About Sierra Terhoch

Welcome to my counselling and movement practice, where we can find balance together.

Sierra is sitting on an emerald green couch near a window, smiling at the camera. She has long, wavy brown hair, is wearing a dark blue button up sweater, she has a silver a nose ring and gold hoop earrings.

I found my way to counselling and Pilates through a curiosity about how people heal, grow, and connect. With a background in Sociology and Gender Studies, I am passionate about social justice and the ways our personal stories are shaped by the world around us.

I support clients in finding greater ease and joy in both mind and body, recognizing how closely connected our emotional and physical wellbeing are. My approach is warm, compassionate, and grounded in the belief that we all have the capacity for change. 

My lived experiences healing from chronic pain, an eating disorder, and grief inform my empathy and respect for each person’s process. As a queer, Jewish, white, cisgender woman, I strive to create a space rooted in non-judgement, anti-oppression, and harm reduction.

Outside of work, I love being outdoors, cooking, tending to flowers, and organizing gatherings that bring together family, friends, and community.

I look forward to connecting with you!

About Counselling
About PIlates

Frequently Asked Questions

Stack of books: 'Motherhood' by Sheila Heti, 'A People's Guide to Abolition and Disability Justice' by Katie Tastrom, 'Disability Visibility' edited by Alice Wong, 'Grief is for People' by Sloane Crosley, and 'The Will to Change' by Bell Hooks.

  • Yes! Many extended health-benefit plans cover Registered Clinical Counselling. If your insurance provider is listed under the Direct Billing FAQ I can bill those insurance providers directly and then you pay the remaining amount. Otherwise, check with your insurance provider to see if counselling is covered! 

  • Yes, starting in January 2026 – If your insurance provider is one of the ones listed below I can bill them directly and then you will pay the remaining amount owed.

    I offer direct billing as a Registered Clinical Counsellor with these insurance companies:

    • Pacific Blue Cross

    • Sunlife

    • AGA Financial Group inc.

    • Alberta Blue Cross

    • belairdirect

    • Beneva

    • BPA

    • Canada Life

    • Canada Life - PSHCP

    • Canadian Construction Workers Union (C.C.W.U.)

    • Chambers of Commerce (Johnston Group)

    • CINUP (Johnston Group)

    • ClaimSecure

    • Coughlin & Associates Ltd.

    • Cowan (Express Scripts Canada)

    • Equitable

    • First Canadian (Johnston Group)

    • GMS Carrier 49 (Express Scripts Canada)

    • GMS Carrier 50 (Express Scripts Canada)

    • GroupHEALTH

    • GroupSource

    • Industrial Alliance

    • Johnston Group

    • LiUNA Local 183

    • LiUNA Local 506

    • Manion

    • Manulife Financial

    • Maximum Benefit (Johnston Group)

    • People Corporation

    • Simply Benefits

    • TELUS AdjudiCare

    • Union Benefits

    • UV Insurance

  • Please provide 48 hours notice if you need to cancel or re-schedule, otherwise the full appointment fee will be charged. This allows enough time for the appointment time to be offered to another client in need.

  • No – Pilates and Clinical Counselling are different services that have different boundaries, intentions, and require different relationships.

    Currently I keep my Pilates and counselling work as separate offerings. If you’re a counselling client interested in doing movement specific therapy, I’m happy to discuss how we can integrate more somatic-based modalities into our work together.

    If you’re a Pilates client looking for a Clinical Counsellor, I’m not able to be your therapist. I have an incredible network of counsellors that I can refer you to! 

  • Individual Pilates sessions are currently taught at the Core Community studio in Mount Pleasant, where I also lead group classes. Individual Pilates sessions can be booked by reaching out to me through the Contact page on my website!