J. Matsui De Roo, MA, RCC

01/29/2026

If you're a clinician who wants to offer hormone readiness assessments for gender affirming care, I'm teaching another round of training! Please feel free to copy/paste and share.

Hormone Readiness Assessment for Gender Affirming Care: �An Online Workshop

Cohort 1: for trans, nonbinary & Two-Spirit practitioners only�
1- 4 PM PT, April 9 - 10 2026
Cohort 2: open cohort�
1 - 4 PM PT, April 16 - 17 2026
Format: Online via Zoom�
Duration: Two 3-hour sessions
�Cost: $600
Register online at genderoo.janeapp.com

In British Columbia, adults are required to complete a hormone readiness assessment in order to start gender-affirming hormone therapy. While primary care providers with appropriate training can offer this service, many people continue to rely on third-party assessors to access care.
This workshop offers a low-barrier, trauma-informed approach to offering hormone readiness assessments and care planning. Participants will learn a flexible, client-centred process that prioritizes informed consent and aligns with current standards of care.

Using an anti-oppression lens, we’ll explore how to support clients who experience racism, ableism, fatphobia, colonialism, and other intersecting forms of oppression as they navigate gender affirming care. The workshop covers pathways to hormone care in BC, along with practical strategies for advocacy, referrals, and navigating systemic barriers. Templates, forms, and sample reports aligned with WPATH Standards of Care (Version 8) will be provided.
Participants are also invited to reflect on how their own social location shapes their clinical practice and wellbeing in this work.

By the end of the workshop, participants will feel more confident supporting trans, nonbinary Two-Spirit and other gender expansive adults in accessing gender-affirming hormone care.

This workshop is intended for clinical counsellors, social workers, nurse practitioners, and other allied health professionals with foundational experience working with trans, nonbinary, and Two-Spirit clients. It is delivered in a small-group Zoom format and includes a mix of teaching and interactive breakout discussions.

If you have any questions or need assistance with registration, feel free to contact me at matsui@genderoo.com

J. Matsui De Roo, RCC-ACS
Matsui (they/them) is a trans, nonbinary Registered Clinical Counsellor and Accredited Clinical Supervisor specializing in gender-affirming care. They support healthcare providers in building trans-affirming practice through education, consultation, and customized training. Matsui is also a Clinical Mentor with Trans Care BC.

I am now offering in-person sessions on Tuesdays and Wednesdays in downtown Vancouver, on Howe near Smithe street. Exact address will be shared upon booking.

03/20/2025

I'm facilitating a free grief group in April - please feel free to share this!
Unspeakable Grief: for Q***r, Trans, Nonbinary and Two-Spirit support workers
Tuesday April 15 2025, 7 - 8:30 pm
At Cross & Crows Books, 2836 Commercial Drive, Vancouver
Registration required: genderoo.janeapp.com

As healthcare, frontline, or other support workers, it's not uncommon for us to experience the death of a client, colleague, or community member—but it can often feel like we have nowhere to turn. Our work environments aren’t typically built to support these types of losses. Client confidentiality carries beyond death, and workplace norms may make it hard to open up about our emotions. And we may be active in small communities, where our personal and professional lives overlap. But it’s important to allow ourselves space to grieve.

This free, in-person grief circle will be a facilitated space where you will be encouraged to acknowledge your feelings, and participate in a healing ritual together.

This group is being generously hosted by Cross and Crows books, a Vancouver based, q***r-owned small business. Please consider arriving early or staying late to shop here. You can also shop online anytime at www.crossandcrows.com.

Send a message to learn more

11/16/2024

Emotional regulation tip #3 - take three deep breaths for highly activated states. If you’re feeling acute distress or panic, you likely won’t be able to focus on much. So meditation or a longer breathing exercise may feel like an impossible task. Instead, keep it brief and simple - just commit to taking three deep breaths. It really does help calm the anxious mind and body! You may notice that the intensity goes down a notch or two, to the point where you can focus on other emotional regulation exercises to further take care of yourself.

