Nathan MacRae
MSW, RSW
I provide virtual queer-affirming counselling and readiness assessments to clients throughout BC, Yukon and Ontario, including many clients in Victoria.
If your extended health benefits include coverage for services provided by Registered Social Workers (RSWs), my counselling services may be covered under your plan. Please check with your insurance provider to confirm your coverage.
Now accepting new clients!
Trailhead offers our services by phone or secure video platform, with in-person options coming soon.
Individual Counselling
$175 per 60 min session (extended sessions available)
I offer a collaborative and affirming space to explore who you are, how you relate to others, and what might be getting in the way of feeling more grounded, connected, and whole.
I work from a psychodynamic and relational lens. Which means together, we’ll gently explore how past experiences and relationships may be shaping your present, and how a deeper understanding of self can support healing and change.
Whether you're feeling stuck, overwhelmed, disconnected, or unsure of your next step, healing and a life with more ease are possible. We can work toward that together.
Hormone & Top/Gonadectomy Surgical Readiness Assessments
$350 per assessment
As a Registered Social Worker and a trans person who has personally experienced these systems, I can offer support with hormone readiness assessments, top and gonadectomy surgical assessments. Please note I do not provide genital or bottom surgery assessments in BC as these are required to be completed by medical providers. Please contact Trans Care BC transcareteam@phsa.ca for more information on this.
Each formal assessment includes up to two 50-minute sessions, report writing and coordination with care providers. Additional sessions are available at the regular rate. Assessments are completed within one week, and expedited appointments may be available if you require documentation sooner. Book yours here: https://thcounselling.janeapp.com/.
Family and Relationship Counselling
$185 per 60 min session (extended sessions available)
Connection with others is one of our most fundamental human needs. Whether with a partner, family member, or another important person in your life, relationships can be deeply meaningful and fulfilling while also bringing challenges, conflict, and periods of uncertainty. I work with people to navigate these experiences with compassion, curiosity, and care, helping to foster greater understanding, communication, and connection.
I support couples, partners, and families across a range of relationship structures and dynamics, creating a space where each person's perspective can be heard and explored. I also have experience working with ethical non-monogamy, polyamory, and other forms of consensual non-monogamy. My practice is affirming of diverse relationship styles and grounded in respect, openness, and non-judgment.
Trailhead is a queer, trans, kink, poly, body and sex positive practice.
Sliding scale spots may be available upon request.