Relational Trauma Therapy
mOYO
counselling
Deeply Different
Where the self begins to breathe.
The Work Begins Here
I know what it is to need someone
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.

moy · oh
mOYO
Heart Inner Life Vital Centre

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 →
Relational Trauma
Something feels different. Connection doesn't quite land. Relationships feel harder than they should. The sense of not belonging follows you, even in places that are meant to feel safe.
You make complete sense. Even the parts that have never been understood.
Who I Work With
I work with adults and adolescents whose lives have been shaped by relational, developmental, and intergenerational trauma.

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.

The work begins with
a single conversation.
A free 20-minute consultation. Come uncertain. Come as you are.
trauma reorganizes a system around survival.  ·  therapy helps that system reorganize around life.
I am grateful to live and work on the unceded and ancestral territories of the Coast Salish Peoples, including the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səl̓ilwətaʔɬ (Tsleil-Waututh) Nations.
Tracy Cairns
About Tracy
Tracy
Cairns
MA  ·  CCTP  ·  Lifespan Integration Level 2  ·  She/Her

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.

Training & Credentials
Master of Arts in Counselling Psychology
Yorkville University  ·  Conferred April 2026
Certified Clinical Trauma Professional (CCTP)
International Association of Trauma Professionals
Lifespan Integration, Level 2
Peggy Pace Method  ·  Certified March 2026
C-IPNB: Certified Interpersonal Neurobiology Clinician
Completing April 2026
Body-Oriented Somatic Trauma Counselling
Crisis & Trauma Resource Institute (CTRI)
Not every therapist
is right for every person.
Come with your questions. Come uncertain. Come as you are. The free consultation is where we discover whether this feels right.
trauma reorganizes a system around survival.  ·  therapy helps that system reorganize around life.
I am grateful to live and work on the unceded and ancestral territories of the Coast Salish Peoples, including the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səl̓ilwətaʔɬ (Tsleil-Waututh) Nations.
My Approach
Not Insight.
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.

The Experience
What this work feels like

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.

The Foundation
Relational wounds heal in relationship

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 Understanding
Your nervous system makes complete sense

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.

The Work Itself
Each approach in service of you

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.

The work begins with a conversation.
trauma reorganizes a system around survival.  ·  therapy helps that system reorganize around life.
I am grateful to live and work on the unceded and ancestral territories of the Coast Salish Peoples, including the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səl̓ilwətaʔɬ (Tsleil-Waututh) Nations.
How I Work
Modalities
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.

LI Level 2 Certified
Lifespan Integration®

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.

Lifespan Integration® Therapy is grounded in neuroscience, attachment theory, and the understanding that your system is continuously working to organize experience across time.

When experiences have been overwhelming, too much, too early, or not enough support was available, they can remain held in a way that continues to shape how you feel, respond, and relate in the present.

LI works by guiding your system through your Timeline, a structured sequence of memory cues across your lifespan. Through repetition, and within a range where you can remain present and steady, your nervous system begins to recognize continuity. This allows neural pathways to reorganize so that past experiences settle into the past rather than continuing to feel current.

This process takes place within what is often called the window of tolerance: a state in which you are able to stay present without becoming overwhelmed or shutting down. The work is paced carefully so that integration can happen in a way your system can absorb.

Because this work happens at the level of the nervous system, it can reach what has been held without words, including early attachment experiences, trauma, and patterns carried across generations.

Why I Use Lifespan Integration®

What we carry, including trauma, attachment patterns, nervous system responses, and experiences passed across generations, is held in the body. Lifespan Integration® allows us to work directly with that level.

Some of what shapes how you feel and respond may not have started with you. It can come through relational patterns, family systems, and experiences that were never fully processed. These patterns can live on in the nervous system, showing up in ways that feel familiar but difficult to understand.

LI allows us to access and integrate this material without forcing it into words or requiring you to fully trace its origin. As your system begins to organize across time, these patterns can begin to loosen and shift.

Clients often describe this work as gentle, yet deeply effective. There is often a sense that things begin to move and settle without force. Experiences that once felt immediate or overwhelming begin to feel more organized and less gripping.

This is not about managing symptoms. It is about helping your system integrate what it has been carrying so that you can experience more steadiness, clarity, and connection in the present.

