Welcome to Queen Spadina Counselling and Psychotherapy

As a community-minded organization, we sincerely believe that emotional healing and personal growth are within your reach.

Through a trauma-informed, anti-oppressive lens, we offer individual therapy for issues related to anxiety and depression, gender and sexuality, Post-Traumatic Stress Disorder (PTSD), and trauma.

If you live in downtown Toronto, identify within the LGBTQ2 community, or simply seek positive change, get in touch with us today.

In addition to working in person, online sessions are available for clients who cannot access the office and for clients who prefer online therapy.

Get In Touch

Our Services

Gender Affirming Surgery (GAS) Secondary Assessments

Individual Counselling and Psychotherapy

Licensed Financial Services Commission of Ontario (FSCO) Provider (License No. SP17170)

Registered Clinician for Indian Residential Schools - Resolution Health Support Program (IRS RHSP)

Registered Clinician for Non-Insured Health Benefits (NIHB) - Mental Health Counselling (MHC)

Registered Health Claims for Auto Insurance (HCAI) Facility (Registry No. 121091)

Employment Opportunities

Thank you for exploring employment opportunities with Adam Terpstra Psychotherapy Professional Corporation.

At this time we are not currently hiring, although interested applicants are still invited to send their cover letter and CV to info@qscp.ca

Specialties and Focus

    Behaviour management
    Body image
    Career counselling for educators
    Coping skills and strategies
    Eating Disorders
    Educational issues
    Gender identity
    Gender transition
    Interpersonal skills
    Life transitions
    Men's issues
    Post Traumatic Stress Disorder
    Relationship counselling
    Separation divorce
    Sexuality (LGBTQ2)
    Women's issues

Your First Session

Your first session can take anywhere between 50 - 80 minutes. During this session, you and your clinician will discuss your presenting concerns (i.e., why have you reached out for counselling services), your background (e.g., family, medical, social, etc.), gain a general understanding of what you seek from counselling, and identify how our services might support your process. You and your clinician will decide on how frequently you will meet (e.g., once or twice a week at 50 or 80 minutes), which can change as necessary.

Interested in scheduling your intake session? Refer to the clinician biographies below, click the link to book a session relevant to the clinician of your interest, select from the drop down the location you wish to book with your clinician, select 80 Minute Intake Session and follow the subsequent prompts. You will receive an automatic verification email once you schedule the intake session.

Service fees are covered by extended health programs if you are covered for psychotherapy, psychology, or social work (MSW / RSW).

Our Clinicians

Adam Terpstra
Registered Psychotherapist Registered Social Worker Clinic Director

Adam is currently not accepting patients at Queen Spadina. Please find her at Church Wellesley.
Click to Toggle Biography

I completed a Bachelor of Arts in Psychology from University of Victoria in 2009, a Bachelor of Education in Social Sciences from University of Victoria in 2013, and a Master of Education in Adult Counselling and Psychotherapy in 2016 from University of Toronto, OISE campus. I am a Registered Social Worker (RSW), a Registered Psychotherapist (RP), a Canadian Certified Counsellor (CCC), and a registered teacher in British Columbia, Ontario (OCT), and the Yukon Territory. I am a Certified Member of the Ontario Association of Consultants, Counsellors, Psychometrists and Psychotherapists (OACCPP) and a voluntary member of the Ontario Secondary School Teachers' Federation (OSSTF).

Growing up in rural Ontario and living in mid-to-large cities across Canada, I have worked with a variety of populations ranging from hard-to-reach inner city clients, adult survivors of childhood trauma, and the LGBTQ2 community, which has fostered a sincere understanding of the various daily life challenges and struggles.

Practicing from an eclectic therapeutic model, drawing from such modalities as Emotion Focused Therapy (EFT), Cognitive Behavioural Therapy (CBT), Internal Family Systems (IFS) model, and Schema Therapy, the focus of my clinical experience has been directed toward the age range of 21 - 65 with presenting issues relating to depression and general anxiety, childhood physical, psychological, and sexual trauma, Post-Traumatic Stress Disorder (PTSD), and gender/sexuality-related issues.

Speaks English

Adam is the clinic director of all clinic locations.

Alexandra Canzonieri
Registered Psychotherapist (Qualifying)

Alex is not accepting new patients.
Click to Toggle Biography

I completed a Bachelor of Science from the University of Toronto in 2015, specializing in Psychology and minoring in Buddhism, and a Master of Arts in Counselling Psychology from Western University in 2018. I am a Registered Psychotherapist (Qualifying) with the College of Registered Psychotherapists of Ontario (CRPO) as well as a Canadian Certified Counsellor with the Canadian Counselling and Psychotherapy Association (CCPA).