11/13/2024

I currently have space for online and in-person individual counselling for adults and youth 17+, as well as relationship counselling. If you’d like to meet me and see how we could work together, please go ahead and book a free 20 minute consultation at

Jane uses many modern web browser features and not all browsers are supported. On a computer, we recommend using a recent version of Chrome or Safari. If you're on a tablet or mobile device, make sure your OS is up to date. Using this browser could result in lost data.

11/13/2024

Emotional regulation tip #2 - self care apps.

I’ve been enjoying Finch. It’s an app that gives you simple tasks, like getting out of bed and doing small, manageable household chores, and you can customize the tasks to be whatever you want. The basic app is free, and you don’t need the paid subscription to access most features. If you like cute animals and gentle affirmations and don’t mind a kid-friendly aesthetic, this may work for you.

Finch - Your New Self Care Best Friend

11/12/2024

Things are tough right now, so I'm going to share a few things over the next few days that might be helpful.

Emotional regulation tip, day 1 - gentle exercise for 20 minutes..

I use this website for free workouts (they also have a paid subscription model but you can filter your searches to free content only). This particular one goes at a gentle pace and features a live string quartet. Yes, really.
https://teambodyproject.com/workouts/get-back-2/

I am not an affiliate of this website and don't get commissions of any kind.

Power Flow is the second Get Back workout and focuses on the joy of movement.

11/06/2024

If you're a BIPOC, q***r or trans person struggling with the US election results, you are not alone. I can offer a free online no-cost session to anyone who needs it right now (including past and current clients). Please reach out to me at matsui@genderoo.com or 604 726 2183 to schedule this, or with any questions.

Send a message to learn more

04/09/2024

Free Online Self Compassion Group for Q***r, Trans, Nonbinary and Two-Spirit People

BIPOC only group Wednesday May 1, @ 7 pm PT
Open group Wednesday May 8, @ 7 pm PT
Via Zoom

It’s a hard time to be a human in the world today. Climate disaster, the genocide in Gaza, escalating anti-trans hate, the poison drug supply crisis, and the list goes on. If you’re struggling right now, you’re not alone.

I’m Matsui, a QTBIPOC clinical counsellor, and I’d like to offer a gentle and trauma-informed circle where we can share space for healing. I will be facilitating some grounding somatic work to help you connect with the wisdom of your body, and find compassion in your heart. There will also be space to share and reflect.

The session will run for one hour. The first group is BIPOC only, while the second group is open to all q***r, trans, nonbinary and Two-Spirit community members.

This offering is free, with donations gratefully accepted.

Registration is required. Please email me at matsui@genderoo.com if you would like to attend, with "RSVP BIPOC Self Compassion group” or “RSVP Open Self Compassion Group” in the title of your email.

About me

I’m Matsui De Roo (they/them/theirs) and I’m a q***r, trans, nonbinary neurodivergent person of colour with ancestors from Japan, Belgium, France and Ireland. I am grateful to live and work on the unceded, ancestral and traditional territories of the xʷməθkʷəy̓ əm (Musqueam), səl̓ilw̓ ətaʔɬ (Tsleil-Waututh) and Sḵwx̱wú7mesh Úxwumixw (Squamish) Nations.

I bring more than two decades experience working within my community, including workshop facilitation, counselling, and helping people access gender affirming care. You are welcome to read more about me at my website, www.genderoo.com.

I am currently accepting new clients for counselling, as well as hormone and upper surgical recommendations for gender affirming care. My sliding scale for counselling is full, but I offer pay-what-you-can spaces for hormone/surgical recommendations for BIPOC community members. I am also happy to offer free 20 minute consultations to anyone looking for more information on how to access gender affirming care in BC.

J. Matsui De Roo is a Registered Clinical Counsellor offering anti-oppression counselling in Vancouver, BC for adults and youth. I also offer clinical supervision for counsellors, social workers, and other mental health and community workers, and customized workshops and writing services to organiza...

