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Why do I still think about my dead ex-husband?

12/3/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
I suppose this is a problem of old age, but I think constantly about my ex-husband, who has been dead for almost 40 years. Could this be from unresolved trauma? It was not a happy marriage.
 
The answer:
 
Regularly thinking about someone who was an important part of your life – good or bad – even years or decades after they have died is not unusual. Grief is a mysterious creature and the process can be so unpredictable, and so very individual.
 
Thoughts of someone who has died tend to be more frequent and intense when the death was of someone particularly close (a partner, a child). The grieving process is protracted when the death is untimely, unexpected or particularly traumatic or tragic. Having unresolved or complicated emotions from the relationship while the person was alive can also play a role, as you have alluded.
 
As a society, we are strangely ill-equipped to deal with death. I am often asked questions about how long it will take to “get over” a loss, or how one can deal with “unresolved issues” when it comes to their grieving. My experience – both personally in dealing with the death of my father, as well as professionally – is that we never really get over the death of someone that was an important part of our life. We simply learn to cope better over time.
 
Whether your thoughts are a problem depends on a few factors. First, when you say “constantly,” what do you mean? I have many patients who will describe thinking on a daily basis about their deceased loved one. A fleeting thought on most days, even decades later, is not necessarily unusual.
 
Consider the intensity of the emotions associated with thoughts of your ex-husband. Are they neutral thoughts that pop in and out of your head, and don’t interfere with your day-to-day activities? Or, do you find you get stuck in a ruminative state that causes a high degree of emotional stress?
 
There is no magic formula for how long it takes to cope well after a death. But most people will find that it can take from a few months to a few years to get back to their usual mood and activities, and have thoughts of their loved one without breaking down or becoming overly emotional.
 
Four decades later, you still sound disturbed by the quality or quantity of thoughts you are having about your ex-husband – so clearly something needs to change. Spend some time reflecting on what impact his death had.
 
Do you feel that there were unsaid things that you want to communicate to him that you never did? Do you have anger or regret at yourself for not doing things differently, such as leaving the marriage earlier? Are there elements of self-blame or shame for decisions you did or didn’t make? Have you made efforts to move on in your life, or is your past relationship still affecting current-day decisions?
 
Doing some soul-searching on the above can help you move forward. Start by writing down your thoughts in a journal; every time you get stuck on a thought, note what it is specifically that’s in your head, and what it means about your life now. This can be a very powerful exercise.
 
If you find this doesn’t make things better, joining a grief support group or seeking the help of a therapist may be of benefit.

Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

How to Declutter to Reduce Anxiety: Tips for a minimalist lifestyle

5/3/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
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How to Declutter to Reduce Anxiety: Tips for a minimalist lifestyle

There is so much talk when it comes to “minimalism” and decluttering our “stuff”. Often, people are stuck in terms of where to start, or don’t even quite understand what minimalism means to them: it is different for everybody. Here I’ll discuss how to declutter to reduce anxiety in order to create a balance between what you love to have in your life, while also maintaining a clutter-free environment with fewer things you don’t need.

Why should we be concerned with minimalism and having a clutter-free environment? For starters, there’s a lot of wisdom in the old adage about a cluttered environment leading to a cluttered mind. Too much (of anything) around us leads to reduced focus, efficiency, and a general state of emotional or even physical ‘chaos’. 

Why does clutter lead to anxiety and stress? 
  1. Bombards our minds with excessive stimuli causing our senses to work overtime on stimuli that aren’t necessary or important.
  2. Distracts us by drawing our attention away from what our focus should be on.
  3. It makes it more difficult to relax, both physically and mentally.
  4. Constantly signals to our brains that our work is never done.
  5. We’re never sure what it’s going to take, or how long it’s going to take, to get through to the bottom of the pile.
  6. It inhibits creativity and productivity by invading the open spaces that allow most people to think, brainstorm, and problem solve.
  7. Frustrates us by preventing us from locating what we need quickly (e.g. files and paperwork lost in the “pile” or keys swallowed up by the clutter).
But it isn’t just about anxiety and stress. There are increasing reasons environmentally, and financially, for reducing what we have. Financial stressors plague at least one-third of all Canadians – and less stuff can lead to more money in the bank. 
Most people have too much stuff, more than they want or need. For about 6% of the population, this tendency to over-collect and under-purge turns into a clinical compulsive hoarding condition. 

