Reg Fleming (He/Him)

I have a small private practice that operates 3 days per week (currently Tuesdays, Wednesdays, and Thursdays) in Downtown Victoria, BC in the Yarrow Building. I am in a group practice with several therapists, which allows for consultation and the option to refer to colleagues I am familiar with. I am committed in assisting clients to find therapy services that are a good fit with either me or another therapist. My practice is guided by Feedback Informed Treatment (F.I.T.), which is a well researched meta-model approach based on decades of research on what makes talk therapy effective. This research emphasizes the importance of tracking outcomes and getting client feedback. It also identifies that the majority of change is the contribution of the client and their existing resources, accounting for 70% of the improvement seen in psychotherapy (Lambert, 1992). The relationship between client and therapist accounts for 30% of improvement (therapist factors like empathy, acceptance, caring, competence, support and being personable - Howe 1996). So efforts to understand and utilize both what the client brings and what enhances a therapeutic alliance are critical to significant change in talk therapy. Treatment models account for 15% of improvement (Lambert 1992). The most important aspect of the model used is the allegiance to the model(s) and the fit with the client. I have extensive training, supervision and experience with a variety of treatment models. This offers me flexibility in matching what may be helpful to my clients. I have an allegiance to Family Systems approaches, including Solution Focused Therapy, Narrative Therapy, Bowenian Family Systems, Emotionally Focused Therapy, and more recently Internal Family Systems. In short, we are developed and shaped by our families, our attachment process, and our cultural experiences. Knowledge and skills in a variety of approaches allows me to match an approach that works for a particular person based on their response and feedback to my approach. Feedback is provided using the Session Rating Scale at the end of each session, taking about 5 minutes. What is paramount for me and my practice is the support of client well being and progress. Each client is treated as a unique individual with relational resources and personal strengths. Therefore, therapy is guided by the process of me getting to know you and your needs, wants, strengths, challenges, and preferences. In short, my practice with you is informed by our work together.