02/03/2026
Curious about outdoor counselling, also called walk-and-talk therapy?
For some people, being outside makes it easier to open up, move through tough conversations, or simply feel more at ease. These sessions still offer the same professional support, just in a natural setting instead of an office.
Read on to answer common questions about our walk-and talk therapy, offered at Keystone Health by Cynthia Routhier๐
๐ช๐ต๐ฎ๐ ๐ถ๐ ๐๐ฎ๐น๐ธ-๐ฎ๐ป๐ฑ-๐๐ฎ๐น๐ธ ๐๐ต๐ฒ๐ฟ๐ฎ๐ฝ๐?
It is a counselling session that takes place outdoors while walking or sitting in a natural setting. The session is still a professional counselling/psychotherapy appointment.
๐๐ ๐ผ๐๐๐ฑ๐ผ๐ผ๐ฟ ๐ฐ๐ผ๐๐ป๐๐ฒ๐น๐น๐ถ๐ป๐ด ๐ฟ๐ถ๐ด๐ต๐ ๐ณ๐ผ๐ฟ ๐ฒ๐๐ฒ๐ฟ๐๐ผ๐ป๐ฒ?
Not always. Some concerns require a more private setting or additional clinical supports. Cynthia may recommend indoor or virtual sessions if that is clinically more appropriate.
๐๐ฎ๐ป ๐๐ผ๐ ๐ด๐๐ฎ๐ฟ๐ฎ๐ป๐๐ฒ๐ฒ ๐บ๐ ๐ฝ๐ฟ๐ถ๐๐ฎ๐ฐ๐ ๐ผ๐๐๐ฑ๐ผ๐ผ๐ฟ๐?
No. Confidentiality still applies, but privacy cannot be guaranteed in public or semi-public spaces. Other people may see us or overhear parts of conversation.
๐ช๐ต๐ฎ๐ ๐ฑ๐ผ ๐๐ฒ ๐ฑ๐ผ ๐ถ๐ณ ๐๐ผ๐บ๐ฒ๐ผ๐ป๐ฒ ๐ฐ๐ผ๐บ๐ฒ๐ ๐ฐ๐น๐ผ๐๐ฒ ๐ฒ๐ป๐ผ๐๐ด๐ต ๐๐ผ ๐ผ๐๐ฒ๐ฟ๐ต๐ฒ๐ฎ๐ฟ?
We will pause, lower our voices, change topics, or move to a quieter area. You can also request a pause anytime.
๐ช๐ต๐ฎ๐ ๐ต๐ฎ๐ฝ๐ฝ๐ฒ๐ป๐ ๐ถ๐ณ ๐๐ฒ ๐ฟ๐๐ป ๐ถ๐ป๐๐ผ ๐๐ผ๐บ๐ฒ๐ผ๐ป๐ฒ ๐ ๐ธ๐ป๐ผ๐?
Cynthia will not introduce you or identify you as a client. If you choose to greet someone, Cynthia will follow your lead.
๐ช๐ต๐ฒ๐ฟ๐ฒ ๐ฑ๐ผ ๐๐ฒ๐๐๐ถ๐ผ๐ป๐ ๐๐ฎ๐ธ๐ฒ ๐ฝ๐น๐ฎ๐ฐ๐ฒ?
Locations are chosen collaboratively based on privacy, safety, accessibility, and convenience. Cynthia may suggest routes that are quieter or less trafficked.
๐ช๐ต๐ฎ๐ ๐ถ๐ณ ๐๐ต๐ฒ ๐๐ฒ๐ฎ๐๐ต๐ฒ๐ฟ ๐ถ๐ ๐ฏ๐ฎ๐ฑ ๐ผ๐ฟ ๐๐ป๐๐ฎ๐ณ๐ฒ?
If weather or conditions are unsafe or uncomfortable, the session may be moved to an indoor or virtual format, rescheduled, or shortened as clinically appropriate.
๐๐ผ ๐ ๐ต๐ฎ๐๐ฒ ๐๐ผ ๐๐ฎ๐น๐ธ ๐๐ต๐ฒ ๐๐ต๐ผ๐น๐ฒ ๐๐ฒ๐๐๐ถ๐ผ๐ป?
No. Sessions can include walking, sitting, or a mix. Pace and distance are adapted to your comfort and mobility.
๐ช๐ต๐ฎ๐ ๐๐ต๐ผ๐๐น๐ฑ ๐ ๐ฏ๐ฟ๐ถ๐ป๐ด ๐ผ๐ฟ ๐๐ฒ๐ฎ๐ฟ?
Wear weather-appropriate clothing and comfortable footwear. Consider water, sun protection, and any mobility supports you normally use.
๐๐ฎ๐ป ๐๐ฒ ๐ฑ๐ถ๐๐ฐ๐๐๐ ๐ฎ๐ป๐๐๐ต๐ถ๐ป๐ด ๐ผ๐๐๐ฑ๐ผ๐ผ๐ฟ๐?
You decide what you feel comfortable discussing, knowing privacy cannot be guaranteed. Some topics may be better suited to indoor or virtual sessions.
๐ช๐ต๐ฎ๐ ๐ฎ๐ฏ๐ผ๐๐ ๐ฒ๐บ๐ฒ๐ฟ๐ด๐ฒ๐ป๐ฐ๐ถ๐ฒ๐ ๐ผ๐ฟ ๐๐ฟ๐ด๐ฒ๐ป๐ ๐๐๐ฝ๐ฝ๐ผ๐ฟ๐?
Outdoor sessions are not crisis services. If you are in immediate danger or need urgent help, call 911 or your local crisis line. Cynthia can discuss safety planning and appropriate resources with you.
๐๐ฟ๐ฒ ๐ณ๐ฒ๐ฒ๐ ๐ฑ๐ถ๐ณ๐ณ๐ฒ๐ฟ๐ฒ๐ป๐ ๐ณ๐ผ๐ฟ ๐ผ๐๐๐ฑ๐ผ๐ผ๐ฟ ๐๐ฒ๐๐๐ถ๐ผ๐ป๐?
Typically no. Fees and cancellation policies are the same unless otherwise agreed in writing.
๐๐ผ๐ ๐ฎ๐ฟ๐ฒ ๐ป๐ผ๐๐ฒ๐ ๐ฎ๐ป๐ฑ ๐ฟ๐ฒ๐ฐ๐ผ๐ฟ๐ฑ๐ ๐ต๐ฎ๐ป๐ฑ๐น๐ฒ๐ฑ?
Cynthia maintains clinical notes according to BCACC standards and Keystone Health policies, regardless of session location.
๐๐ฎ๐ป ๐ ๐๐๐ถ๐๐ฐ๐ต ๐ฏ๐ฎ๐ฐ๐ธ ๐๐ผ ๐ถ๐ป๐ฑ๐ผ๐ผ๐ฟ ๐ผ๐ฟ ๐๐ถ๐ฟ๐๐๐ฎ๐น ๐๐ฒ๐๐๐ถ๐ผ๐ป๐ ๐น๐ฎ๐๐ฒ๐ฟ?
Yes. You can change formats at any time.
We invite you to book a session with Cynthia if walk-and-talk therapy resonates with you - https://keystonerevelstoke.janeapp.com/ #/staff_member/33
