Teen Counseling & Mental Health Therapy in Edmonton & St. Albert

Mental health support for teens navigating anxiety, depression, social challenges, academic pressure, and all the stress that comes with being a teenager.

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How We Support Teen Mental Health

Being a teenager isn't easy. Between school pressure, social stress, family expectations, and figuring out who you are, it can all feel overwhelming. Maybe you're dealing with anxiety or depression. Maybe you feel misunderstood or stuck. Maybe things at home or school just aren't working.

You're not alone, and you don't have to figure this out by yourself. Counseling is a confidential space where you can talk about what's really going on—without judgment, without pressure, and without someone telling you to "just relax" or "get over it."

At Ruby Therapy Services, our registered counselors and therapists work with teens ages 13-18 navigating anxiety, depression, social challenges, academic stress, family conflict, life transitions, and all aspects of teen mental health. We get it—because we work with teens every day.

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Challenges We Work On Together

  • Are you experiencing constant worry, anxiety attacks, or fears that make daily life harder?

    What It Looks Like:

    • Excessive worry about school, friends, future, or everyday things

    • Panic attacks (racing heart, can't breathe, intense fear)

    • Social anxiety: fear of judgment, avoiding social situations, intense self-consciousness

    • Physical symptoms: stomachaches, headaches, muscle tension, nausea

    • Constant "what if" thinking or imagining worst-case scenarios

    • Difficulty sleeping because your mind won't turn off

    • Avoiding situations that make you anxious (school, social events, activities)

    • Perfectionism or fear of making mistakes

    • Health anxiety or worrying about physical symptoms

    • Feeling on edge or unable to relax

    How We Help:

    • Our counselors use evidence-based approaches like cognitive-behavioral therapy (CBT) and mindfulness strategies to help you understand and manage anxiety. You'll learn to recognize anxious thought patterns, challenge unhelpful beliefs, develop coping strategies that actually work, and gradually face fears in a supportive way. We don't just tell you to "calm down"—we teach you how.

    What You'll Gain:

    • Tools to manage anxiety, confidence in handling tough situations, understanding of what triggers your anxiety and how to respond differently

  • Are you experiencing persistent sadness, loss of interest in things you used to enjoy, or feeling empty and stuck?

    What It Looks Like:

    • Persistent sadness, emptiness, or feeling like nothing matters

    • Loss of interest in activities, hobbies, or friends you used to enjoy

    • Feeling hopeless about the future

    • Changes in sleep (sleeping way too much or struggling to sleep)

    • Changes in appetite or eating habits

    • Constant fatigue or low energy, even when you haven't done much

    • Difficulty concentrating, making decisions, or completing schoolwork

    • Feeling worthless, guilty, or like you're a burden

    • Withdrawal from friends and family

    • Thoughts that life isn't worth living (if you're experiencing this, please tell someone immediately or contact a crisis line)

    How We Help:

    • Depression in teens is real and treatable. Our counselors use approaches like CBT, behavioral activation, and emotion-focused therapy to help you understand what's contributing to depression, challenge negative thought patterns, rebuild engagement with meaningful activities, and develop strategies for managing mood. We take you seriously and work with you to feel better.

    What You'll Gain:

    • Understanding of your depression, practical skills for managing mood, hope that things can actually get better

    Important:

    • If you're in crisis or thinking about suicide, please tell someone immediately or contact a crisis line. Crisis Services Canada: 1-833-456-4566 (24/7). You can also text CONNECT to 686868.

  • Are you struggling with friendships, feeling left out, experiencing bullying, or finding social situations overwhelming?

    What It Looks Like:

    • Intense fear of being judged or embarrassed in social situations

    • Avoiding social events, school activities, or situations with peers

    • Difficulty making or keeping friends

    • Feeling like you don't fit in or nobody understands you

    • Being excluded, bullied, or targeted by peers

    • Overthinking every social interaction ("Did I say something stupid?")