Hoarding: How is it different from having excessive stuff?

This article isn’t about hoarding in particular but let’s define it so we know what the difference is between hoarding and simply having an excess of ‘stuff’.

For those who are compulsively hoarding, a few criteria need to be met. A person collects and keeps a lot of items, even things that appear useless or of little value to most people; these items clutter the living spaces and keep the person from using their rooms as they were intended; and, these items cause distress or problems in day-to-day activities. 

How to Declutter to Maintain Balance

Personally, I have found the rule of “if you haven’t worn or used something for a year, purge” not that helpful or practical. There are many items I have and will, or do, use that don’t necessarily meet those criteria.

Several years ago, I watched and was significantly impacted, by Minimalism: A Documentary About the Important Things. Now don’t get me wrong – I’m by no means close to being a minimalist. I have a long, long, long way to go. However, after watching this documentary I have found myself to be substantially more aware and intentional about the items I purchase. As well as which items come into our home (getting better at purging is the area I’m still continuing to see as a work in progress!).

One of the things that stood out to me from the documentary was to ask yourself one simple question when bringing something in or out of your home: does it have beauty or function? If neither – then out it goes. This is a question I find I repeatedly ask myself when considering a purchase that I may not need. It’s also a question I ask myself when I find I’m resisting letting go of something.

How to Declutter

Pick only one room in your home you want to declutter. Then break it into sections: for example, in your bathroom, you could have “sink counter”, “medicine cabinet” and “under sink cupboard” as 3 different areas. Make a commitment to purge one area a week. As you review each item within that area, ask yourself: is it either functional or beautiful? 

Then, move onto another room.

I find I can get overwhelmed if I try to do larger purges, and so starting with a drawer or cupboard at a time can be a great way to start!

If you’re still having trouble, try making it fun. Put on your favourite upbeat music as you’re organizing it will likely make time feel as though it’s going by quicker.  

Once you start to see the positive impact of decluttering and living a more minimalist lifestyle, it will get easier and you will find yourself being more intentional about the things you bring into your home.

Now that you have some tips on how to declutter I challenge you to start on your next free day! Start small but it will make a difference.

5 Tips for Successful Goal Setting

26/2/2026

 
By Dr. Melanie Badali, R.Psych.
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5 Keys to Successful Goal Setting

There’s something about the start of a new year that motivates us to change. A fresh start to the year makes it the perfect time to clarify our values or vision and set strategic goals. But we all know it’s easier to set goals than it is to actually accomplish them. So, let’s talk about the keys to successful goal setting by expanding our SMART goals and learn to CRAFT our goals. These tips will increase our chances of success.

We talk about resolutions at this time of year. Why? Because we need resolve – we need to be committed if our dreams are to become reality. But even resolutions, which start out as firm decisions to do something (or not do something), start to fade and can end up dying out before we succeed. 

So how can we set ourselves up to achieve our goals? What’s the secret to success? It turns out we don’t need to uncover a secret – we can just dive into the more than 1,000 research studies done on goal setting to find some effective strategies and troubleshoot where we may be getting tripped up. 

Smart Goal Setting When most people think about tips for successful goal setting, the acronym and mnemonic device “SMART” comes to mind. While there are different interpretations of SMART goals – the most popular appear to be Specific, Measurable, Attainable, Relevant and Time-bound/Timely. Research shows that goals with these qualities, among others, can increase motivation and improve the chances of success.

If SMART goals as you know them are working well for you – that’s great. If you want to crank things up a notch by incorporating SMART goal setting into a broader framework informed by Goal-Setting Theory – keep reading to learn how to CRAFT your goals better.

The industrial/organizational (I/O) psychologists Dr. Edwin Locke and Dr. Gary Latham, developed Goal-setting Theory based on more than 400 research studies. Put simply, they theorize that specific, hard goals lead to a higher level of task performance than easy goals or vague, abstract goals when the person is committed to the goal, has the ability to attain it, and is not constrained by the situation or conflicting goals.

They identified the following five goal-setting principles that can help improve your chances of success: Clarity, Challenge, Commitment, Feedback and Task Complexity. I love a good mnemonic device so I decided to tweak the wording of this classic research slightly so these key ingredients can be easily remembered with the acronym CRAFT. 

