Matsui De Roo (They/them/theirs)

Registered Clinical Counsellor

  • Individual Therapy
  • Couples/Relationship Therapy
  • Offering in-person and virtual appointments
  • Fridays: 8:00 am - 2:00 pm
Areas of Practice:
  • Gender identity, exploration, and affirmation
  • Sexuality, sexual health and pleasure
  • Healing from trauma, including sexual, medical, complex, systemic, and intergenerational trauma
  • Disability, chronic pain, and chronic fatigue, including long COVID
  • Relationship counselling, including intercultural relationships, and alternative sexuality and relationship frameworks
  • Depression and anxiety
  • Grief and loss

A Bit About Me

Hello and welcome! I’m Matsui, a registered clinical counsellor with the BC Association of Clinical Counsellors. I have more than two decades experience supporting queer, trans, nonbinary, Two-Spirit, gender questioning, and gender creative adults and youth, as well as their families, partners and loved ones.

My counselling approach is collaborative and responsive to your needs, and I am committed to holding space for your whole and authentic self. I often see clients with intersectional identities of culture, race, Indigeneity, class, gender, disability, neurodiversity, age, sexuality, and spirituality. I integrate multiple tools into an anti-oppression framework, including mindfulness, DBT, narrative, somatic, person centered, feminist and Indigenous focusing oriented therapy.

My approach to gender honours diversity, and includes gender identity exploration and support through gender affirmation and transition. I also offer counselling for depression, anxiety, trauma and other mental health concerns for people who are queer, trans, nonbinary or Two-Spirit and want a counsellor who understands how their background informs their experience. 

I offer non-pathologizing, sex-positive individual and relationship counselling, inclusive of people with alternative sexualities and orientations including queer, T4T, polyamorous, ethically nonmonogamous, power exchange, kinky, asexual, and aromantic. I work with a broad array of sexuality and sexual health concerns including navigating changes in sexual response, attraction, function and experience through life changes including hormone therapy, surgeries, menopause, aging, disability and chronic health conditions.

As a queer, trans, nonbinary, neurodivergent, multiracial person, I recognize how racism, transphobia, ableism, intergenerational trauma, and other manifestations of systemic oppression affect our mental health, and I honour your resilience and resistance as a foundational part of your healing journey.

Alongside my counselling practice, I provide training, consultation and supervision to health care professionals and organizations seeking guidance on more respectful, inclusive gender affirming care.

*Please note Matsui’s rate is $185.00 per 50-minute appointment

Education & Certifications
Master of Arts in Counselling Psychology, Adler University
Bachelor Arts in Psychology, SFU

Book an Appointment

Finding the right fit is important. All of our counsellors offer an initial free 15-minute consultation. Click below to book today!