I offer counselling to adults, adolescents 13+, couples and groups. I enjoy working with people from all backgrounds, genders, sexual orientations, and lifestyles. My areas of interest include:

  • Gender affirming care. I offer supportive space for trans, nonbinary and other gender diverse people, whether it’s general counselling, or gender-specific issues including navigating transphobia, living with dysphoria, and accessing transition
  • Hormone and surgical readiness assessments for trans, nonbinary and other gender diverse people
  • LGBTQ positive counselling
  • Resilience and recovery from trauma, including physical abuse, emotional abuse, sexual abuse, complex trauma, complex PTSD, intergenerational trauma, and institutional trauma
  • Relationship counselling, including intercultural relationships.
  • Sexuality and intimacy, including nonmonogamy, polyamory, relationship anarchy, BDSM and kink friendly counselling
  • Body positivity, fat positivity and coping with dysphoria and bodily change from illness or accidents, chosen or unchosen weight loss or gain, aging, or life transitions.
  • Grief and loss, including loss from death, relationship endings, relocation of country or home.
  • Chronic pain, illness and disability
  • Depression and anxiety
  • Living with complex diagnoses, including borderline personality disorder (BPD) and dissociative identity disorder (DID)


I view counselling as a holistic process that encompasses emotional, mental, physical and spiritual aspects of clients’ lives and the challenges they face.  I believe that client issues are best addressed when understood in the context of their environment, upbringing, society and culture.

My practice is grounded in anti-oppression praxis, and I integrate a variety of approaches including person-centered, CBT, DBT,  feminist and emotionally focused therapy. I work collaboratively with clients to customize approaches and tools that work best for them, while respecting their goals, agency and expertise in their own lives. Through all of this, I aim to create and hold a safer space where positive change can take place.


To make an initial booking with me, please contact me at 604 726 2183. If you get my voicemail, please leave a message including your name, preferred time for callback, and if it’s okay to leave a detailed message. You can also email me if you prefer at, but please be aware that email isn’t a guaranteed secure method of communication.

You are welcome to book any subsequent sessions through my online booking calendar,


Individual counselling session: $140 (includes GST)
Couples counselling session: $160 (includes GST)

Hormone readiness or gender affirming surgical assessments: $350 (includes GST), with sliding scale options available. This covers 2 – 3 sessions plus a written report.

Appointments are 50 minutes in length. Longer sessions are pro-rated.

I accept cash, cheque payable to J. Matsui De Roo, or interac transfer to

I dedicate a portion of my practice for sliding scale and lower cost spaces for clients with significant financial barriers who are also experiencing challenges accessing qualified counselling. This includes queer and trans people who are also Indigenous or people of colour, people living with chronic pain, illness or disability, and new immigrants or refugees. I currently prioritize sliding scale/low cost for people seeking gender affirming hormone or surgery assessment.

Crime Victim Assistance Program
I am an approved counsellor with the Crime Victim Assistance Program. You may qualify for Crime Victim Assistance funding if you have been physically or psychologically injured from a violent crime, or while trying to intervene in a crime in BC after July 1, 1972.  For more information on resources for victims of crime, please see:

Extended Health Benefits
Some extended benefits plans through work and school provide partial coverage for counselling services provided by a Registered Clinical Counsellor. At the end of each session, I will provide you with a receipt that you can submit to your extended health benefits provider. Contact your insurance company to find out if your plan covers the fees of a Registered Clinical Counsellor. If you are a student at SFU, UBC, Langara, UVic and Capilano, see:, select your school, and click on the health tab. For Emily Carr and VCC students, see: