
Nathan MacRae
MSW, RSW
Services
Trailhead offers services tailored to your needs by phone or secure video platform.

Individual Counselling
$150 per 50 min session
My specialization is in identity and gender exploration, sexuality and coming out. I have extensive expertise in working with queer and gender-diverse people coping with complex trauma, relationship difficulties, addiction, sexual health issues, mental health concerns such as depression, anxiety, and mood disorders, and challenges related to navigating the world with a marginalized identity.
No matter where we are starting, there is a happy and healthy future for you. Let's get there 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
$170 per 50 min session
Being in relation to other people is one of our most fundamental human needs. As fulfilling as relationships can be, they can be equally complex. I can work with you and your partner(s) to meet challenges with compassion, and come to deeper understandings of each other.
Relationships need space to explore the issues that matter most. Let's create that together.
Family Counselling
$180 per 50 min session for two people
Having a loved one come out as queer or trans can be life-changing as it uproots your ideas of who they are, where their future lies, and what your relationship with them looks like. This is hard for you, too. I am here to provide space for you and your concerns and build understanding as you forge a path forward.
There is a future for your loved one. Let's prepare you to be a part of it.
There is a $10 fee for each additional person included in the session.


Trailhead is a queer, trans, kink, poly, body, sex, and sex work-positive practice.
Sliding scale spots may be available upon request.