Healing begins with
being heard.
Compassionate counselling rooted in the strength of human connection, the wisdom of the land, and the security of a judgement-free journey.
About
Sarah Urano RSW, MDiv
Counsellor. Companion.
Sarah is a Registered Social Worker (SASW) and a pastor in the Evangelical Lutheran Church in Canada. Driven by a deep calling to walk alongside others through life's most challenging seasons, she brings a warmth and authenticity to the healing process.
Sarah's holistic counselling work is informed by a global perspective on inter-faith ethics, inter-cultural relationships, and a holistic approach to emotional wellbeing. Having witnessed the transformative power of being truly heard, she holds a sacred, non-judgmental space for all stories.
Whether you seek counselling or a quiet mindful space to process your thoughts, Sarah honours human connection.
Together, we are whole.
Focus & Support
Areas of Expertise
Our Philosophy
The Fourth Medicine Counselling walks alongside you
Counselling is not about fixing what's broken. It's about creating a space where you feel heard, and can explore and heal—at your own pace, in your own way.
The Four Sacred Medicines
Tobacco, sage, cedar, and sweetgrass provide the groundwork for healing at The Fourth Medicine Counselling. We give the utmost respect and honour to the Indigenous people across Canada. Treaty 6 Territory is the land on which we live and benefit from and is the homeland of Cree, Dakota, Nakota, Saulteaux, and Metis people. We are all treaty people. I am dedicated to ensuring that the spirit of Truth and Reconciliation is lived, and respect for all Indigenous cultures, languages, and traditions, is preserved.
The Heart Chakra
The Fourth Medicine Counselling honours and respects the sacredness of yoga and its Indian roots. We value and uphold yogic traditions and strive to respect the cultural authenticity of such a sacred practice. In yogic tradition, the fourth Chakra is the Heart Chakra—Anahata. Our work at “The Fourth Medicine Counselling” is inspired by Anahata which means “unstuck” or “unhurt,” symbolizing healing our hearts from past pain.
A Holistic Path
A multi-dimensional approach to restoring emotional well-being reminds us that true healing is holistic—it encompasses every dimension of who you are. At The Fourth Medicine, we honour every part of your story and are dedicated to helping you find your own path towards wholeness.
Fees
Transparent pricing for clinical counselling and spiritual care sessions.
30 Minutes
Consultation
An initial consultation to discuss your path and goals.
60 Minutes
Individual Session
One-on-one personal counselling tailored to your journey.
60 Minutes
Couples Counselling
Support for relationships, working together through shared paths.
45 Minutes
Children's Session
Specialized support for children and youth (aged 5 to 17).
Rates & Inquiry
Family and group rates are available upon request. Please inquire using the contact form below to discuss customized arrangements.
Insurance
Official receipt provided (no direct billing available). Coverage is supported through the Non-Insured Health Benefits (NIHB) Program for eligible First Nations and Inuit people.
24-Hour Cancellation
Clients will be charged the full amount of their session if cancelled within 24 hours prior to the scheduled appointment time.
Accepted Payment Methods
Connect
Let's begin the conversation
Whether you're ready to book a session or simply want to learn more, Sarah would love to hear from you. Send a message below to begin.
Send a Message
Share a bit about yourself and what brings you here. Sarah will respond within 1–2 business days.