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.
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About
Sarah Urano BSW, 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 rare warmth and authenticity to the healing process.
With a background spanning Canada, Europe, Africa, and South America, 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 our human interconnectedness.
Together, we are whole.
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 also 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.
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. Choose whichever path feels right.
Send a Message
Share a bit about yourself and what brings you here. Sarah will respond within 1–2 business days.
Book a Free Call
Prefer to chat in person? Schedule a free introductory call with Sarah. This is a no-pressure conversation to see if working together feels right.
Free 30-Minute Discovery Call
Let's talk about what you're going through and how Sarah can help. No commitment required.
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