Nathan MacRae
MSW, RSW
Services
Now accepting new clients!
Trailhead offers services tailored to your needs by phone or secure video platform, with in-person options coming soon.
Individual Counselling
$160 per 50 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.
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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.
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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. Book yours here: https://thcounselling.janeapp.com/
Relationship Counselling
$180 per 50 min session (extended sessions available)
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.
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.
Family Therapy
$185 per 50 session (extended sessions available)
I believe every family has its own path toward understanding, healing, and connection. With warmth, empathy, and expertise, I offer family counselling that’s gender-affirming, inclusive, and deeply respectful of everyone’s story. Whether you’re navigating relationship challenges, parenting complexities, or life transitions, I aim to meet you where you are. My approach balances compassion with accountability, helping families grow stronger together while honouring each member’s experience and truth.
Trailhead is a queer, trans, kink, poly, body and sex positive practice.
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Sliding scale spots may be available upon request.