Structured care for a condition that demands consistency.
PPPD responds to a stepwise, evidence-based approach. These packages are designed to give your nervous system the time, structure, and support it needs to heal.
The Clinical Rationale
Why a package model & not session by session?
PPPD responds to structure. The therapeutic approaches used in treatment — including cognitive behavioural therapy and graded exposure — are stepwise by design. Each session builds directly on the last, and meaningful progress depends on consistency, pacing, and time.
A package model is more than a pricing decision but a clinical one. It ensures you have the continuity needed to do this work properly, with built-in monitoring, a clear arc from assessment to discharge, and supported follow-up once active treatment ends.
The right package will depend on the nature and severity of your symptoms, your current level of functioning, and how much time your nervous system needs to feel safe again. That conversation begins at the initial consultation.
Structure supports the CBT model
CBT for PPPD is a sequential process. Skills compound. The exposure hierarchy builds gradually. Dropping in and out disrupts that progression.
Consistency calms the nervous system
Predictability is itself therapeutic for a nervous system stuck in threat-detection. Regular sessions provide an anchor point during a disorienting process.
Follow-up is part of the treatment
Progress doesn't stop at discharge. Rooted Check-ins at three and six months monitor how gains are holding and address anything that resurfaces.
Package Components
What every package includes.
All three packages share the same clinical framework. The difference is the number of individual therapy sessions and the depth of monitoring that becomes possible over time.
Comprehensive Initial Assessment
A 90-minute session to map your history, understand your symptoms in full, and establish a shared treatment plan before therapy begins.
Individual Therapy Sessions
50-minute sessions grounded in the CBT for PPPD framework, paced to your symptom severity and readiness for exposure work. Where clinically relevant, other modalities — including Internal Family Systems (IFS) — may be integrated to support the process.
Discharge Planning Session
A structured final session to consolidate gains, build a maintenance plan, and prepare you for life after active treatment ends.
Rooted Check-ins
30-minute follow-up appointments at 3 months (all packages) and 6 months (Bloom and Thrive) to monitor progress after discharge.
Treatment Packages
Choose your pathway.
Each package is a full arc of care — from the beginning to discharge to follow-up. The right one depends on how much space your nervous system needs to do this work properly.
Designed for those earlier in their PPPD journey, or for those who are still functioning relatively well in daily life despite their symptoms. A focused, structured introduction to PPPD treatment — building foundational understanding, establishing coping strategies, and beginning the work of nervous system regulation.
Includes
For those who need more room — more time to pace the exposure work, more sessions to consolidate learning, and more monitoring as symptoms shift. Well-suited for those experiencing moderate symptom severity or distress, where a slower and more careful progression through the therapeutic process yields more sustainable results.
Includes
The most comprehensive pathway through PPPD treatment. Designed for those whose symptoms are significantly impacting daily functioning — those avoiding situations, limiting their world, or experiencing high levels of anticipatory anxiety. An unhurried approach to exposure work, with ample time to build tolerance, address setbacks, and consolidate gains before discharge.
Includes
Not Sure Where to Start
Find your starting point.
The recommendation is made collaboratively at the initial consultation, once there is a full picture of your symptoms, history, and current level of functioning. If you are uncertain, this short questionnaire can help point you in the right direction — no commitment, no pressure.
Package finder
Not sure which pathway is right for you?
These eight questions are designed to give you a starting point — a sense of which package is likely to offer the right level of support given where you are right now with your symptoms.
There are no right or wrong answers. Answer as honestly as you can, based on how things have actually been — not how you hope they'll be or think they should be.
This tool does not provide a diagnosis, clinical assessment, or medical advice. The final recommendation is always made collaboratively at your initial consultation, once there is a full picture of your history and symptoms.
"Specialized psychotherapy for PPPD barely exists. That's not okay, not for a condition that can quietly dismantle someone's entire world. I'm here to fill that gap, and to show up properly for people the system has already let down."Edna Bonsu · RN Psychotherapist · Balens Therapy
Ready to Begin
The first step is a conversation.
Book a free 20-minute consultation to talk about what's been happening and whether Balens Therapy is the right fit. Virtual across Ontario, in-person in Vaughan. Direct billing available through Telus e-claims.