Successful Goal Setting: CRAFT Your Goals
  1. Clarity
  2. Reach (Challenge).
  3. Adherence (Commitment).
  4. Feedback
  5. Task Complexity 

1 - Clarity

A clear, specific, measurable goal with a concrete timeline for completion is more achievable than a vague or abstract goal. For example, a goal such as “deposit $100 in savings account every Friday” is clearer than “save money”. The S (specific), M (measurable), and T (time-bound) qualities of SMART goals fit here. 

2 - Reach (Challenge)

Choose a level of difficulty in order to motivate you to strive toward the goal. Too easy? You get bored. Too hard? You get frustrated. Set yourself up for success here. Reach enough past your comfort zone that you can feel good about what you have done. Think about the A (attainable) of SMART goals here. Aim for a hard goal within your ability. Something you can reach but have to stretch for is your target. Choosing an R (relevant) goal will also be helpful here – challenging yourself can be uncomfortable so you want it to be worth it!

3 - Adherence (Commitment)

Research shows that commitment to the goal is enhanced by self-efficacy (task-specific confidence) and viewing the goal as important and meaningful.   The R (relevant) of SMART goals comes in here. If the goal is not relevant – it will be harder to commit to and stick with when the going gets tough (why bother?). Put your values into action and commit to your goal – be willing to adhere or stick to it even when things get tough. 

4 - Feedback

People need feedback in order to track their progress and course-correct, if necessary.  Set up a method to receive information on your progress toward a goal. If the goal turns out to be too hard, you have time to adjust your goal or plan of action midway through the timeline rather than give up entirely. The M (measurable) and T (time-bound) from SMART goals come in here as well. Choose something that can be measured over time helps you get feedback and stay on track. Feedback can also be rewarding and motivating.  

5 - Task Complexity

Task knowledge is harder to acquire on complex or complicated tasks so set goals in line with the task’s complexity. Give yourself enough time to account for the learning curve and/or consider chunking tasks into smaller steps. The A (attainable) of SMART goals is relevant here. Consider whether you have the requisite ability to achieve the goal. If you do not, you may need to either adjust your goal, come up with a plan to develop your skills, or delegate parts of the task. 
Situational Constraints: Trouble Shooting Tip CRAFT+S Goal setting and achievement do not occur in a vacuum. 

Situational factors are relevant. It’s not just about you. You need to ask yourself whether you have the necessary resources to accomplish the task. Researchers Brown, Jones, and Leigh (2005) found that goals affected performance only when role overload (excess work without the necessary resources to accomplish a task) was low. You can be a superstar with self-efficacy and ability but if there are situational constraints (e.g., insufficient resources) – you may find yourself coming up short on your goals. Consider whether there are ways to overcome situational barriers to your success and incorporate them into your plan. 

Feeling motivated to change? You can do it! Set yourself up for success – start goal setting using CRAFT goals. 

Need More Support?

Successful goal setting can be challenging, particularly on the heels of an extremely challenging year. If you’re having trouble getting started, or want extra support with goal setting this year, reach out to the Psychological Health & Safety Clinic to get up a consultation with a counsellor.

Why go to Therapy? 3 Reasons to Consider Therapy

19/2/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
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Why go to Therapy?

Many people consider going to therapy for a significant amount of time before they make the commitment. With the stigma that is still attached to therapy, many people ask themselves ‘why go to therapy?’ or ‘do I really need to go therapy?’ or ‘is it really bad enough to go to therapy?’. These questions make a lot of sense, but therapy isn’t just for those suffering from diagnosable mental illnesses – therapy is for everyone.

What is a psychologist?

As a registered psychologist, this is a question I get all the time. We are specialists in human behaviour. Psychologists have a doctorate in psychology, and there are two main different types of psychologists:
  • Experimental psychologists, who typically do teaching or research work.
  • Clinical psychologists, who specialize in the assessment and treatment of mental health conditions and disorders.

Psychologists are different from psychiatrists in that we have our Ph.D. and we do not prescribe medication. Where psychiatrists have an MD and specialize in psychiatry. Psychiatrists typically work with more serious mental illnesses and place a strong emphasis on treatment by medication. Whereas psychologists deliver therapy through evidence-based talk therapies.

I’m a clinical psychologist, and there are a few unique skills that clinical psychologists have. We have a broad based understanding of human behaviour; we have expertise in assessment, not only of mental health conditions but of personality, cognitive status, and learning styles; and, finally, our training has a heavy emphasis on research. So we are well positioned to review the evidence base of treatments and interventions that exist for mood-related conditions.