    • Loneliness or social isolation

    • Difficulty joining conversations or groups

    • Anxiety about eating in front of others or participating in class

    • Physical symptoms (blushing, sweating, shaking) in social situations

    How We Help:

    • We help you develop social confidence, navigate peer relationships, build social skills, and manage social anxiety. Through CBT, social skills coaching, and confidence-building strategies, you'll learn how to handle tough social situations, make meaningful connections, and feel more comfortable being yourself around others. We also work with you (and your school, if helpful) to address bullying and create supportive environments.

    What You'll Gain:

    • Social confidence, strategies for making and keeping friendships, tools for handling social anxiety and peer challenges

  • Are you experiencing overwhelming stress about school, grades, tests, or academic performance?

    What It Looks Like:

    • Constant stress or anxiety about grades and academic performance

    • Perfectionism: feeling like you have to be perfect or you've failed

    • Test anxiety or panic about exams

    • Procrastination because the pressure feels overwhelming

    • School avoidance or refusal (feeling unable to go to school)

    • Physical symptoms on school days (stomachaches, headaches, nausea)

    • Feeling like you can't keep up or aren't smart enough

    • Parental or self-imposed pressure to excel

    • Burnout from overloading yourself with AP classes, activities, etc.

    • Fear of disappointing parents or teachers

    How We Help:

    • We help you manage academic stress, challenge perfectionism, develop healthy study habits and time management skills, and address the underlying anxiety or pressure. You'll learn to set realistic expectations, cope with pressure in healthier ways, and separate your self-worth from your grades. We can also work with your school (with permission) to ensure appropriate supports are in place.

    What You'll Gain:

    • Strategies for managing academic stress, healthier relationship with achievement, skills for balancing school demands

  • Are you experiencing frequent conflict with parents, communication breakdowns, or feeling misunderstood at home?

    What It Looks Like:

    • Frequent arguments or conflict with parents

    • Feeling like your parents don't understand you or listen to you

    • Communication breakdowns ("We can't talk without fighting")

    • Feeling controlled, not trusted, or overly restricted

    • Disagreements about rules, expectations, freedom, or choices

    • Tension related to grades, friends, activities, or future plans

    • Blended family challenges or adjusting to new family dynamics

    • Feeling caught in the middle of parental conflict or divorce

    • Sibling conflict affecting your wellbeing

    • Feeling disconnected from family

    How We Help:

    • We provide a safe space to process family conflict, improve communication skills, understand different perspectives, and develop strategies for navigating challenging family dynamics. We also offer parent coaching and family sessions (when appropriate) to improve communication and rebuild connection. You deserve to be heard and understood.

    What You'll Gain:

    • Communication skills, strategies for managing conflict, improved relationship with family (when possible)

  • Are you struggling with negative beliefs about yourself, low self-worth, or feeling like you're not good enough?

    What It Looks Like:

    • Negative self-talk ("I'm ugly," "I'm stupid," "Nobody likes me")

    • Constant comparison to others (friends, social media, peers)

    • Feeling like you don't measure up or aren't good enough

    • Difficulty accepting compliments or recognizing your strengths

    • Perfectionism or fear of failure

    • Giving up easily because you don't believe you can succeed

    • Feeling like you have to be someone else to be liked

    • Sensitivity to criticism or rejection

    • Avoiding challenges or new experiences because you doubt yourself

    How We Help:

    • We use CBT, strengths-based approaches, and self-compassion strategies to help you challenge negative self-beliefs, recognize your worth, build genuine confidence, and develop a healthier relationship with yourself. Building self-esteem is a process—we work at your pace to create real, lasting change.

    What You'll Gain:

    • Healthier self-image, confidence in your abilities, skills for challenging negative self-talk

  • Are you navigating a major life change—parents' divorce, moving, loss of a loved one, coming out, or other significant transitions?

    What It Looks Like:

    • Feeling lost, confused, or overwhelmed by change

    • Grief over what you've lost or what's different now

    • Anxiety about the future or uncertainty about what comes next

    • Identity questions ("Who am I now?")

