Clinical Consultation for Therapists
Support, clarity, and collaboration for therapists across Canada.
Support Designed for Therapists
As therapists, we know the work can be both deeply meaningful and deeply complex. Clinical consultation offers space to reflect, receive support, refine your therapeutic approach, and feel grounded in the work you are doing with clients.
We provide clinical consultation for practicing Registered Clinical Counsellors in BC, Registered Psychotherapists in Ontario, and counsellors and therapists across Canada.
Whether you're navigating ethical dilemmas, experiencing uncertainty about your approach to a specific client, expanding into a new clinical area, or simply wanting a thoughtful second opinion, consultation offers a safe, supportive place to learn, consider, and grow.
The Benefits of Clinical Consultation
✔ Space to reflect without scrutiny
✔ A second set of eyes on complex or confusing cases
✔ Ethical + relational decision-making support
✔ Ideas you can adapt, not directives you must follow
✔ Space to talk about your experiences as a therapist
✔ More clarity, direction, and confidence
Find Your Fit
Finding the right fit matters - for your clients and for you!
Learn more about our consultants and find the support that’s the right match for you.
Consultation As Our Focus
Clinical consultation for counsellors and therapists in Canada differs from clinical supervision in important ways.
Unlike supervision, consultation is designed to support your professional growth, deepen clinical reasoning, and provide a collaborative space to explore complex cases without evaluation, oversight, or mandatory documentation.
At Gravitate, our focus is on clinical consultation with practicing Registered Clinical Counsellors, Registered Psychotherapists, Counselling Therapists, Registered Psychologists, and other registered clinicians.
Clinical Consultation
Clinical consultation offers a collaborative, supportive space where therapists can explore complex cases, reflect on their role, and strengthen clinical reasoning. You remain fully in control of client care, with no evaluation, oversight, or documentation requirements. Flexible and voluntary, consultation is entirely focused on building your confidence, expanding your skills, and supporting professional growth. It’s an invaluable resource for therapists seeking guidance, new perspectives, and practical solutions in their work.
Clinical Supervision
Clinical supervision is a structured, formal relationship designed to meet licensing or training requirements. It involves direct oversight of clinical work, competency development tied to formal training, and mandatory documentation or agreements. Supervision is evaluative and regulated, often required for students or qualifying therapists, and focuses on ensuring compliance, maintaining professional standards, assessing performance, and providing formal accountability rather than collaboration or reflective guidance.
Our Consultants
Registered Clinical Counsellor (BCACC)
Registered Psychotherapist (CRPO)
Certified Sex Therapist (AASECT)
Counselling Therapist (ACTA)
Kathryn McInroy, M.Ed.
Owner & Clinical Director
Kathryn is a highly experienced clinician with over 15 years in the field and active registration as a Registered Clinical Counsellor (BCACC), Registered Psychotherapist (CRPO), and Counselling Therapist (ACTA). She is also a Certified Sex Therapist (AASECT) and an ADHD-informed counsellor. She balances full-time clinical practice with clinic leadership at Gravitate.
With extensive experience in individual, couple, and sex therapy, she supports therapists seeking thoughtful, grounded, and collaborative clinical consultation.
Therapists across BC, Alberta, Ontario, and the rest of Canada turn to Kathryn for support with complex cases, relationship and couples work, ADHD-related challenges, and sex or intimacy concerns. Her approach to clinical consultation for therapists helps counsellors feel more confident, resourced, and steady in their work with individuals and couples.
She also offers consultation for group practice owners who want support with leadership, team dynamics, and the clinical decisions that shape a thriving practice.
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Kathryn offers consultation across a wide range of clinical concerns and therapeutic contexts, supporting therapists to work more confidently, thoughtfully, and effectively. Whether you’re navigating complex cases, exploring sensitive topics, or seeking guidance on the broader management of your practice, Kathryn brings experience, insight, and a collaborative approach.
Her background in individual counselling, couples therapy, sex therapy, and ADHD-informed practice allows her to support clinicians in exploring both the specific details of a case and the broader relational or systemic patterns at play.
She is particularly helpful to clinicians who are working with (or want to develop confidence in working with):
Sex Therapy, Intimacy, Perimenopause & Sexual Concerns
Therapists often seek Kathryn’s consultation when supporting clients or couples with:
desire, arousal, or pleasure concerns
pain during sex
sexual dysfunction, including erectile dysfunction, premature ejaculation, and delayed ejaculation
sexual health concerns related to perimenopause
mismatched libido or intimacy expectations
healing after pregnancy loss or abortion
exploring or navigating consensual non-monogamy
identity, values, or sexual self-esteem questions
Her extensive training in sex therapy, resulting in her status as an AASECT Certified Sex Therapist, allows her to support clinicians in addressing sensitive or complex sexual concerns with clarity and confidence.
Couples & Relationship Dynamics
Support for therapists whose clients are navigating:
communication challenges
conflict or gridlock
intimacy and connection
life transitions affecting relationships
relational patterns and emotional cycles
relationship ambivalence or uncertainty
differing needs, expectations, or attachment styles
Kathryn draws from Gottman and emotionally-focused approaches to help therapists deepen their understanding of relational process and strengthen their work with couples.
ADHD (Diagnosed or Undiagnosed)
Kathryn consults with therapists supporting clients who experience:
executive functioning challenges
overwhelm or shutdown
emotional intensity
relationship strain connected to ADHD
school or work difficulties
procrastination, organization, and follow-through issues
the many ways ADHD shows up across life domains
She helps therapists integrate ADHD-attuned strategies, adapt interventions, and better understand the lived experience of ADHD.
General Counselling Themes
In addition to her specialty areas, Kathryn offers consultation related to many challenges therapists encounter in everyday practice, including anxiety and stress, identity development, self-esteem and self-doubt, life transitions, emotional regulation, boundaries and communication, decision-making and internal conflict, and clarifying therapeutic goals or direction. Her broad experience means therapists can bring almost any case, whether straightforward, complex, or emotionally layered.
Clinical Process, Ethics & the Therapist’s Experience
Kathryn also supports clinicians with:
case conceptualization
ethical considerations
navigating uncertainty or "stuckness"
maintaining therapeutic momentum
balancing client autonomy with guidance
holding dual perspectives (client + broader system)
understanding their own emotional responses
finding clarity when cases feel complicated or heavy
Her goal is never to direct or evaluate, but to help therapists think more clearly, feel more grounded, and explore new possibilities in their work.
Support for Group Practice Owners
As the owner of a thriving virtual group practice in Canada, Kathryn brings firsthand insight into the unique challenges of leading an online team. She offers guidance on:
building and sustaining a cohesive, values-driven virtual practice
managing team dynamics and communication across digital platforms
developing policies that balance clinical and business needs
creating a culture of learning, growth, and reflective practice
supporting clinicians while maintaining ethical and clinical standards
Her experience allows her to provide insight not only on client cases but also on the bigger picture of running a successful, virtual, values-driven practice, particularly for those operating in British Columbia.
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In clinical consultation, Kathryn offers:
A collaborative space where therapists can explore complex cases without judgment
Support in case conceptualization for both individuals and couples
Guidance on navigating sexual and relational dynamics in therapy
Clear, constructive ideas that therapists can adapt to their own style
Thoughtful discussion that centers the therapist’s professional values, ethics, and therapeutic orientation
Kathryn’s consultation style is warm, direct, and grounded in evidence-informed practice. She aims to help therapists feel more confident, equipped, and steady in their clinical work - especially when navigating relational, sexual, or ADHD-related challenges.
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Kathryn offers clinical consultation for therapists in 25-minute and 50-minute blocks. A 25-minute consultation is $87.50, and a 50-minute consultation is $175. A receipt is provided at the end of the appointment time.
Andee Dale, MACP
Approved Clinical Supervisor
Registered Clinical Counsellor (BCACC)
Approved Clinical Supervisor (BCACC)
Counselling Therapist (ACTA)
With over 20 years in the helping field, Andee is a skilled clinician with a rich background supporting other therapists. She is a Registered Clinical Counsellor and Approved Clinical Supervisor (RCC-ACS) with the BCACC, and a Counselling Therapist (CT) with ACTA. She engages full time in clinical practice and brings a clear, grounded, and practical style to her clinical consultation work.
Her approach is rooted in the belief that most clinicians already have the skills they need to navigate their work with clients, and that supportive guidance can help them apply those skills confidently in new or challenging situations.
Therapists often seek Andee’s clinical consultation when they want to strengthen their work with children, youth, or families, navigate complex clinical presentations, or expand their competence across a wide range of concerns.
As the founder of Kona Kids Inc., Andee is deeply passionate about preventative mental health care and brings that perspective into her consultation style. She offers an encouraging, reflective space where therapists can grow their skills, expand their perspectives, and feel supported in their ongoing clinical work.
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Andee provides clinical consultation across a wide range of counselling concerns and professional contexts. Her experience in addiction and mental health, process addictions, grief and loss, ADHD, family systems work, and group facilitation allows her to support therapists in deepening their understanding of complex client presentations and strengthening their therapeutic approach.
