Counselling services

FNHA Counselling Services in British Columbia

Online FNHA counselling services for adults across BC — individual counselling, anxiety and depression support, trauma and grief work, and culturally respectful First Nations mental health counselling. Sessions are delivered by secure video or phone with Mukesh Mishra, RCSW, so you can meet from wherever you feel private and safe.

Individual Counselling

Who this may help

Adults who feel stuck, overwhelmed, exhausted or unlike themselves, and want a confidential space to think things through with a professional.

Common concerns

Ongoing stress, low motivation, sleep difficulties, irritability, relationship strain, work pressure, family conflict, and the accumulated weight of unaddressed difficulties.

The counselling approach

Sessions begin with your story and your goals. Together we look at what is happening, what has helped before, and which practical strategies fit your life. The pace is yours, and progress is reviewed openly rather than assumed.

Anxiety & Stress Counselling

Who this may help

People living with persistent worry, tension, panic-like episodes, avoidance, or the feeling of always being on alert.

Common concerns

Racing thoughts, difficulty concentrating, physical tension, social anxiety, health worry, financial stress and caregiving strain.

The counselling approach

We work on understanding your stress responses, building grounding and regulation skills, gently reducing avoidance, and problem-solving the real-life pressures feeding the anxiety. Counselling does not remove stressors, but it can change how much power they hold.

Depression Counselling

Who this may help

Adults experiencing low mood, hopelessness, loss of interest, withdrawal or heavy fatigue that has lasted longer than a passing rough patch.

Common concerns

Loss of enjoyment, guilt, self-criticism, isolation, disrupted sleep and appetite, and difficulty keeping up with daily responsibilities.

The counselling approach

Support focuses on small, achievable steps back toward activity and connection, examining harsh self-talk, and rebuilding routines. Counselling is not a substitute for medical care; where appropriate we discuss involving your physician or nurse practitioner.

Trauma & PTSD Support

Who this may help

People affected by frightening, violent or deeply distressing experiences, including intergenerational and community trauma.

Common concerns

Intrusive memories, nightmares, hypervigilance, numbness, startle responses, avoidance of reminders, shame and difficulty trusting others.

The counselling approach

Trauma-informed counselling that prioritizes safety and stabilization first: grounding, coping skills and predictability. Difficult material is only approached when you feel steady, and you can slow down or stop at any point.

Grief & Loss Counselling

Who this may help

Anyone carrying bereavement, anticipatory grief, or the loss of a relationship, role, health, home or way of life.

Common concerns

Waves of sorrow, guilt, anger, numbness, complicated family dynamics, unresolved losses, and grief that has had no room to be expressed.

The counselling approach

A space to speak about who and what you have lost without being rushed toward closure. Counselling supports remembering, meaning-making and finding a way to carry loss while continuing to live.

Cultural Identity & Self-Esteem Support

Who this may help

People exploring who they are, where they belong, and how experiences of racism, disconnection or displacement have shaped their sense of self.

Common concerns

Low confidence, self-doubt, feeling caught between communities, disconnection from family or culture, and difficulty setting boundaries.

The counselling approach

A respectful, curious conversation about identity, belonging and personal strengths. You define what matters; counselling helps you reconnect with it and speak about it with less shame.

Indigenous / First Nations Mental Health Counselling

Who this may help

First Nations, Inuit and Métis adults in BC who want counselling that recognizes culture, family, community and history as part of wellness — including clients accessing care through FNHA Health Benefits.

Common concerns

Effects of residential schools and intergenerational trauma, loss of loved ones, family and community stress, discrimination, and rebuilding wellness while carrying responsibilities to others.

The counselling approach

Culturally respectful, client-centred counselling. Your cultural practices, supports and beliefs are welcome in the room to whatever degree you choose, and are never treated as something to explain or defend.

Coverage

FNHA Mental Wellness & Counselling Benefit

How the benefit works, and how this practice fits into it.

What the benefit provides

The FNHA Mental Wellness and Counselling benefit gives eligible First Nations clients in British Columbia access to counselling from qualified mental health providers registered with the Health Benefits Program. Virtual and Telehealth appointments are included, which is what makes online counselling across BC possible.

FNHA advises clients to tell their provider that they have Health Benefits coverage when scheduling. Session limits, approvals and eligibility rules are set by the program, so clients should verify their own coverage requirements before booking.

Please note: Coverage and eligibility are determined by the First Nations Health Benefits program. Please confirm your eligibility and coverage requirements with FNHA or your provider before booking.

Two different things, clearly

FNHA
The First Nations Health Authority — the health organization that administers health benefits, including the Mental Wellness and Counselling benefit, for eligible First Nations people in BC.
FNHA Counselling
This private counselling practice. We provide online counselling to clients in BC and are not affiliated with, owned by, operated by or endorsed by the First Nations Health Authority.

Questions about eligibility, approvals or claims are best answered by FNHA Health Benefits directly. Questions about counselling itself — approach, scheduling, what a first session is like — are ours to answer, and you can send us an inquiry any time.

Ready to Talk?

Taking the first step toward counselling can feel difficult. You do not have to figure everything out on your own.
If you are looking for FNHA counselling online in British Columbia, contact us to discuss your counselling needs and the appointment process.

FNHA Counselling

Secure online counselling — by video or phone — for eligible First Nations clients across British Columbia.

Contact

Sessions

Virtual counselling by secure video or phone — no travel required.

Important Information

FNHA Counselling is an independent private counselling service and is not the First Nations Health Authority.

Coverage and eligibility are determined by the First Nations Health Benefits program. Please confirm your eligibility and coverage requirements with FNHA or your provider before booking.

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In an emergency, call 911 or reach the 24/7 Suicide Crisis Helpline at 988. This website is not an emergency service.