Counselling Services
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Counselling Services


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 and Two-Spirit, trans and non binary wellness

Hormone and surgical care planning/recommendation for gender affirming care

LGBTQ+ positive counselling

Multicultural and cross-cultural issues

Resilience and recovery from trauma

Unlearning dysfunctional abuse dynamics

Sexuality and intimacy

Sexual health counselling

Body positivity

Grief and loss

Chronic pain, illness and disability

Depression and anxiety


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.

I integrate a variety of approaches into my practice, including anti-oppression, feminist, person-centered, CBT, DBT, 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: $175

Hormone and surgical readiness assessments: $350

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 am currently fully booked for lower cost spaces, but do have a limited number of sliding scale spaces available for people seeking hormone or surgical readiness assessments.


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:


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:, anselect your school, and click on the health tab. For Emily Carr and VCC students, see:

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