    • Anger or sadness about changes you didn't choose

    • Difficulty adjusting to new schools, homes, or family structures

    • Feeling like your life has been turned upside down

    • Mixed emotions (relief and sadness, excitement and fear)

    How We Help:

    • Life transitions—even when necessary—can be really hard. Our counselors help you process the emotions that come with change, make sense of what's happening, develop coping strategies, and move forward with clarity and resilience. We provide support as you navigate both the practical and emotional aspects of major life changes.

    Common Transitions We Support:

    • Parents' divorce or separation

    • Moving to a new city or changing schools

    • Death of a loved one, family member, or friend

    • Coming out or identity exploration (LGBTQ+ support)

    • Family structure changes (new stepfamily, new sibling)

    • Transition to high school or preparation for leaving high school

    • Health diagnoses or disability

    What You'll Gain:

    • Support through tough transitions, coping strategies, help making sense of change and moving forward

  • Are you grieving the death of someone important to you, the end of a relationship, or another significant loss?

    What It Looks Like:

    • Intense sadness, crying, or emotional pain

    • Numbness or feeling disconnected from emotions

    • Anger at the person who died, the situation, or the world

    • Guilt ("I should have..." or "If only I had...")

    • Difficulty accepting that the loss is real

    • Intrusive thoughts or memories of the person or loss

    • Avoiding reminders or places connected to the loss

    • Changes in sleep, appetite, or energy

    • Feeling like you should be "over it" by now but you're not

    • Wondering if what you're feeling is normal

    How We Help:

    • Grief is a natural response to loss, and there's no "right" way to grieve. Our counselors provide compassionate support as you navigate grief, honor your loss, process difficult emotions, and gradually adjust to life after loss. We meet you wherever you are in the grieving process—there's no timeline.

    Types of Loss We Support:

    • Death of a family member, friend, or loved one

    • Death of a pet

    • Breakup of an important relationship

    • Loss of friendship

    • Miscarriage or pregnancy loss in the family

    • Loss of identity, abilities, or what you thought your life would be

    What You'll Gain:

    • Support through grief, understanding that what you're feeling is valid, strategies for coping with loss

  • If you have ADHD, you might also experience emotional challenges, social struggles, or low self-esteem that benefit from counseling support.

    What It Looks Like:

    • Emotional outbursts or low frustration tolerance

    • Rejection sensitivity (intense emotional reaction to criticism or perceived rejection)

    • Difficulty with friendships or peer relationships

    • Low self-esteem from repeated struggles or feeling "different"

    • Anxiety related to school performance or forgetting things

    • Challenges managing emotions or impulse control

    • Impulsive behavior affecting relationships or school

    • Family conflict related to ADHD challenges

    • Feeling misunderstood or judged

    How We Help:

    • While we don't diagnose or treat ADHD itself, our counselors provide essential emotional and behavioral support for teens with ADHD. We help with emotion regulation, building self-esteem, managing anxiety, developing social skills, and addressing any behavioral or relational challenges. You'll learn strategies tailored to how your brain works.

    What You'll Gain:

    • Emotion regulation skills, improved self-esteem, strategies for managing ADHD-related challenges, support for social and school struggles

    Note:

    • We can coordinate with your doctor or other professionals for comprehensive ADHD support.

  • If you're on the autism spectrum, you might benefit from counseling support for emotional regulation, anxiety, social challenges, or navigating a neurotypical world.

    What It Looks Like:

    • Anxiety related to social situations, changes in routine, or sensory experiences

    • Difficulty understanding or expressing emotions

    • Challenges with emotional regulation or meltdowns

    • Social challenges or peer relationship difficulties

    • Feeling misunderstood or like you don't fit in

    • Difficulty with transitions or unexpected changes

    • Co-occurring anxiety or depression

    • Stress related to masking or trying to "fit in"

    • Identity questions related to being autistic

    How We Help:

    • Our counselors use neurodiversity-affirming, evidence-based approaches to support your social-emotional wellbeing. We help with emotion regulation, managing anxiety, navigating social situations, building self-advocacy skills, and honoring your unique strengths and needs. We respect and value neurodiversity while providing practical support for challenges you face.

