This paper discusses my practicum experience at Family Service Regina and my learning objectives that were met through my practicum activities. This paper highlights my learning and skill development in delivering a constructivist approach to therapy. Further, this paper explores how a constructivist approach uses the selective integration of many counselling theories. Specifically, this paper will discuss the selective integration of narrative therapy, client-generated metaphors, and expressive therapeutic arts. After exploring each technique individually, this paper explores the reasons these theories can be integrated when using a constructivist approach to therapy. Finally, a detailed case-study will explore a variety of adjunctive strategies, and demonstrate how this constructivist approach can be used with clients in practice.