Should you go to therapy?

At the risk of sounding biased, I firmly believe we can all benefit from the support, perspective, and guidance of an objective, competent, and specialized professional for various issues at different points in our lives. This is true for any area of life with which we are struggling – physical health (physician), our taxes (accountant), selling a home (realtor), or our emotional health (psychologist/clinical counsellor).

Often, the problem isn’t whether or not we ‘should’ go to therapy because most, if not all, of us could benefit from therapy. The problem lies in the stigma attached to going to therapy so instead many people are asking whether or not they ‘need’ to go to therapy.
 
3 Reasons you should consider therapy
  1. Therapy works. There is an amazingly strong evidence base, for a wide range of therapies for a wide range of presenting concerns. Mood conditions, anxiety-related conditions, stressors including work stress, and relationship conflict – addiction including substance use and eating-related conditions – as well as chronic pain and other physical health conditions.
  2. Objective eyes. When we are going through our own difficulties and challenges, we often lose sight of the forest for the trees. Having an objective expert opinion and guidance during times when we are struggling can be very helpful.
  3. Non-judgemental ears. Unfortunately, many of us aren’t wanting or willing to talk openly about all aspects of our lives to those around us. Or, we may not feel that we have anyone in our lives we can unconditionally trust. For these reasons, seeing a trained professional can really help us gain perspective and insight.

What if you already tried therapy and it didn’t work?

There are numerous reasons why you may feel as though your current therapy, or previous attempts at therapy, may not have worked. That is very real and you should listen to that feeling, but that does not mean therapy will never work for you.

Depending on what you have sought therapy for, it may take longer than you’d hoped to start seeing results. That can feel incredibly frustrating, particularly because therapy takes a significant amount of investment both in terms of time and money.

It’s also important to note that an important part of being successful in therapy is the therapeutic relationship: specifically, the relationship between you and the clinical psychologist or other practitioners. So, it’s helpful to take the time to find the right fit.

Ask others for advice or referrals, do your research online, and set up an initial consultation to see if there is a fit.


Final Thoughts

If you have been thinking about seeing a therapist, I really encourage you to take that first step starting today. Contact the Psychological Health & Safety Clinic today to start on the path to finding the right fit for you! All of our clinicians offer a complimentary brief phone consultation to see if there is a fit.

Queer Valentine's: Valentine's Day isn't Designed for Queer Couples

12/2/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
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Valentine’s Day isn’t Designed for Queer Couples

Valentine’s Day is a consumer ‘holiday’ that we’re bombarded with starting in the middle of January – whether you like it or not. Not only are red, white and pink treats and branded presents at almost every store, but we are shown images of happy couples in advertisements everywhere. Not only is this challenging for those who are single around Valentines Day, but it can also be challenging for those who identify somewhere on the LGBTQ+ spectrum. Valentine’s Day isn’t designed for queer couples. 

Why isn’t Valentine’s Day Queer?

For many folks who identify as queer, Valentine’s Day is a reminder that their identity isn’t represented which can make them feel invisible or unimportant. It does this by reinforcing the idea that ‘ideal’ and happy relationships are heterosexual, monogamous, sexual and romantic. And really anyone who doesn’t fit into that ideal feels as though they’re failing somehow. 

Think about the things we are surrounded by this time of year. Jewelry commercials are almost always depicting cisgender heterosexual couples and upholding the traditional gender norm of ‘the man’ giving a beautiful and expensive gift to his female partner. We see the same ideas reflected in the products; such as “His & Hers” monogrammed items and cards specifically address to husband/wife or boyfriend/girlfriend. And if/when we attempt to participate in Valentine’s Day we are likely to be met by heternormative assumptions. For example, “oh your boyfriend will love this” when purchasing a gift. Or having a server at a restaurant assuming your gender or relationship status. 

Yes, queer representation and queer-focused products do exist, and this continues to improve – but the ones that are available are not easily accessible. And the images we are bombarded with are of straightness. 

Though being queer does not mean we have to reject Valentine’s Day as a whole. We all deserve to be able to celebrate our love no matter what it looks like. Many in the queer community are already good at subverting the norms, reclaiming and celebrating all types of love. 

So, how can you celebrate Valentine’s Day as a queer person? 

1. Have a movie night in with your loved one(s) or your close friends. 

Valentine’s Day does not have to be about romantic love, so spend the day with people that you care about and find some great queer-focused films to watch together. Consider this list as a great starting point. 