What Lifespan Integration® Can Support

  • Developmental and complex trauma
  • Single-incident trauma
  • Attachment wounds and relational patterns
  • Prenatal and birth material
  • Dissociation and fragmentation
  • Intergenerational patterns and inherited experiences
  • Anxiety, shutdown, and nervous system dysregulation
  • Long-standing emotional and behavioural patterns

Client-Centred and Inclusive

Lifespan Integration® Therapy honours the full context of who you are, including your culture, ethnicity, gender identity and expression, sexual orientation, age, religion, neurodiversity, disability, nationality, and all aspects of your lived experience. The work is shaped around you, with strong emphasis on attunement and respect for your own emerging understanding throughout the process.

Learn more: lifespanintegration.org

Trained at Level 2, including advanced work with complex trauma, attachment repair, and dissociative presentations.
Parts-Based
Internal Family Systems (IFS)

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.

Parts that protect, parts that carry old pain, parts that manage, parts that have never had the chance to be fully known. IFS offers a compassionate, non-pathologizing framework for working with internal complexity.

In my practice, IFS informs how I understand the inner world, particularly in the presence of dissociative processes, entrenched protective patterns, and the tender work of helping exiled parts feel safe enough to be seen.

Body-Based
Somatic Awareness

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.

Neuroscience-Informed
Interpersonal Neurobiology

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).

Depth-Oriented
Psychodynamic Formulation

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-Informed
Attachment Theory & Earned Security

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.

The work begins with a conversation.
trauma reorganizes a system around survival.  ·  therapy helps that system reorganize around life.
I am grateful to live and work on the unceded and ancestral territories of the Coast Salish Peoples, including the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səl̓ilwətaʔɬ (Tsleil-Waututh) Nations.
The Work
Trauma
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.

The Full Scope of the Work
All that you carry belongs here.

Complex presentations are welcome.

Prolonged & Repeated
Complex PTSD

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.

When threat is chronic and inescapable, when the source of danger is also the source of care, the nervous system adapts in profound and lasting ways. Complex PTSD is the result of that adaptation. It is not a disorder. It is what a sensitive, developing system does to survive.

The effects are wide-ranging: a destabilized sense of self, difficulty trusting, emotional dysregulation, patterns in relationship that repeat despite the best intentions, and a body that holds the memory of what happened long after the conscious mind has tried to move on.

This is the terrain I know most deeply. The work is rooted in neuroscience, relational, body-based, and attuned to the pace at which the nervous system can safely navigate and integrate what it has lived.

Herman, J. L. (1992). Trauma and recovery. Basic Books. / van der Kolk, B. A. (2014). The body keeps the score. Viking.
Early Wounding
Attachment & Developmental Trauma

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.

Attachment patterns form in the first years of life through thousands of micro-interactions. The nervous system learns, at an implicit and embodied level: Am I safe? Will my needs be met? Am I loveable? Can I trust? These early answers become the template through which all later relationships are filtered.

Research identifies four primary attachment patterns: secure, anxious, avoidant, and disorganized. The disorganized pattern is associated with early relational trauma where the caregiver is simultaneously the source of fear and the source of comfort. These patterns are encoded in implicit memory and in the body. They cannot be resolved by insight alone.

Movement toward earned secure attachment, a security built through the therapeutic relationship rather than granted in childhood, is possible at any age. Prenatal and perinatal experiences are held here too.

Siegel, D. J. (2012). The developing mind (2nd ed.). Guilford Press. / Pace, P. (2012). Lifespan integration (5th ed.). Lifespan Integration LLC.
A Particular Strength
Legacy Burdens & Generational Trauma

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.

Intergenerational trauma passes through families not through storytelling but through the body. Through nervous systems that learned from nervous systems. Through silences that became postures, then patterns, then a life organized around an original wound that no longer has a name.

This is not abstract. It is physiological. And it is workable.

I bring a particular attention to mapping human systems, understanding not only what a person has lived, but what their system may have inherited. What was absorbed in proximity to unspoken pain. What was organized around a family constellation's unprocessed history.

Your unique mOYO, your inner life, your vital centre, is shaped by everything that came before you. Part of finding your way back means understanding that inheritance. Witnessing it clearly. And discovering what you choose to carry forward, and what you are ready to set down.