    What You'll Gain:

    • Emotion regulation strategies, support for social challenges, affirmation of your identity, skills for navigating a neurotypical world

    Note:

    • Our counseling services can complement speech therapy or occupational therapy you may be receiving.

  • Are you experiencing intense anger, frequent emotional outbursts, or difficulty managing big emotions?

    What It Looks Like:

    • Frequent angry outbursts or "losing your temper"

    • Feeling like emotions go from 0 to 100 instantly

    • Saying or doing things you regret when you're upset

    • Getting in trouble at school or home because of anger

    • Difficulty calming down once you're upset

    • Feeling misunderstood or like people judge your reactions

    • Physical symptoms: muscle tension, feeling "hot," rapid heartbeat

    • Irritability or impatience most of the time

    • Guilt or shame after emotional outbursts

    How We Help:

    • We help you understand what's underneath the anger, identify triggers, develop healthier ways to express and manage emotions, and build emotional regulation skills. You'll learn to recognize early warning signs, use effective coping strategies, communicate your needs without aggression, and respond to situations more effectively.

    What You'll Gain:

    • Emotional regulation skills, understanding of your anger triggers, healthier ways to express emotions

  • Are you struggling with body image, negative thoughts about your appearance, or concerns about eating and food?

    What It Looks Like:

    • Negative thoughts about your body or appearance

    • Constant comparison to others or social media images

    • Preoccupation with weight, food, or body shape

    • Restricting food, skipping meals, or dieting

    • Binge eating or feeling out of control around food

    • Excessive exercise driven by body image concerns

    • Avoiding social situations because of body image worries

    • Low self-esteem tied to appearance

    • Distorted perception of how you look

    How We Help:

    • We provide general support for body image concerns and help you develop a healthier relationship with your body and food. We use CBT and self-compassion approaches to challenge negative beliefs, address perfectionism, and build self-acceptance. For more serious eating disorders requiring specialized treatment, we can coordinate with appropriate specialists and medical professionals.

    What You'll Gain:

    • Healthier body image, improved self-esteem, strategies for challenging negative thoughts about appearance

    Note:

    • For diagnosed eating disorders requiring medical monitoring or intensive treatment, we coordinate care with appropriate specialists.

  • Have you experienced trauma—abuse, assault, violence, accidents, or other deeply distressing events—that continues to impact your life?

    What It Looks Like:

    • Intrusive memories, flashbacks, or nightmares about the trauma

    • Avoiding reminders, places, or people related to what happened

    • Feeling constantly on edge, jumpy, or hypervigilant

    • Difficulty trusting others or feeling safe

    • Emotional numbing or feeling disconnected

    • Sleep disturbances or nightmares

    • Irritability, anger, or emotional outbursts

    • Difficulty concentrating at school

    • Feeling like the trauma is still happening

    • Shame, guilt, or self-blame

    How We Help:

    • Our counselors use trauma-informed, evidence-based approaches to help you heal from traumatic experiences. We create a safe therapeutic relationship, help you process trauma at your own pace (never forcing you to talk about things before you're ready), develop coping strategies, and work toward healing and integration. Trauma therapy is gentle, collaborative, and focused on restoring your sense of safety and control.

    What You'll Gain:

    • Safe space to process trauma, coping strategies, healing and hope for the future

    Important:

    • If you're currently in an unsafe situation, please tell a trusted adult, contact Child and Family Services, or call a crisis line immediately.

  • Are you feeling unmotivated, lost, stuck, or struggling to find purpose or direction in your life?

    What It Looks Like:

    • Feeling like nothing matters or "what's the point?"

    • Lack of motivation for school, activities, or things you used to care about

    • Not knowing what you want or who you are

    • Feeling stuck or directionless about your future

    • Apathy or disconnection from goals and interests

    • Going through the motions without engagement

    • Difficulty finding meaning or purpose

    • Feeling pressure to have your life figured out but having no idea where to start

    How We Help:

    • We help you explore your values, interests, and strengths, challenge beliefs that keep you stuck, address underlying anxiety or depression that may be affecting motivation, and develop clarity about who you are and what matters to you. You don't have to have everything figured out—we'll work together to find direction and meaning.