2. Buy (or make) a queer-friendly Valentine’s Day card.

It’s less likely that you’re going to walk into a Hallmark store and find a card that represents your identity so start thinking about it early. Give yourself to find some cool cards online (Etsy is a great place to start) or consider making your own.

3. Support queer businesses.

4. Go out with a group of queer couples (or as singles) to increase your visibility.

5. Consider making a Valentine’s donation to an LGBTQ+ organization rather than buying presents. If you’re in Vancouver consider one of the following options:
  • PFLAG 
  • Community-Based Research Centre (for Gay Men’s Health)
  • Dancing to Eagle Spirit Society
  • Rainbow Refugee
  • Qmunity 
  • AIDS Vancouver 

Remember that Valentine’s Day is just another day and regardless of how you feel about it, your relationship status, or your sexual orientation or gender identity you are valid and you will get through the day. Try to surround yourself with positive representations of queerness and queer love and remind yourself that love doesn’t have to look the way it’s advertised to you. Keep doing you!

For those who don’t identify as LGBTQ+ but also don’t love the way relationships are represented during Valentine’s Day or simply want to support your queer friends during this time of year what can you do?
 
How to be a queer ally during Valentine's Day

1. Don’t assume someone has plans for Valentine’s Day. Meaning, don’t ask what their plans are unless you explicitly know they plan to celebrate it. 

This not only helps to support queer folks who don’t want to celebrate Valentine’s Day but also those who are single and don’t want to be reminded they don’t have plans (or at least not traditional plans).

2. Don’t assume the gender of someone’s partner. (Really you should never assume someone’s gender.)

3. Don’t make assumptions about or judge how someone chooses to celebrate Valentine’s Day.

Remember – Valentine’s Day is ultimately about celebrating love – which at its heart involves connection and unconditional acceptance. Consider ways you can connect and unconditionally accept yourself and others around you this Valentine’s Day.

How to survive valentine's day being single

5/2/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
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How to survive Valentine’s Day being single

Valentine’s Day is challenging for many people, but it can feel particularly difficult when we’re single. This, of course, is not surprising given it’s the day of the year that has an explicit focus on couples, relationships and ideas of never-ending romantic love. Many single people will describe just wishing those days would hurry up and be over. As they feel particularly lonely, much more than they may at any other time of the year. So, let’s talk about how to survive Valentine’s Day being single.

Making ourselves do something to rebel against the idea of Valentine’s Day often doesn’t work. A ‘single’s party’ for example can ironically have the opposite effect and further amplify your single status; and, having a first date just for the sake of a date certainly can feel fake and forced.

How to Survive Valentine’s Day

So, what can we do to get through the day on Valentine’s Day when we may feel particularly lonely?

Think about just doing something for yourself that’s a treat or makes you feel special – such as draw yourself a bubble bath or make yourself a nice dinner. (Though consider avoiding restaurants as you’re likely to be surrounded by couples).

This can be extended from just treating yourself to taking time to think about what makes you special. When we’re feeling lonely it can be easy for us to fall into a negative thinking pattern about ourselves that may lead to feeling unloved or unloveable. Take the time to boost your self-esteem by writing these things down. Consider writing about what you love most about yourself; what others appreciate about you; and, the special skills or talents you have that you are proud of or that others admire.

Or spend time with someone you love. Valentine’s Day doesn’t only have to be about romantic love. As humans, we’re social creatures and are dependent on the social bonds we develop. The romantic bonds are not inherently better or more valuable than other relationships. Spend the evening with someone you care about in your family, or a close friend.

Remember Valentine’s Day is a day just like any other (also true for the other holidays!) This can be hard to do when we are bombarded by images of flowers, balloons, chocolates and other testimonials attesting to one’s love for another person every which way we look – TV, stores, and even in our office. But it is just one day and there are 364 others that are not surrounded by multiple images of coupledom.

Changing Our feelings about Valentines Day

But maybe just getting through the day isn’t enough. This time of year many people find themselves saying “I love being single every day except Valentine’s Day”. If this is true it might be time to re-think your feelings about Valentine’s Day and why you may be feeling this way.

How to re-think Valentine's Day

1. List the feelings and thoughts Valentine’s Day evokes for you, and try to specifically articulate what it is that feels emotionally upsetting or uncomfortable. Are you feeling lonely? Hopeless? Are feelings of being unlovable being triggered? Then, challenge whether these are accurate. (It being Valentine’s Day doesn’t make the thoughts true!)

