who will not look away.
There is often a quiet yearning beneath the surface: for connection, for steadiness, for something that finally feels whole. Many people carry experiences they never learned to name. They adapt. They cope. They function well. And still, something remains unsettled.
In several African languages, moyo refers to the heart and the inner life. The name reflects the centre of this work: a place where experience can be understood in context, and where the self has room to breathe again.
Finding your way back to yourself →Complex presentations are welcome. This work does not focus only on insight or narrative. The pathway to repair runs through the body and the relational field, where experience can finally be processed in a way the nervous system can integrate.
a single conversation.
Cairns
I came to therapy first as someone who needed it, and then as someone who understood, with complete clarity, that this was the work I was meant to do.
There is often a quiet yearning beneath the surface: for connection, for steadiness, for something that finally feels whole. I have lived inside that unsettledness. I know what it is to move through the world with something underneath that quietly waits to be met. And I know what becomes possible when it finally is.
I have been on both sides of this room. That is not a small thing.
I don't speak about my own history at length. This room is yours. But I want you to know: you are not arriving somewhere clinical and unmoved. You are arriving somewhere that understands from the inside out.
Tracy emigrated from South Africa 35 years ago and makes North Vancouver home, where she raises her two teenage sons as a single mother.
is right for every person.
Change.
Healing does not begin in thought.
It begins in the body. In the nervous system. In the places where experience has been held without words.
Change happens slowly, and in relationship. Not by pushing toward insight, but by allowing the system to experience something different, safely and over time.
I do not follow a fixed method. I listen for what your system is showing, and we work from there.
Sessions are unhurried. Relational. Attuned to your pace.
Sometimes we talk. Sometimes we slow down and notice what the body is holding. Sometimes we stay with something that has never had enough space before.
There is no pressure to go anywhere you are not ready to go. We follow what emerges.
Relational wounds shift in relationship.
The therapeutic relationship is not separate from the work. It is where the work happens.
Over time, the nervous system begins to recognise something different. Something steady. Something attuned. Something that does not repeat what came before. That experience changes how things are held.
The nervous system does not forget. It adapts.
What you may experience as anxiety, shutdown, reactivity, or disconnection is the system doing exactly what it learned to do to get through. It makes sense.
Understanding this is not about explanation. It is about changing the way you relate to yourself. You begin to meet your system with curiosity, rather than turning against it.
I draw from Lifespan Integration, Internal Family Systems, somatic work, psychodynamic thinking, and Interpersonal Neurobiology.
Not as separate techniques. As one integrated way of understanding the whole of you across time, experience, and the body.
What guides the work is not the model. It is you.
in service of you.
I am integrative. I do not follow a single method. Each of these frameworks informs my understanding of the whole person, and I draw on them fluidly, led by what you bring and what your nervous system is showing me.
Lifespan Integration® Therapy (LI) is a gentle, neuroscience-informed, client-centred approach developed by Peggy Pace. It works directly with your nervous system to integrate experiences that have remained unresolved, helping your system settle, organize, and move forward with greater stability.
At the centre of this work is the Timeline: a sequence of memory cues unique to you and arranged across your life. As your system moves through these cues with careful pacing and attunement, experience begins to connect across time. What once felt intense, fragmented, or stuck can begin to soften, organize, and feel more complete.
IFS, developed by Richard Schwartz, understands the mind as made up of many parts, each carrying its own feelings, beliefs, and protective roles. No part is pathological. Every part has positive intent, even when its strategies are causing harm.
Trauma is not only a story. It is a physical experience that lives in the body long after the event has passed. Somatic work brings attention to what the body is holding: sensation, tension, posture, breath, the impulses that were interrupted.
I have trained in body-oriented somatic trauma counselling through the Crisis and Trauma Resource Institute. In practice, this means I pay close attention to what the body is communicating, and I invite that attention into the room, gently and without pressure.
The body is not a problem to be solved. It is a source of information, and in the right relational context, a pathway to repair.
Interpersonal Neurobiology, developed by Daniel Siegel, is a framework that integrates what we know from neuroscience, attachment research, and clinical practice. It understands the brain and nervous system as fundamentally shaped by relationship, and as capable of continued growth and reorganization throughout life.
IPNB informs how I think about regulation, integration, and what it means for the nervous system to feel safe. It provides a scientific foundation for what relational therapy is actually doing: not just addressing symptoms, but reshaping the neural pathways through which a person experiences themselves and others.
