Nathan MacRae
MSW, RSW
Services
Now accepting new clients!
Trailhead offers services tailored to your needs by phone or secure video platform and coming soon in in-person options!
Individual Counselling
$160 per 50 min session
Working together, I can support you in cultivating compassion for yourself and others, taking pride in who you are, navigating relationships and moving through the difficulties that arise in life. I specialize in supporting the queer, trans, kink, and non-monogamous communities in unpacking identity, sex and relationship issues, emotional regulation, processing trauma, depression, anxiety, addiction, and challenges related to navigating the world with a marginalized identity.
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Wherever you are on your journey, a fulfilling and joyful future is possible. Let’s work toward it together.
Hormone & Surgical Readiness Assessments
$350 per assessment
As a Registered Social Worker and a trans person who has personally experienced these systems, I can offer practical support with government documentation and healthcare navigation such as, hormone readiness assessments, top and gonadectomy surgical assessments, name and gender marker documentation and referrals to community partners. I am also able to provide secondary letters in support of genital surgeries in Ontario.
Each formal assessment includes up to two 50 min sessions, report writing and coordination with care providers. Additional sessions are available at the regular rate.
Relationship Counselling
$180 per 50 min session
Being in relation with others is one of our most fundamental human needs. While deeply fulfilling, relationships can also be complex and challenging. I work with partner(s) to navigate these challenges with compassion and curiosity, and to deepen understanding and connection with each other.
Relationships need space to explore what matters most—let’s create that together.
*Please note: I specialize in working with relationships experiencing high or ongoing conflict, complex relational dynamics or structures, and heightened emotional reactivity. I also proudly work with poly folks of all shapes, sizes and configurations.
Trailhead is a queer, trans, kink, poly, body and sex positive practice.
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Sliding scale spots may be available upon request.