She is particularly helpful to counsellors working with (or wanting to develop confidence in working with):
Addiction and Mental Health
Andee offers consultation for therapists supporting clients experiencing:
substance use challenges
co-occurring mental health concerns
motivation and readiness for change
relapse prevention and harm-reduction strategies
family and relational impacts of addiction
Her experience in community and private practice settings helps therapists approach addiction work with clarity, compassion, and evidence-informed support.
Process (Behavioural) Addictions
Therapists frequently consult with Andee around cases involving:
gaming and technology overuse
gambling behaviours
compulsive shopping or spending
workaholism and achievement-driven patterns
other behaviours clients rely on for coping or regulation
She helps clinicians understand the function of these behaviours and expand the therapeutic pathways available for change.
Children and Youth Counselling
Andee supports therapists who work with younger clients by offering consultation on:
emotional regulation challenges
family transitions and blended-family dynamics
school-based stressors
ADHD and executive functioning
developmental considerations in therapy
supporting caregivers and family systems
Her child- and youth-focused experience helps counsellors navigate these cases with confidence and attunement.
Grief and Loss
Therapists often seek Andee’s consultation when supporting clients navigating:
bereavement
anticipatory grief
life transitions involving identity loss
chronic illness and caregiver fatigue
complicated or layered grief experiences
Andee offers a grounded, gentle lens to help clinicians hold space for grief while maintaining structure and direction in therapy.
ADHD
Andee consults with therapists supporting children, youth, or adults who experience:
attention and focus challenges
emotional overwhelm
impulsivity
organizational and executive functioning difficulties
school or work impacts
family strain related to ADHD
She helps therapists adapt approaches, consider developmental needs, and understand how ADHD shapes daily life and relationships.
Food-Related Challenges
Andee offers consultation for therapists whose clients struggle with:
emotional eating
rigid food rules or patterns
stress-related eating behaviours
the intersection of food, coping, and self-esteem
Her approach supports clinicians in navigating food-related concerns with sensitivity and nuance.
Couples and Family Counselling
Andee provides support for therapists working with:
communication challenges
transitions and blended-family adjustments
conflict cycles
parenting stress
shifting roles within relationships
She offers insight into family systems, relational patterns, and developmentally informed interventions.
Group Facilitation, Workshops & Presentation Skills
With extensive experience facilitating groups and workshops, Andee offers consultation on:
designing therapeutic groups
managing group dynamics
conflict and engagement challenges
adapting content for diverse participants
developing workshops or presentations for community or professional audiences
Her skills support counsellors who want to expand into group work or strengthen their facilitation confidence.
Ethical and Professional Practice
Andee also supports clinicians exploring:
ethical decision-making
boundaries and role clarity
professional identity and competence
navigating uncertainty or stuckness
documentation and communication considerations
balancing care for clients with care for oneself
Her goal is to help counsellors feel grounded, capable, and supported as they work through the complexities of clinical practice.
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As an experienced counselling professional, Andee specializes in supporting fellow counsellors through collaborative consultation. Her approach centers on creating a safe, reflective space where practitioners can explore clinical challenges, enhance their therapeutic skills, and strengthen their professional confidence.
Andee offers grounded, compassionate guidance that honours each counsellor’s unique style while encouraging ethical, client-centered decision-making. Through case consultations, reflective practice, and professional mentoring, she helps counsellors deepen their insight, broaden their therapeutic perspectives, and navigate complex client dynamics with clarity and resilience.
Whether supporting emerging practitioners or experienced clinicians seeking fresh viewpoints, Andee’s role is to provide steady, thoughtful consultation that fosters growth, self-awareness, and professional wellbeing. Her aim is to ensure counsellors feel supported, capable, and resourced so they can offer their best work to the clients they serve.
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Andee offers clinical consultation for therapists in 25-minute and 50-minute blocks. A 25-minute consultation is $82.50, and a 50-minute consultation is $165. A receipt is provided at the end of the appointment time.
Ann Downie, M.Ed.
Registered Clinical Counsellor (BCACC)
Ann brings over 20 years of experience supporting individuals and families, and more than a decade as a counsellor to her clinical consultation work. She is a Registered Clinical Counsellor with the BC Association of Clinical Counsellors (BCACC) and has provided clinical supervision, consultation, and professional support to emerging and established clinicians for several years.
