Queer and Trans Counselling in BC and Beyond
LGBTQ+ Counselling in Canada
Affirming, online counselling for queer, trans, and gender-diverse adults in seven provinces and territories. Therapy that honours your context, boundaries, and lived experience.
We can also provide Hormone Readiness Assessments.
Queer &
Trans Led
Owned and operated by queer and trans clinicians.
Anti-Oppressive and Decolonial
Therapy that names power, systems, and context.
Virtual Across Canada
Online counselling in BC, SK, MB, NL, YT, NT, or NU.
The Last Best Place Counselling
About Us
We are an online counselling clinic serving seven provinces and territories, built for people who want care that is ethical, affirming, and supportive.
We primarily work with queer, trans, and gender-diverse people, as well as people experiencing other forms of marginalization looking for mental health support. Many of the people who find their way here are navigating big questions, transitions, or long-standing patterns they are ready to approach with more care and curiosity.
If you are looking for counselling that is collaborative and respectful, you are in the right place.
Our values
Queer and trans-affirming
We do not require you to justify your identity, and we do not treat it as the cause of everything else in your life. If gender or sexuality is what you want to work on, we can absolutely work on it. If it is not, we can focus on what is most important and relevant to you.
Trauma-informed
We go at a pace you set. We aim to pay close attention to where your boundaries are in each moment so that we can respect them and we understand that living with trauma can be incredibly challenging. We encourage you and support you in living in your values and aim to create a nonjudgemental, welcoming environment for all parts of you.
Anti-oppressive
When what you are dealing with is coming from outside you — a workplace, a family, a healthcare system, a landlord — we name that rather than treating it as a distortion in your thinking or a problem with you. If you are feeling it, it’s real.
Decolonial
We hold that distress lives in bodies, relationships, histories, and land, not only in individuals. We do not position Western clinical models as the only legitimate way of understanding what is happening to you.
What We Offer
Queer & Trans Counselling Services
Relationship & Polyamory Counselling
For couples and polycules navigating communication, disconnection, agreements, and repair.
Hormone Readiness Assessments
Get a supportive, gender-affirming assessment and letter for hormone therapy
Gender-Affirming Counselling
Work with a queer or trans therapist on gender identity, gender exploration, transition support, and dysphoria
LGBTQ+ Counselling
Work with an LGBTQ counsellor on depression, anxiety, burnout, trauma, relationships, & more.
Trauma Counselling
Trauma, PTSD, and CPTSD counselling. Learn how to feel safe again at your own pace.
Depression Counselling
Depression counselling with a queer and trans affirming counsellor.
Anxiety Counselling
Counselling for anxiety and panic attacks. For a nervous system that may need some care and understanding.
What Happens In A Consult
When you book a consult, we will spend about 15 minutes getting to know one another and we will talk about what brings you to counselling. We use video call on the same secure platform we use for sessions, so you can find out whether this feels like a fit.
Here is what happens:
- You pick a time online. There are no forms to fill in beforehand and no payment details required. Booking takes about 2 minutes.
- We ask what brings you in, what you are hoping counselling might do for you, and whether you have tried counselling before. You share as much or as little as you want to.
- You ask us anything — how we work, what experience we have with what you are bringing, fees, availability, scheduling, or anything else that matters to you.
- If you would like to go ahead, we book a first session and email you the intake paperwork. Typically, this paperwork takes 3-10 minutes to complete. We will also go over it with you in the first few minutes of our first session. Please let us know if paperwork is a barrier for you and we can do it together.
Session Fees
| Service | 50 minutes | 75 minutes | 90 minutes |
|---|---|---|---|
| Free consult | Free (15 min) | — | — |
| Individual counselling | $165 | $225 | $270 |
| Relationship counselling | $185 | $255 | $306 |
| Hormone Readiness Assessment | — | — | $300 |
Fees reflect the training and responsibilities involved in providing counselling, as well as the cost of running a clinic that supports ethical and sustainable care. Relationship sessions are priced slightly higher because more than one person is being held in the room, and because the planning between sessions is heavier.
Most people book 50 minute weekly or biweekly sessions. Longer sessions exist for the times when 50 minutes is not enough — deeper trauma work, relationship sessions, or any session where you want more room. You can move between lengths as your needs change.
Any fee change will be communicated clearly and well in advance, and will never apply to a session you have already booked. We do not currently offer sliding scale or reduced-fee sessions.
Frequently Asked Questions
Who do you work with?
We see adults 19+ only, wherever you happen to be located within the regions we serve.
Most of the people who come to us are queer, trans, or gender-diverse, but that is not a requirement! Many are also carrying the weight of disability, neurodivergence, racism, migration, or other systemic pressures, and that context is fully welcome in the room.
We do not see children or youth, and we are not a crisis or emergency service. If you are not sure whether we are the right fit, just ask!
Where do you provide counselling?
We provide counselling to people physically located in British Columbia, Saskatchewan, Manitoba, Newfoundland and Labrador, Yukon, the Northwest Territories, or Nunavut at the time of their session.
We are not currently able to work with people located in other provinces or outside Canada. There is more detail on the Where We Work page.
What if I am in crisis?
We are not a crisis or emergency service. We provide scheduled sessions only, and we do not monitor email or voicemail outside business hours.
If you are in immediate danger, call 911 or go to your nearest emergency department.
If you need to talk to someone right now, you can call or text 9-8-8, the Suicide Crisis Helpline, free and 24 hours a day, anywhere in Canada.
What are sessions like?
Counselling here is a shared process.
In the first session, we will talk about what brings you in, what you want to be different, and how you want to work. After that, sessions are usually 50 minutes, often weekly or every other week to begin with, and we check in regularly about what is helping and what needs to change. Our work may include conversation, emotional processing, education, exploration of patterns and relationships, and practical tools. You decide what you want to discuss.
Sessions are held by secure video. You can pause or end counselling at any time, subject to the cancellation policy for appointments already booked.
Do I need a diagnosis or a referral?
No. You do not need a diagnosis, a doctor’s referral, or a reason that sounds serious enough. You can book a free consult and we will work out together whether counselling here makes sense for you.
Can I see a counsellor here if I live outside BC?
Yes. We work with people located in British Columbia, Saskatchewan, Manitoba, Newfoundland and Labrador, Yukon, the Northwest Territories, and Nunavut. Each region has its own section on the Where We Work page.