  • Patterns and emotional weights inherited from the family constellation
  • Grief, fear, or shame that feels older than your own experience
  • Survival roles passed down through generations
  • Cultural and historical trauma held in the body
  • Loyalty binds and systemic entanglements from the lineage
  • The gap between who you are and who you sense you could be

Your unique mOYO is not only what you have lived. It is also what you have been given to carry.

Violation & Betrayal
Sexual Abuse & Sexualized Violence

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.

Sexual trauma is relational trauma at its most fundamental level, a violation of bodily autonomy and trust, often by someone known, often in circumstances that made resistance impossible or dangerous. The nervous system's response to this kind of harm is a precise and intelligent adaptation to an intolerable situation.

Healing does not move through re-exposure. It moves through safety. Lifespan Integration works gently with this: helping the nervous system recognize, at a cellular level, that time has passed, that the event belongs to the past. Rather than requiring a client to narrate or re-experience what happened, LI works with the body's own timeline, allowing the system to begin to metabolize what it could not process at the time, without becoming retraumatized.

Pace is everything here. You lead. The work follows.

Pace, P. (2012). Lifespan integration (5th ed.). Lifespan Integration LLC.
Acute Trauma
Single Incident PTSD

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.

Single incident PTSD differs from Complex PTSD in an important way: there is a clear before and after. The nervous system was organized, then something happened that exceeded its capacity to process in the moment, and the unprocessed experience became lodged, replaying in the body as intrusion, hypervigilance, avoidance, and a persistent sense that the event is still happening.

For First Responders and emergency workers, this pattern can be compounded by repeated exposure to critical incidents, occupational cultures that discourage vulnerability, and the particular difficulty of processing trauma while continuing to function in high-demand roles.

Lifespan Integration therapy works gently with single incident PTSD: helping the nervous system recognize, at a cellular level, that time has passed and that the event belongs to the past, without re-traumatization.

You do not have to live inside what happened.

Pace, P. (2012). Lifespan integration (5th ed.). Lifespan Integration LLC.
Nervous System Adaptation
Adaptations: Addiction & Dissociation

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.

Addiction as Adaptation

Addiction is a nervous system response to what was too much to hold alone. And so, something in you found a way to get through. What we often call addiction is, in many cases, an adaptation, a way of regulating intensity, softening pain, or creating moments of relief when no other pathways were available. It makes sense. The body will always move toward regulation, even if the strategy becomes costly over time.

In this work, we do not approach these patterns with judgement or urgency to remove them. We get curious. We begin to understand what this part of you has been carrying, what it has been protecting you from, and why it has been needed. As your system begins to feel safer, in the body and in relationship, the need for the adaptation starts to soften. Not because it was taken away, but because something else is now possible.

Dissociation as Adaptation

Dissociation is a nervous system response to what could not be fully experienced. And so, something in you created distance. From feeling. From memory. From the intensity of the moment. This is a deeply intelligent way the system protects when experience exceeds what can be held.

In this work, we do not try to force reconnection. We move slowly. We build safety in the body and within the therapeutic relationship so that what has been held at a distance can begin to come closer, at a pace the system can tolerate.

You do not have to fight what helped you survive. We begin by understanding it.

The Why
The Nervous System Under Threat

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.

The autonomic nervous system has one primary job: keep you alive. It does this by scanning constantly for threat, below the level of conscious awareness, and mobilizing the appropriate response. This is not pathology. This is design. Stephen Porges' Polyvagal Theory describes three primary states. Click each to explore.

Click each zone to explore
Hyper Arousal: Sympathetic Activation
When threat is detected, the system mobilizes: heart rate rises, muscles tighten, thoughts race, the body prepares to act. Fight. Flight. Urgency. In chronic trauma, this can become a baseline state. The system perpetually braced for what might come next. Anxiety, hypervigilance, anger, panic, and the inability to rest often live here.
Window of Tolerance: Ventral Vagal Activation
When you are inside the window, the nervous system is regulated. You can think, feel, connect, and respond with flexibility. You are present. You can access curiosity, warmth, and choice. This is the state in which healing becomes possible. The goal of trauma therapy is to widen this window so you can stay present with more of your experience.
Hypo Arousal: Dorsal Vagal Activation
When mobilization is not possible, or when activation becomes too much to sustain, the system collapses inward. Shutdown. Numbness. Freeze. Disconnection. The body goes still because stillness was once the only safe option. Depression, dissociation, exhaustion, and a sense of unreality often live here.
Freeze: Cold or Hot
Freeze can look like paralysis or like a held-breath bracing. Cold freeze is the collapse and shutdown of hypo arousal. Hot freeze is the immobilized tension of a system in simultaneous fight and flight with nowhere to go. Both are intelligent responses to situations where action was not possible or safe.