Ann offers warm, collaborative clinical consultation for therapists seeking a supportive place to reflect on their work, navigate complexity, and strengthen their clinical confidence. Her approach is grounded, relational, and deeply respectful of each clinician’s unique style, experience, and values.
Therapists across Canada turn to Ann for thoughtful consultation when working with grief, trauma, transitions, ADHD, food-related challenges, and family or relational concerns, as well as when seeking culturally responsive support for BIPOC clients and communities.
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Ann offers clinical consultation that supports therapists in navigating both the clinical and human complexities of their work. Drawing on her experience in grief and loss, trauma, transitions, ADHD, food-related challenges, couples and family counselling, and BIPOC-affirming practice, she helps clinicians deepen their understanding of client experiences while strengthening their own therapeutic confidence.
She is particularly helpful to counsellors working with (or wanting to develop confidence in working with):
Grief & Loss
Support for therapists working with clients navigating:
bereavement and anticipatory grief
identity and role changes following loss
complicated or layered grief
life transitions connected to loss
Transitions
Consultation for cases involving:
major life changes
identity shifts
relationship transitions
career or role changes
adjustment and meaning-making
Trauma
Support for therapists navigating:
trauma-informed case conceptualization
complex or developmental trauma
safety, stabilization, and pacing
vicarious trauma and therapist impact
ADHD
Consultation for work with:
executive functioning challenges
emotional regulation
relational strain connected to ADHD
school, work, and life impacts
Food-Related Challenges
Support for therapists working with:
emotional eating
stress-related food patterns
body image concerns
the intersection of food, coping, and self-worth
Couples & Family Counselling
Consultation for cases involving:
communication challenges
family transitions
parenting stress
conflict and relational cycles
supporting children and caregivers
BIPOC-Affirming Practice
Ann offers consultation that supports therapists in:
culturally responsive and anti-oppressive practice
working thoughtfully with BIPOC clients and families
exploring identity, belonging, and lived experience
reflecting on power, privilege, and systemic impact in therapy
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Ann is committed to offering a non-judgemental, respectful, and supportive consultation space where trust and collaboration are central. Therapists are invited to openly explore difficult or uncertain moments in their clinical work without fear of evaluation.
From a client-centred and reflective approach, Ann supports clinicians with:
case conceptualization and treatment planning
skill development and intervention choices
ethical decision-making and professional judgement
navigating complex or sensitive clinical situations
Ethical guidance is foundational to Ann’s work. She offers compassionate accountability to support best practice and client welfare, helping therapists think clearly and act with confidence when facing ethical or professional dilemmas.
A core focus of consultation is reflective practice. Together, you will explore the emotional impact of the work, identify signs of burnout, and clarify what sustainable self-care and professional wellbeing look like for you, so you can continue to do meaningful work with steadiness and care.
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Ann offers clinical consultation for therapists in 25-minute and 50-minute blocks. A 25-minute consultation is $82.50, and a 50-minute consultation is $165. A receipt is provided at the end of the appointment time.
Consultation Structure & Fees
Clinical consultation is offered as a collaborative, reflective space tailored to your clinical questions and professional context.
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Consultation sessions are structured to offer flexibility while maintaining a consistent and reliable frame.
Individual clinical consultation sessions
Offered virtually to therapists across Canada
Sessions are typically 50 minutes, with 25 minute sessions available for brief consultation requests
Consultation may be booked as a one-time session or on an ongoing basis
The structure can be adapted to support short-term consultation needs or longer-term reflective work.
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Consultation sessions may include:
Reflective discussion of clinical cases
Support with complex or stuck clinical dynamics
Ethical and professional decision-making
Integrating theory into clinical practice
Therapist identity, confidence, and sustainability in the work
Consultation is non-evaluative and does not function as clinical supervision or meet regulatory supervision requirements.
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Fees are set to reflect the experience, training, and areas of clinical focus of each consultant.
Consultation rates are outlined in the consultant profile
Payment is due at the time of the appointment
Fee information is provided transparently to support informed decision-making prior to booking.
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Consultation sessions are booked directly through our online booking page.
Therapists are invited to start with a complimentary 15-minute connection conversation to explore fit and consultation goals
A minimum of 24 hours notice is required for cancellations or rescheduling
Missed or late-cancelled sessions may be subject to the full session fee
These policies help ensure consistency and availability for all consultation requests.
Get Started
We’d love to connect! You’re welcome to begin with a complimentary 15-minute connection conversation.
This conversation offers space to ask questions, explore fit, and determine whether consultation feels aligned with your current clinical needs.
Ready to get started? Feel free to jump right in with a 25- or 50-minute clinical consultation session.