at the top of the driveway.

• Please bring your own mask if you wish, or if you feel therapy in any way compromises social distancing. You may use a mask as you enter and leave our office. Please leave your shoes and coats in the entryway.

• We will provide hand sanitizer in the entryway, office and washroom.

• Bring your own coffee mug if you wish our Nespresso. Mmm.

• Keep a distance of 6 feet or so — no need to bring a noodle; we can approximate. And, sorry to say, no hugs, handshakes or high-5s. Waves and bows work too.

• Please do not bring children or infants to therapy at this time.

• Please take whatever steps you can between appointments to minimize your exposure to covid.

• If you have work that exposes you to other people who may be infected, please reschedule your appointment or replace it with online therapy. Again, give us as much time as you can.

• If a resident of your home tests positive for the infection, let me know and we will continue with online appointments.

All this goes both ways. If Carole or I or anyone in our home or family bubble has covid symptoms, we will contact you as quickly as we can. Then we will discuss other possibilities including using online and screens. If there should be a resurgence of the virus, we will notify you and return to online therapy.

As you can see, we are taking your health seriously. And we are doing it for us too. We want to be able to visit with our grandchildren on our non-workdays and we sure don’t want them infected.

We look forward to accomplishing good work with each one of you.

Paddy and Carole

Tele-Psych with Paddy and Carole (Video-Counselling with Doxy.me)

[Updated August 2020]

For the Fall of 2020, Paddy and Carole will be counselling, cajoling and comforting over Doxy.me, a hyper-secure teleconferencing system. (Did you see the pun? “Doc-see-me.”) As of September 1, Paddy will visit with some of his clients in-person and continue with others online.

Using Doxy, you don’t need to download anything — you just get an email from me on the time you have booked. Click that and you are in.

To go directly to Carole’s Doxy waiting room, click here.

To go directly to Paddy’s Doxy waiting, click here.

We are moving from Skype and FaceTime to something that is simpler and more secure. You can look up Doxy.me here. It will take you a couple of minutes to orient, but it is pretty basic and easy to use.

Having said this, if you wish to visit Paddy at our office, this is again being offered on his Monday and Thursday appointments and not on his Tuesday and Wednesday off-time mornings (“What the heck are those?”). In this case, please read my blog “Current Covid-19 Concerns.” This will explain our approach to minimizing contact and thwarting this disease should you visit our home office.

Prior to starting video-counselling, I want to go over a few things with you. Here is my list.

  • There are obvious benefits to video-counselling. If you are out of the Vancouver area or if you have some sickness. Some busy business folk who are trapped in meetings video-call me from their offices and cars!
  • There are some risks too. We are using technology (and wires and stuff, that I don’t know much about) to make this work. This is why we are switching to Doxy.me. It is just more secure.
  • Confidentiality still applies to all telepsychology services.
  • We will not record our sessions and I can’t see why we would wish a recording – so we won’t record. We hope that you won’t either.
  • Note that you need to use a webcam or smartphone during the session. Otherwise, it is much more difficult with simply voice.
  • It is important to be in a quiet, private space that is free of distractions (including a cell phone or other devices) during the session. Kids can be a problem too.
  • It is important to use a secure internet connection rather than public/free Wi-Fi (eg Starbucks).
  • It is important to be on time. If you need to cancel or change your tele-appointment, you must notify us in advance by phone or email. Can you give us a day or so? Sure helps us.
  • We need a back-up plan (e.g., a phone number where you can be reached) to restart the session or to reschedule it, in the event of technical problems. Make sure we have your phone number.
  • You should confirm with your insurance company that the video sessions will be reimbursed; if they are not reimbursed, you are responsible for the payment.
  • As your psychologist, I may determine that due to certain circumstances, telepsychology is no longer appropriate and that we should resume our sessions in-person.
  • Get your coffee or pour your tea and let’s get going. Connect with Doxy.me.

Best to you all and stay healthy.

Paddy and Carole

Current COVID-19 Concerns (Updated Aug. 2020)

[Updated August 30, 2020]

To our clients and friends,

With concerns around COVID-19, Carole and I will continue to meet online and Paddy will offer some sessions in-person as well. We have been using Doxy.me but we will also use Zoom Professional or another format. Doxy is much more secure than Skype or FaceTime and does not require a download on your side. We take care of all the admin.

Here are our current thoughts about visiting with you in our home office:

If you are unwell, please stay at home! We will not charge you for appointments cancelled due to sickness – but still, give us a day or two if you can. We can connect on Doxy.me if you wish. Just let us know.

Please do not bring your infant and toddler children to appointments. I (Paddy) will miss your little people, but I shall overcome!

We will sanitize throughout the day and between appointments. The bathroom has disposable paper towels and single-use cloth towels. Between appointments (usually 15 minutes), we will sanitize surfaces where germs may collect. We have hand sanitizer available for your use as well. Please bring your own masks if you wish them.

Sorry but no hugs or handshakes for a while. We can bump elbows, bow reverently or kick boots! And you can bring your own slippers if you would like.

More information about in-person therapy can be found on my website in the blog entitled “Opening the Office Door.”

That’s it! If you have any questions, please email us at life@theducklows.ca and we will respond ASAP.

  • Carole’s Doxy waiting room is called Carole’s place (“carolesplace”) and you can find it here.
  • Paddy’s Doxy waiting room is called Paddy’s place (“paddysplace”) and you can find it here.
  • For more information on telepsychology with Paddy and Carole, click here.

Be well,

Paddy and Carole Ducklow