I hold a C-IPNB certification (completing April 2026).
Psychodynamic thinking attends to the deeper patterns, histories, and relational dynamics that shape the present. It holds that our current ways of relating, defending, and experiencing ourselves make sense when understood in the context of our history.
In my practice, psychodynamic formulation means taking seriously the full arc of a person's life. Not just what happened, but what it meant, how it was adapted to, and how those adaptations continue to organize the present.
It also means attending closely to what happens between us in the room, as a live expression of those patterns and a site of potential repair.
Attachment theory, grounded in the work of John Bowlby and developed through decades of relational research, understands how our earliest experiences of being held, seen, and responded to form the architecture of how we relate across our whole lives.
All of my work is attachment-informed. The therapeutic relationship itself is understood as a site of earned security, a place where the nervous system can experience being in relationship in a way that is different enough, and sustained enough, to begin to reorganize.
Movement toward earned secure attachment is possible at any age. That is not a metaphor. It is neurobiology.
in all its forms.
I work with adults, adolescents, and families whose lives have been shaped by trauma, including what is known, what is sensed but not yet understood, and what is carried without clear origin. All of what you carry belongs here.
Healing is not something the mind thinks its way toward. It lives deeper than that: in the body, in the nervous system, in the places where words have never fully reached.
Complex presentations are welcome.
Complex PTSD develops not from a single event but from prolonged, repeated experiences, often beginning in childhood, often relational in origin. It affects the whole self: identity, relationships, the body, and the capacity to feel safe.
The earliest relationships shape the nervous system before language, before memory, before any capacity to make sense of what is happening. Attachment is not just an emotional bond. It is a neurobiological architecture that organizes how we experience ourselves, others, and safety in relationship.
Some of what you carry may not have begun with you. Patterns that surface without context. Grief that feels borrowed. A persistent sense of carrying something that was never quite yours, and yet, here it is.
Experiences of violation, coercion, and sexual harm reorganize the nervous system in specific and profound ways. This work is approached with steadiness, deep respect for pace, and an understanding of what these experiences ask of a person to survive and to heal.
A single overwhelming event, an accident, a medical emergency, a sudden loss, an assault, a critical incident, can leave a precise and lasting imprint on the nervous system. This is not weakness. It is the nervous system doing exactly what it was designed to do.
Addiction and dissociation are not failures of character or will. They are adaptations. Things the nervous system learned to do when what was happening was too much to hold alone. We begin with curiosity, not judgement.
Every experience of trauma begins in the body. Understanding why the nervous system responds the way it does, why it braces, numbs, freezes, collapses, is not just psychoeducation. It is the beginning of compassion for yourself.
Suicidal thoughts often emerge when the system can no longer find a way to hold what it is carrying. They are not simply about wanting to die, but about needing relief from a level of internal pain that feels unendurable.
Psychosis reflects a disruption in how reality, meaning, and self are held together. It can feel disorienting, intrusive, or overwhelming, often emerging when the system is under more strain than it can integrate.
ADHD reflects a difference in how the nervous system regulates attention, energy, emotion, and engagement. It is not simply about focus, but about how the system orients, responds, and sustains itself in a world that often demands a very narrow way of functioning.
Attachment organizes how the self forms in relationship. It shapes how we experience closeness, regulate emotion, interpret others, and understand what it means to be held in mind.
Personality reflects how the self organizes identity, emotion, and relationship over time. It is not a label, but a structure: a way of holding experience, particularly under conditions of stress, vulnerability, and relational strain.
Insomnia is rarely only a sleep problem. It is often a sign that the nervous system cannot fully down-regulate: that activation, vigilance, or unprocessed experience is keeping the system on alert when the body needs to rest.
Anxiety
A state of persistent activation in which the system is oriented toward anticipating and preparing for threat. It can feel like a mind that will not slow down, a body that remains on alert, or a constant sense that something requires attention.
Depression
A state of reduced activation in which the system withdraws, conserves energy, and limits engagement after sustained strain. It may feel like heaviness, disconnection, or difficulty accessing motivation or meaning.
belongs here.
The therapeutic relationship is the foundation of everything. It should feel right before we go deeper. This conversation is how we find that out together.
here.
You do not need to have the right words. You do not need to know what you are looking for. Come uncertain. Come as you are.
Your message is received directly by Tracy Cairns. I aim to respond within one business day.