    What You'll Gain:

    • Greater clarity about your values and interests, improved motivation, sense of purpose and direction

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Why Teens Choose Ruby Speech Therapy for Counseling?

Taking the step to get support

takes courage.

Taking the step to get support takes courage. You deserve to feel better, and you don't have to figure everything out alone. Our counselors are here to listen without judgment, provide real tools that help, and support you through whatever you're facing.

Submit a Referral

Starting therapy can feel uncertain.

Here's what the process looks like.

  • You or your parent can submit a referral through our online form. No doctor's referral is needed—just share what's going on and what you're hoping to get help with.

    What We'll Ask:

    • What brings you to counseling (your concerns, challenges, or goals)

    • Background information (age, school, family situation)

    • Whether you prefer in-person or virtual sessions

    Our team will contact you within 1 business day to discuss next steps and schedule your first appointment.

  • Your first session (typically 45 minutes) is about building rapport, creating safety, and understanding what brings you to counseling.

    What It Looks Like:

    • Your counselor introduces themselves and explains how counseling works

    • You talk about what's going on, what you're struggling with, and what you're hoping therapy can help with

    • Your counselor asks questions to understand your situation and background

    • You'll discuss confidentiality (what's private and what's not)

    • You can ask any questions you have about the process

    For Teens:

    • You'll meet with your counselor one-on-one (without your parents in the room, in most cases). This is your space.

    For Parents:

    • You'll usually have a brief check-in with the counselor before or after your teen's session to provide context and ask questions.

    Goal:

    • By the end of the first session, you should feel comfortable with your counselor and understand how counseling will work.

  • After the first session or two, your counselor will work with you to create a plan with specific goals based on what you want to achieve.

    You'll Discuss:

    • What you want to work on (your therapy goals)

    • Recommended approach and techniques

    • How often you'll meet (usually weekly)

    • What to expect and how long it might take

    • Your role in therapy and what happens between sessions

    You'll Have:

    • Clear understanding of what you're working toward

    • Plan that makes sense to you

    • Realistic expectations about the process

  • Therapy sessions are typically 50-60 minutes and usually happen weekly. This is your consistent time with your counselor.

    What Sessions Look Like:

    • Talking about what's going on in your life, how you're feeling, and what's hard

    • Learning skills and strategies to manage anxiety, depression, emotions, relationships, etc.

    • Processing difficult experiences or emotions in a safe, supportive space

    • Working through challenges as they come up

    • Building a consistent, trusting relationship with your counselor

    Your Role:

    • Show up and be as honest as you're comfortable being

    • Try the strategies or skills you're learning (if you're willing—this helps progress)

    • Let your counselor know what's working and what's not

    • Be an active participant in your own growth

    Parent Involvement:

    • Your counselor will provide regular updates to your parents about progress (without sharing private details)

    • Parents may have occasional check-in sessions or coaching

    • You'll know what's being shared with your parents

    Flexibility:

    • In-person at our St. Albert location or virtual sessions—your choice

  • Your counselor will regularly check in about how therapy is going and whether you're making progress toward your goals.

    Ongoing Process:

    • Regular check-ins about what's working and what's not

    • Adjustments to the approach if needed

    • Celebration of progress and wins

    • Flexibility to shift goals as your needs change

  • When you've reached your goals and feel ready, you and your counselor will plan for finishing counseling.

    Transition Support:

    • Review of progress and skills you've gained

    • Strategies for maintaining your mental health after therapy

    • Discussion of what to do if challenges come up again in the future

    • Open door to come back if needed

    Note:

    • Some teens benefit from occasional check-in sessions after finishing therapy to maintain progress.

Confidentiality: What's Private & What's Not

  • What you share with your counselor is confidential (private). Your counselor won't tell your parents the details of what you talk about in sessions. This helps you feel safe being honest about what's really going on.

