Annah MacKay

she/her
MSW Practicum Student
Virtual Appointments
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Vancouver, B.C.
All Day
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$60
Individual Counselling
"I seek to carve out spaces of love, rage, humor, frustration, joy, enthusiasm, tenderness and grief to support you to stay aligned with your personal values and authentic self."
Annah
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About Annah

I believe that who we are and where we come from matters, and that we each generate gifts and meaning at the confluence of our identities, life experiences and social position in the world.

I am a settler of Scottish, Irish, and British ancestry living on the unceded and ancestral territories of the xʷməθkʷəy̓əm, Sḵwx̱wú7mesh, and səlilwətaɬ Nations. These territories have been life-giving and sustaining to me and my ancestors, and I am accountable for our ongoing presence here. 

Currently, I am completing a masters in critical social work at UVic with a focus on decolonial, anti-racist, queer and feminist theories, social and ecological justice, grief, abolition and harm reduction. I have completed additional training in narrative therapy, group facilitation, community organizing, Indigenous cultural safety, care worker burnout and end of life care.

My lived experience includes parental loss, bereavement, bisexuality, relationship diversities, unconventional families, substance use, and neurodiversity. These lived experiences have impacted who I am as a person, influence my areas of interest, and offer both strengths and challenges to my practice.

I find joy, and work through the hard stuff through art, friendship, being an aunty, riding my bike, activism, comedy, sex, gardening, and my cat, Francis. I would love to know where you find yours!

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Relationships, Relationship Diversity, Sex and Gender

I hope to support you to better understand your relational strengths, create and maintain more safety in the world, have more laughs, feel more hope and connection, and have better sex. 

Relationships can be sites of transformative learning and growth, and it can be so stressful when our relationships feel stuck or are no longer thriving. Like so many of us, I’ve struggled with jealousy, loneliness, sexual incompatibility, anxiety, avoidance and boundary setting in relationships. I also know how tricky, vulnerable, and exhausting it is to build and sustain new connections from scratch, be it from a dating or hookup app, or “out in the wild.” 

Your experience of pleasure, sex and kink is important to me, and I would love to learn how these aspects make you who you are. I welcome and celebrate relationship diversities, situationships, and interpersonal encounters of all kinds including polyamorous, non-monogamous, queer, platonic, romantic, relationship anarchy and more! It’s my goal to support you to leave our sessions feeling empowered and more resourced in your relationships no matter what form they take.

As a cisgender, neuroqueer and bisexual human, I see allyship as an active state rooted in my felt sense of the fluid and diverse nature of humanity, and through my relational accountability and commitment to solidarity with trans, intersex, agender, fluid, non-binary, gender diverse and non-conforming people in my life and beyond. 

My friendships and community have shown me how important language is, and I will always follow your lead with language around your identity and those of your loved ones. In our sessions, I am committed to building a non-judgemental space for you to explore, honor, describe and understand your relationships to gender, sexuality and pleasure.

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Grief, Death and Loss

Grief can take on many forms and feelings. When we lose someone it can feel like we’ve lost a piece of ourselves. It can feel like memories and stories are all we have. Sometimes we are left with anger, resentment, fear, loneliness, or an empty place in our hearts, and sometimes we are left with relief. These many forms deserve space to explore along whatever timeline feels right for you. It doesn’t need to ‘make sense.’

Grief comes through the loss of close relatives, friends and big loves in your life. Grief can be disenfranchised in care work, through the loss of a pet, or a pregnancy. It can also be shared through experiences of climate grief, existing in late-stage capitalism, and in being complicit as a white settler in ongoing colonization locally, globally and most presently in Palestine.

These levels of grief affect us all uniquely, and I welcome all experiences, complexities, and nuance in your experience of grief, loss and bereavement. I bring lived experience over my lifetime to this work, have written and read extensively on the topic of individual and collective grief, and received training in 2020 through an end-of-life Doula program.

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Neurodiversity and Mental Health

Neurodiversity is a gift to this world, and a co-conspirator in talking back to colonialism, linear, binary thinking and neoliberal capitalist impositions of perfectionism, individualism, and success. In my own life, Neurodivergence has supported my relationality through laughter, emotion, the body, movement, and imagination. There are so many journeys to be had with neurodivergence, and you are the expert in yours.

I understand how our relationship to ‘formal’ or ‘informal’ labels and diagnoses may shift throughout our lives or serve certain purposes, and I will always follow your lead on how you’d like to be described or labeled.

I am opposed to treatments that seek to pathologize and assimilate neurodivergence, mental health, gender-diversity and queerness to fit societal norms. At the same time, I see how tools like CBT, medication and other medicalized therapies can support us in empowered ways. I am familiar with navigating these systems, and I am committed to walking alongside you in your self-determined path. 

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Occupational Mental Health and Care Work Burnout

Care work is beautiful, challenging work and you are not alone if you’re feeling overwhelmed or disconnected. 

I have felt hopelessness, guilt, exhaustion, avoidance, numbness, anxiety, and anger in my heart through ‘burn out,’ and have felt myself detach from my ethics, and from the folks I work with and for. I’ve also witnessed how burnout can be harmful through enmeshment, poor boundaries, if we adopt a hero/saviour complex, or if we think we’re the only ones capable of doing the job. 

Whether supporting you to grapple with the rage and heartache of systemic oppression, or helping you build mutual support with other care workers - whatever’s going on in your corner, my intention is to support you to be sustainably well, and aligned with your core values.

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How I Work

I see how neoliberal capitalism impacts our abilities to foster intimacy and connection, and how it can create a sense of scarcity and precariousness in our lives. In session and in my own personal practice, I seek to carve out spaces of love, rage, humor, frustration, joy, enthusiasm, tenderness and grief to support you to stay aligned with your personal values and authentic self. 

I work from a client-centred, trauma-informed, anti-oppressive, and critical social work lens and am a student of Narrative therapy. Narrative practice sees our lives as multi-storied, and I hope to honor your identities, experiences and strengths amidst the many stories of your life. As a social worker, working this way might mean supporting you to contextualize your experiences within broader social frameworks and creatively exploring how we can foster ongoing networks of safety and care in the world beyond our sessions. 

I have worked in harm reduction, healthcare, and safer supply advocacy since 2014, and I am particularly interested in supporting and walking alongside care workers, healers, community organizers, and people who are fighting against the grain to live out their beautiful truth.

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Annah MacKay

MSW Practicum Student
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