Neither hyper nor hypo arousal is wrong. Both are intelligent responses to real threat. The difficulty is when the system remains in these states long after the original threat has passed. The work of trauma therapy is, in part, the work of widening the window. This is why trauma cannot be resolved through thinking alone. The window lives in the body. The work must meet it there.

Porges, S. W. (2011). The polyvagal theory. W.W. Norton. / Siegel, D. J. (1999). The developing mind. Guilford Press.
When Life Feels Unlivable
Suicidal Ideation

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.

In clinical work, suicidal ideation is understood as a signal of overwhelm within the nervous system and the relational field. It can reflect accumulated trauma, chronic emotional isolation, shame, or a collapse in meaning and possibility. At times, it functions as an attempt to create distance from pain, or as a way the mind organizes escape when no other options feel accessible.

This work requires steadiness, precision, and care. Together, we create enough safety to approach these thoughts without amplifying them, while also addressing risk directly and responsibly. The focus is not only on reducing symptoms, but on understanding what has made the system feel this cornered, and building pathways toward regulation, connection, and continuity of self.

You do not have to hold this alone.

overwhelm · relief-seeking · survival threshold

Disruption of Reality & Self
Psychosis

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.

Experiences such as hearing voices, unusual beliefs, or altered perceptions are not random. They often carry internal logic, shaped by trauma, stress, isolation, or significant relational rupture. At times, psychosis can be understood as the mind's attempt to organize overwhelming experience, or to express what has not been able to be processed in other ways.

Therapeutic work focuses on stabilizing the nervous system, maintaining connection to shared reality, and approaching the experience with curiosity rather than fear. This includes careful pacing, strong attention to safety, and collaboration with medical supports when needed.

Neurodivergence
ADHD

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.

ADHD is frequently misunderstood because its most visible features, distraction, impulsivity, inconsistency, are interpreted at the behavioural level, rather than understood as regulatory patterns within the brain and body. What is often missed is the underlying instability in attention allocation, reward processing, emotional intensity, and executive coordination.

Attention is not absent, it is variable and interest-driven. Motivation is not lacking, it is tied to salience and nervous system activation. Emotional responses are not excessive, they are less buffered and more immediate. Over time, repeated misattunement, correction, and misunderstanding can shape a secondary layer of shame, self-doubt, and relational strain.

Therapeutic work focuses on understanding how the individual system organizes itself, supporting regulation, reducing internalized criticism, and developing structures that are compatible with how the person actually functions.

Relational Architecture
Attachment & Relational Patterns

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.

Attachment patterns develop early, through repeated interactions with caregivers, and become internal working models that operate automatically across relationships. They are embedded regulatory systems that shape perception, affect, and behaviour.

  • Anxious: heightened sensitivity to connection, fear of loss, difficulty settling without reassurance
  • Avoidant: distancing from dependency, suppression of need, discomfort with closeness
  • Disorganized: simultaneous pull toward and away from connection, often linked to fear within attachment itself
  • Secure: capacity to remain connected while maintaining a stable sense of self

These are not fixed categories, but adaptive organizations shaped by early relational environments. When those environments involved inconsistency, absence, intrusion, or fear, the system learned how to survive connection, not how to rest in it.

Change occurs not through insight alone, but through new relational experience that the nervous system can register and integrate.

Depth-Oriented Work
Personality Structure

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.

From a psychodynamic perspective, personality is understood in terms of organization rather than diagnosis. It reflects how the system manages affect, maintains a sense of self, and relates to others when under pressure.

  • Borderline organization: marked by rapid shifts in emotion, fear of abandonment, and instability in sense of self
  • Narcissistic organization: organized around regulation of self-worth, moving between expansion and collapse, protecting against underlying vulnerability
  • Paranoid organization: structured around threat detection and mistrust, making closeness feel unsafe or unpredictable
  • Antisocial patterns: often reflect early environments where safety, consistency, or attachment were disrupted
  • Bipolar patterns: involve shifts in mood, energy, and perception that affect how reality, self, and relationship are experienced

These are not categories that define a person. They are adaptive organizations that developed in response to early relational environments. This is depth-oriented work. It is not about changing who someone is, but about expanding how the self can function, relate, and experience itself over time.