During my academic years, I was actively involved with my community by providing psychosocial support to adult populations who have experienced difficulties with addiction, anxiety, depression, grief, significant loss and transitions, as well as childhood sexual trauma and recent trauma. Working with individuals who seek change ignited my passion to support clients find their inner strengths and resources in pursuit of identifying the barriers that impede the process of change.

Using a client-centred and trauma-informed approach, I work collaboratively with clients in pursuit of fostering change and achieving their goals. My psychotherapeutic practice utilizes techniques from different therapeutic modalities including Cognitive Behavioural Therapy (CBT), Dialectal Behaviour Therapy (DBT), and Motivational Interviewing and Solution-Focused Therapy.

Speaks English, Spanish

Alexandra practices only at Queen Spadina.

Haley Moore
Registered Social Worker

I completed a Bachelor's Degree in Social Work at Ryerson University in 2017 and a Master's Degree in Social Work, specializing in Gerontology, at the University of Toronto, Factor-Inwentash Faculty of Social Work in 2018.I am a Registered Social Worker with the Ontario College of Social Workers and Social Service Workers (831821).

I grew up in a smaller city east of Toronto and moved to Toronto in 2013 to pursue higher education. I practice from an anti-oppressive lens, valuing dignity, diversity, and self-empowerment. My educational and clinical experience has focused on working with individuals to overcome individual, societal, and systemic factors to enable growth and healing. In my practice, I work from an eclectic approach using tenets of Narrative Therapy, Dialectical Behavioural Therapy (DBT), Cognitive Behavioural Therapy (CBT), Solution-Focused Therapy, Strengths-Based Therapy, Mindfulness Therapy, Schema Therapy, and Internal Family Systems (IFS). My experience ranges from work with children and adolescents to work with older adults and their support systems, with presenting concerns such as mental health, addictions, interpersonal conflicts, and intrapersonal issues such as self-esteem, lack of motivation, and trauma.

Speaks English

Haley practices at Church Wellesley, Canadian Online, Parkside and Queen Spadina.

Khuraman Mamedova
M.A., B.A. Ph.D Candidate

Khuraman is not accepting new patients.
Click to Toggle Biography

I completed a Master of Arts degree in Clinical Psychology in 2014 and am currently in the final year of a Ph.D. program in Clinical Psychology, both at York University. I have completed two hospital practicums (i.e., Brampton Civic Hospital and Toronto General Hospital, Bariatric Surgery program) where I worked with clients presenting with the range of difficulties, such as anxiety, depression, eating disorders, and interpersonal problems. I have been trained in Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Emotion-Focused Therapy (EFT), and Motivational Interviewing (MI).

As a clinician, I adopt the style that works best for the client and enjoy building a collaborative relationship where clients can share their experiences and struggles in a warm, non-judgmental and safe environment. My goal as a therapist is to help clients see how strong and resilient they are and instill hope that they can overcome any challenge.

Speaks English, Turkish, Russian, Azerbaijani

Khuraman practices only at Queen Spadina.

Parker Garrod
Registered Psychotherapist (Qualifying)

I completed my Bachelor of Arts in Psychology and Sociology at Western University in 2015 and completed my Master’s in Adult Counselling and Psychotherapy at University of Toronto in 2019. I am a Professional Student Member of the Canadian Counselling and Psychotherapy Association (CCPA) and registration with the College of Registered Psychotherapists of Ontario (CRPO).

I have worked the last three years as a Mental Health Worker and have experience in working with anxiety, depression, gender identity, and sexual orientation. My clinical approach to support work and counselling is largely centered around mindfulness, self-acceptance, and a collaborative partnership that encourages self-actualization. I mainly utilize Emotion Focused, Internal Family Systems, and Schema therapies in my therapeutic practice.

As a queer person myself, my passion has always been to help the LGBTQ2S+ community as both an advocate and counsellor, to combat the internalized experience of oppression and discrimination. The therapy room can become a holding environment for stigmatized and fragmented aspects of self and a supportive space for self-exploration and growth.

Cancellation Policy

When you book a session, your clinician reserves their time for you. In the event that you will be unable to keep an appointment, please notify your clinician at least 24 hours in advance, so that someone else may utilize the time. Similarly, when your clinician is unable to keep the appointment with you, they will give you more than a 24-hour notice and rebook to another date and time.

In the case whereby you are unable to provide 24-hour cancellation notice (e.g., you cancel an appointment on the day of the appointment [i.e. the same day] or do not show up for a scheduled appointment), unless for emergency reasons (e.g., medical or family emergencies), you will be charged the fee for your session and payment will be required at your next scheduled session.

Note: Employee Assistance Programs and other insurance-based programs will not reimburse you, the client, for missed appointment costs.