    However, there are important exceptions. Your counselor will share information with your parents or others if:

    • You're at risk of hurting yourself (suicidal thoughts or plans)

    • You're at risk of hurting someone else

    • Someone is abusing or hurting you

    • You give permission for specific information to be shared

    Your counselor will explain exactly what confidentiality means in your first session, and you can ask questions anytime.

    What Parents Will Know:

    • General themes of what you're working on

    • Progress toward goals

    • Whether you're attending sessions and participating

    • Any safety concerns

    • Recommendations for supporting you at home

    What Parents Won't Know:

    • Specific details of what you talk about in sessions

    • Private thoughts, feelings, or experiences you share (unless related to safety)

  • We balance keeping your teen's trust (which is essential for effective therapy) with keeping you appropriately informed as their parent. Your teen's counselor will provide regular updates about progress, themes being addressed, and recommendations for supporting your teen at home—without sharing private session details.

    You'll Be Informed About:

    • Treatment goals and approach

    • General progress and how therapy is going

    • Any safety concerns (suicidal thoughts, self-harm, risk to others, abuse)

    • Strategies for supporting your teen at home

    • Recommendations for next steps

    If you have concerns or questions about what's happening in therapy, you can communicate with your teen's counselor. We work as a team to support your teen's wellbeing.

Submit a Referral

Ready to Get Started?

Taking the step to get support takes courage. You deserve to feel better, and you don't have to figure everything out alone. Our counselors are here to listen without judgment, provide real tools that help, and support you through whatever you're facing.

Submit a Referral

FAQs

  • Counseling works best when you're willing to participate, but it's normal to feel hesitant at first—especially if you didn't choose to be there. Many teens who start counseling reluctantly find that once they meet their counselor and realize it's a judgment-free space, they actually appreciate having support. We'll never force you to talk about things you're not ready to discuss. Our job is to create a safe space and build trust—the rest happens at your pace. Give it a chance with an open mind.

  • No. What you share is confidential (private), and your counselor won't share the details of your sessions with your parents. However, there are important exceptions related to safety: if you're at risk of hurting yourself, hurting someone else, or if someone is abusing you, your counselor will involve your parents and appropriate professionals to keep you safe. Your counselor will explain confidentiality clearly in your first session so you know exactly what's private and what's not.

  • That's totally normal, especially at first. Your counselor will help guide the conversation by asking questions and creating space for you to share what's on your mind. You don't have to have everything figured out or know exactly what to say. Sometimes sessions involve structured activities, skill-building, or just checking in about how your week went. It's a conversation, not a test—and it gets easier as you build rapport with your counselor.

  • It depends on your teen's specific needs, the challenges they're facing, and their therapy goals. Some teens benefit from short-term counseling (8-12 sessions) for specific issues, while others need longer-term support for more complex challenges. Your teen's counselor will provide an initial estimate during treatment planning and give ongoing updates about progress and expected duration. Ultimately, you and your teen will decide when they're ready to finish.

  • It's common for teens to be hesitant or resistant at first, especially if they didn't choose to be in counseling. Our counselors are skilled at building rapport with reluctant teens through patience, respect, and non-judgmental support. We don't force teens to talk—instead, we create a safe environment where they naturally open up at their own pace. Most teens warm up once they realize counseling is a supportive, judgment-free space where they're actually heard.

  • Be honest and non-judgmental. Frame counseling as a supportive resource, not a punishment or sign that something is "wrong" with them. You might say: "I've noticed you've been struggling with [anxiety/stress/sadness/etc.], and I want to make sure you have support. A counselor is someone who helps teens navigate tough times and learn skills to feel better. It's confidential, and they're really good at helping people your age." Avoid making it feel shameful or forced.

  • In Alberta, teens under 18 typically need parental consent for counseling services. However, in certain circumstances involving safety or capacity to consent, teens may be able to access counseling independently. We're happy to discuss specific situations during an initial inquiry. Our goal is always to involve parents as supportive partners while respecting teens' need for privacy and autonomy.