2. Often there may be a tendency to fully reject the notion of wanting to have a partner in our life – we may even convince ourselves this is a sign of weakness. But consider asking this: why does feeling that we need another person seem awful?
  • Think about why we are rejecting any notion of being in or wanting a relationship. As humans, we are social creatures, who both need other people in our life, and need to be needed by others.
  • Think about what this is about for us – do we feel it is a sign of weakness to need another? Is this a barrier for us in terms of actively pursuing or acting on a connection with someone?

3. Try to understand what it is you’re reacting to – if you are saying you “love” being single every other day but are feeling “awful” on Valentine’s Day, there’s a disconnect in the intensity of the feelings. Perhaps you aren’t loving being single as much as you feel at times. This may be hard to admit or acknowledge, but it may be important information in that it may motivate us to make some active changes in our life that can help us to work on changing our relationship status.

4. In the interim, it is okay to do the best you can to get through the day on Valentine’s Day – it’s a struggle for many people, not just those who are single.
Regardless of how we approach Valentine’s Day it is important to remind ourselves that the negative feelings will abate (as they always do) and that the 24 hours will be over before we know it.

Suicidal Thoughts: Making A Safety Plan

29/1/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
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Suicidal Thoughts: Making a Safety Plan

When someone is experiencing significant or persistent distress, or negative feelings, in their life, it’s easy to feel overwhelmed or hopeless about the future. Many people think about suicide because they’re looking for a way to escape the pain. If you’re thinking about suicide, know that you’re not alone and your feelings are valid. The best things you can do when you’re feeling suicidal are; make sure you are not alone, be in a safe place including making your home safe by getting rid of things you could use to kill yourself, and make a safety plan. 

What is a safety plan?

A safety plan is a written set of instructions that you’re able to use when you’re feeling suicidal and may be at risk of hurting yourself. When using the safety plan, you start with the first item and work your way through escalating steps until you feel safe. 

It is helpful to make the safety plan with someone you trust. A therapist may be the best option, but a close friend or family member can also be helpful. It’s particularly important to get these people in your life involved because they’re the ones you’re likely to call for support when you need to execute the safety plan.

It’s also helpful to create the safety plan when you’re not actively suicidal, and keep it in a place where it is easy to access when suicidal thoughts arise. 

How to create a safety plan

Before starting to write down items on your safety plan, it can be helpful to determine the situations where using the safety plan is necessary. Consider the situations, thoughts, feelings, and behaviours that precede or accompany suicidal thoughts for you and when a safety plan would be most helpful. Next, see our free digital download Coping with Suicidal Thoughts where you can print and fill out a safety plan. The information below can help with filling out the safety plan.

When making a safety plan, the following are the key elements you want to consider and have a ‘plan’ to do:

1 - What can I do to calm or comfort myself?
  • Write down a list of things you can do to calm or comfort yourself when you’re in distress. When our emotions are elevated, we often can’t recall these things so having them written down can be helpful. Remember to make sure you have all the supplies needed in your safe space to be able to do these comfort things.

2 - What are my reasons for living
  • When feeling suicidal, it is easy to get caught up in the emotions we are feeling and focus on the hopelessness we feel- which can lead us to think that nothing is ever going to change. Even when we are experiencing lows or a significant amount of distress, there are still positive things in our lives. Refocusing on the reasons we have to live can give us a little bit of hope and give the suicidal thoughts time to pass.
  • Some people find keeping a gratitude journal to be helpful for regular reminders of the positive things in their lives. Reading through that gratitude journal can be helpful here. 

3 - Who can I talk to?
  • On this safety plan, keep a list of the people who you are able to talk to when feeling distressed and suicidal. Ensure to write down their contact information for easy access, and make sure to include more than one or two people in case someone isn’t available.
  • Also, write down the professionals you can contact for support if your primary friends or family members are unavailable. This could be your therapist.
  • Lastly, write down the number for your local crisis line in case no one else is available. In BC, the number for the crisis line is 1-800-SUICIDE (1-800-784-2433).

4 - Where can I go to be safe / how can I make my current environment safe?
  • Often the best course of action is to not be alone when you’re feeling suicidal. This could mean going to a close friend or family member’s house, or having them come to you. Some find going to a populated area public area (e.g., a park) to be helpful. Write down the places that you feel comfortable being to keep yourself safe.
  • This also means making the environment you are in, typically your home, safe. Get rid of, or lock away, things that you may be able to use to harm yourself. 