02/21/2024

I know many of us are struggling with the news of Nex Benedict's death. For those of you who may not have seen the media reports yet, Nex was a 16 year old Choctaw nonbinary youth in Oklahoma, who died after being assaulted by other students in their school restroom.

For those of us who are trans, nonbinary or Two-Spirit ourselves, this loss is especially painful, and many of us may find our own trauma is activated. I hope you're able to step back and some time to care for yourself. If you're a cis person and you have capacity, this would be a good time to support your TNB2S+ colleagues. One simple but effective offering would be advocating and encouraging paid time off.

I'd like to offer a gentle and trauma-informed circle where those of us who are TNB2S+ ourselves, and who work with TNB2S+ youth, can share space and healing. I will be facilitating some gentle somatic work to help you connect with the wisdom of your body. If somatic work isn't a fit for you, you are still welcome to attend and witness, meditate, or whatever else feels right for you in the space.

This circle will take place over Zoom on Tuesday March 5th, at 6 pm PT. This offering is free, with donations gratefully accepted.

Registration is required. Please email me at matsui@genderoo.com to RSVP if you would like to attend, with "RSVP March 5" in the title of your email..

You are welcome to share this with other youth workers, but I'm hoping to keep this group small and community focused. If we're not already connected, please share who you are in your RSVP.

01/19/2024

There are still a few spaces left for this expressive arts therapy workshop for BIPOC, happening January 25. Jotika is a skilled and compassionate facilitator, I highly recommend this.

11/15/2023

I've currently got a few spaces open for new counselling clients for ongoing sessions, as well as for clinical supervision. Feel free to reach out if you'd like to chat more about whether we might be a good fit for each other.

09/11/2023

I still have a few spaces left in both cohorts, including pay-what-you-can for trans, nonbinary and Two-Spirit people.

Hormone care planning and recommendation training for gender affirming care
Cohort 1: open cohort
1 - 4 pm, September 21 - 22 2023
Cohort 2: for trans, nonbinary, Two-Spirit and other gender diverse practitioners only (sliding scale pricing available)
1 - 4 pm, September 28 - 29, 2023
Via Zoom video conferencing
$600 (inclusive of GST)
Register at genderoo.janeapp.com

Hormones are medically necessary for many trans, nonbinary, Two-Spirit and gender diverse people. Yet the process of starting hormone therapy often still requires a third party recommendation which can present a barrier to care.

In this anti-oppression workshop, you will discover how to conduct a low barrier hormone care planning session (previously known as hormone readiness assessments) and write a recommendation to help gender diverse adults access hormone therapy. You’ll explore a protocol based on an informed consent model that centers client safety and respect, while meeting the requirements set out by WPATH version 8 standards of care. You will have the opportunity to practice your skills through role plays and case studies.

You will learn the paths to accessing hormone therapy in BC, including how to connect people to MSP covered and pro bono options. You will be given templates and sample reports to use to create your own documentation that follows the WPATH v8 standards of care.
You’ll leave feeling ready to offer hormone care planning for adults, and to write your own recommendation letter for clients.

This workshop is designed for health care professionals, including registered clinical counsellors, social workers, psychologists, physicians and nurses. It will be delivered in a small group setting via Zoom video conferencing, through a combination of lecture and interactive work using break-out rooms. You will also receive a session of one-on-one clinical supervision after the training, to help prepare you for your first hormone recommendation.

You need to have basic competency and some experience working with trans, nonbinary and Two-Spirit clients before taking this training.

The first cohort is open to all practitioners, cis or trans, while the second cohort is reserved for learners who are themselves trans, nonbinary, Two-spirit or otherwise gender diverse.

Scholarship/Pay What You Can Options
It’s a difficult time to be a trans person in the world today, and I know a lot of us are struggling to stay afloat while still offering care to others. If you are someone who is trans, nonbinary or Two-Spirit yourself, would like to learn within a peer cohort, and cost is a barrier, you have the option of sliding scale/pay-what-you-can, and I will not turn anyone away from this cohort due to lack of funds.