Nervous System Signal
Insomnia

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.

The nervous system is designed to cycle through states of activation and rest. When trauma, chronic stress, or unresolved relational experiences are present, the system can remain partially mobilized even in the absence of immediate threat. Sleep becomes difficult because the body has not yet learned that it is safe to let go.

In this work, insomnia is approached as information. It points toward what the system is still holding, what has not yet been metabolized, and what the body may be protecting against in stillness and quiet. As regulation deepens, sleep often shifts alongside it.

States, Not Identities
Anxiety & Depression

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.

Anxiety

Anxiety is not simply worry. It is a full-system response involving the brain, body, and relational field. It can present as a racing or looping mind, difficulty settling, heightened sensitivity to environment, or a continuous sense that something requires attention. The body may remain in a state of readiness, with tension, restlessness, or difficulty transitioning into rest.

In many cases, anxiety develops in systems that have learned to anticipate in order to remain safe, whether through early relational environments, chronic stress, or repeated exposure to unpredictability. The system becomes organized around scanning, predicting, and preparing. Over time, this orientation can persist even when the original conditions are no longer present.

This is not a failure of control. It is an adaptation that has remained active beyond the context in which it was needed.

Depression

Depression is often experienced as heaviness, disconnection, or a diminished capacity to initiate or sustain effort. There may be a sense of emotional flattening, loss of interest, or difficulty accessing meaning or motivation.

Rather than viewing this as absence or deficit, depression can be understood as a protective shift. When the system has been under prolonged pressure it may reduce output in order to prevent further depletion. What appears as shutdown is often the system attempting to preserve itself.

How They Relate

Anxiety and depression often exist within the same system. A system that remains in prolonged activation may eventually move toward collapse when it can no longer sustain that level of output. What is visible on the surface does not always reflect the full internal process.

How Therapy Works With This

The focus is not on eliminating these states as quickly as possible. It is on understanding their function, reducing the intensity of activation or shutdown, and supporting the system in developing greater flexibility. This includes working with nervous system regulation, identifying patterns shaped by past experience, increasing tolerance for internal states, and restoring connection both internally and relationally. Change occurs gradually.

All of what you carry belongs here.
All of what you carry
belongs here.
A free 20-minute consultation to discover whether this is the right space for you.
trauma reorganizes a system around survival.  ·  therapy helps that system reorganize around life.
I am grateful to live and work on the unceded and ancestral territories of the Coast Salish Peoples, including the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səl̓ilwətaʔɬ (Tsleil-Waututh) Nations.
Start with a free consultation.

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.

Format
Phone or video: your choice
Duration
20 minutes
Cost
Complimentary
Session Fees
Clear, straightforward, no surprises.
Individual Session
$160
55-minute session. Payment due at time of session. A receipt is provided for insurance purposes.
Couples Session
$185 / 90 min
90-minute session. Couples work is relational work, done in relationship, from the very first conversation.
Sliding Scale
Available
If cost is a barrier, please mention it during our consultation. There is no obligation to explain yourself beyond what feels comfortable.
Payment
At Time of Session
Payment is made at the time of session. Receipts are provided for insurance submission.
Practical Details
Everything you need to know before we begin.
Insurance
Many extended health benefit plans cover trauma counselling. I provide receipts for submission. Please check your plan for coverage details.
Cancellation
Sessions cancelled with less than 24 hours notice, except in genuine emergencies, are charged in full.
Format
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A free 20-minute consultation. Come uncertain. Come as you are.
trauma reorganizes a system around survival.  ·  therapy helps that system reorganize around life.
I am grateful to live and work on the unceded and ancestral territories of the Coast Salish Peoples, including the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səl̓ilwətaʔɬ (Tsleil-Waututh) Nations.
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trauma reorganizes a system around survival.  ·  therapy helps that system reorganize around life.
I am grateful to live and work on the unceded and ancestral territories of the Coast Salish Peoples, including the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səl̓ilwətaʔɬ (Tsleil-Waututh) Nations.