5 - What can I do if I still don’t feel safe?
  • Consider going to the emergency room. It may even be helpful to keep the name and directions to the near hospital as part of your safety plan.
  • If you do not feel safe or comfortable getting yourself to the emergency room, call 911.

Final Thoughts

Many people experience suicidal thoughts and it’s not something to be ashamed of. Having a safety plan helps you and your loved ones be prepared to keep you safe when you are feeling distressed.

If you or somebody else is at immediate risk of suicide, call 9-1-1.

Are self-help books useful or a waste of my time?

22/1/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
I’m curious about therapy, but not ready to commit to seeing someone on a regular basis. My aunt keeps encouraging me to read different self-help books. I assume it will be very difficult to follow through on all the advice in these books. Are they useful or a waste of my time?
 
The answer:
 
Fantastic question. You, like many people who have not tried therapy before, have some hesitations and apprehensions about making a regular commitment to undergoing treatment.
 
This can be understandable if you have no reference point for what therapy may look like, if you have limited funds or coverage for treatment (this is unfortunately the biggest barrier for most people), or if you are not yet emotionally prepared to start to peel away the layers on some significant issue(s) in your life.
 
Undertaking some self-directed work, with the aid of self-help books, can certainly be a great place to start.
 
A plethora of self-help books exist on every topic under the sun. It can be overwhelming to know what to get given the range of books that are available.
 
Start by doing your research. Look for recommendations from friends, read online reviews of books, and also look to reputable psychological/mental health websites that offer suggestions. If you visit my website and go to Individual/Employee Resources, you will see that I have listed a range of freely available and downloadable treatment materials that I have co-authored (on depression, coping with chronic health conditions, dealing with suicidality). I have also listed useful websites that offer other recommendations, as well as a list – by topic – of books and treatment manuals that I recommend.
 
There are a few guidelines to follow as you are undertaking your search: find books that have been around for some time and that have solid reviews behind them; look for books authored by licensed professionals (where the author is described as being “registered” or “licensed” in their jurisdiction of practice) and look for words such as “evidence” or “research-based.” This will help ensure you are accessing high-quality resources.
 
Certainly the level of benefit you obtain from self-help materials depends on a combination of the nature of your presenting issues, and the severity of those issues. Research supports the benefit of self-guided work (through self-help or self-management) of the common mental health conditions (depression and anxiety) when those issues are in the mild to moderate range of severity. As presenting issues move into more serious levels – for example, if you are experiencing a significant impact on your ability to fulfill your day-to-day obligations and tasks – then self-help materials are most helpful when they are augmented by the assistance of a health professional who helps you work through your difficulties.
 
Also remember that you can meet a therapist once or twice to get further information without necessarily having to undertake an intensive course of treatment. In my practice, I see many high-functioning individuals who find a session every four to six weeks is enough to help keep them on track with other work they are doing independently in between our sessions.

Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

6 Easy Steps to Effective Goal Setting

15/1/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
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Goals…we all set them – lose that last five pounds, eat better, quit smoking – but only a few of us actually find it easy to make those changes in our lives, particularly if we are changing long-standing patterns. One of the reasons that goals, like New Years Resolutions, often fail is that we aren’t setting effective and achievable goals. There is a major difference between wishing something would change and setting a goal to make that change and following through.

Fitness and diet goals are among the most commonly set goals (as well as the ones that so regularly fail). Many of us start the week strong, but by mid-week, we have lost sight of eating healthy or exercising and fall back into old habits.

You don’t need a Ph.D. in health sciences to know that diet, exercise, and sleep are three of the most crucial things that can dramatically impact and – when properly addressed – improve both physical and psychological health. But the diet, fitness, and pharmaceutical industries are lucrative, multibillion-dollar industries for a reason: Most people struggle with sustaining long-term change in these areas. So, welcome to the club!

What can you do to enhance the likelihood of sustainable change?

Here are six steps to planning and executing your goal to increase the likelihood of success.

1. Pick a specific behaviour to change.Start with no more than one to two behaviours to change at a time.
  • Precisely define what we want to change.
  • Ensure the goals are measurable. If we need to revise goals later on, we will have to know where we are headed, and how to determine if we are getting or have gotten there.
  • Ensure the goal is realistic. We may want to lose 30 pounds, but a realistic goal may be to lose 15 pounds this year and 15 pounds the following year.
  • Ensure the goal is time-limited. Set a specific period of time in which the goal will be accomplished.

2. Identify readiness to change. Before beginning, ask questions such as: “How ready am I?” “Is this the right time for me to make a change?” “What are the pros and cons of changing?”
  • Consider the benefits of the change. How can we begin to change in a realistic fashion? What would life be like if we didn’t do it? Is it worth it – how or why?
  • Consider how the change fits with other important life values.
  • Prepare to change. Gather the information and tools that we need. Anticipate setbacks. Remember that small change is better than no change. Get support as we begin the changing process. Consider how to build on changing behaviour over time. What other behaviours can we add in? Once the changes have been made, consider how to transition to a long-term maintenance plan.

3. Identify barriers. Anticipate setbacks. If we tried to make a change in the past, what got in the way of success?
  • Be brutally honest about why we failed. Then solve the barriers that were encountered in the past.
  • Identify the pros of not changing the behaviour – this can often help us appreciate why the change hasn’t happened yet.
  • Identify the cons of changing – the reasons the change may be difficult to do.
  • Establish a specific contingency plan for each of the barriers identified.

4. Implement change. Approach behavioural change gradually. Make small, specific changes.
  • Make a schedule to build change activities into day-to-day life.
  • Follow the “double-time” rule: Schedule double the time anticipated it would take to achieve the change.

5. Revisit and revise. Do not get discouraged by setbacks. If we are not on track with the changes identified, work to identify the barriers again. Were our expectations too high? Was the specific goal we set too ambitious?
  • Revise goals as necessary.
  • Expect and visualize success.

6. Remember Rewards. Set milestones that help track progress and ensure to schedule in regular rewards for each achievement.
Behaviour change can be challenging – especially if we have been developing the habit over a number of years. Remember these six steps and know you that success doesn’t happen overnight. Be consistent and know that we all face setbacks, it’s how we keep getting back on track that will eventually lead to permanent change.
 
Editor’s Note: This post was originally published as part of a Globe and Mail “Ask the Psychologist” column authored by Dr. Samra, and has been edited and updated.

Are my streaming marathons the sign of an emotional issue?

8/1/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:

Lately I’ve been feeling uninterested in socializing. All I want to do is stay home and have netflix marathons. I’ve been feeling like this for about two months. Should I be worried I’m no longer wanting to spend time with friends and family – which I used to enjoy?
 
The answer:

All of us can benefit from the occasional TV binge. It can give us time to unwind from the day-to-day grind of our lives and give us an opportunity to recharge.
 
However, if your tendency to avoid people has been going on for weeks or months on end, there may be cause for concern.
 
Periods of feeling down or sad are common for all of us; most of the time when we feel this way, we aren’t depressed. Usually, mood changes will go away on their own within a few days or weeks, especially as stressors that commonly cause these mood changes start to resolve.
 
For some people, mood issues may continue for weeks or longer. If you find that you have been feeling sad or down and have had little interest in things you normally enjoy, like spending time with friends, for an extended period, it’s possible you are struggling with an emotional problem like depression. Depression is one of the most common psychological health conditions and affects one out of four people over the course of their lifetime.
 
Contrary to popular belief, depression doesn’t always mean feeling sad or tearful – for some people, a “depressed” mood may feel like irritability or frustration, and for others it may be associated with feeling “flat” or feeling “nothing.”
 
Depression comes along with other problems that may include:
  • Changes in appetite and weight (either losing your appetite or wanting to eat more than usual)
  • Changes in sleep (sleeping too much and not feeling rested or not being able to fall asleep or stay asleep)
  • Problems concentrating and focusing (on work, TV, reading)
  • Extremely low energy and fatigue
  • Feeling restless or “on edge”
  • Feeling hopeless about the future
  • Feeling guilty or worthless
  • Dark thoughts about death or suicide
 
If you are feeling any of the above – particularly if you are having dark thoughts – you should speak to your family doctor or a psychologist or psychiatrist. There are very effective treatments for depression, including cognitive-behavioural therapy, interpersonal therapy and, for some people, medication therapy. With time and the right treatment, you can get better.
 
You may be able to access free services through your local mental health agency (see www.cmha.ca for a Canadian Mental Health Association office near you).

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