Trauma and Violence-Informed Care (TVIC) in Services for 2SLGBTQ+ Communities
March 27, 2026
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Location: Ottawa
Mego Nerses, RP, offers various clinical immigration evaluations, including PRRA and H&C evaluations, refugee and newcomer mental health support, and psychotherapy for adults and couples. Services are available in English, Arabic, and Armenian, with virtual appointments across Ontario. Other languages are available.
Specialized care grounded in trauma, displacement, and dignity
Therapy for adults and couples
Therapy is not a service delivered to a passive recipient. It is a relationship, and the quality of that relationship is the most consistent predictor of whether therapy works. Research in psychotherapy outcomes has supported this for decades (Norcross and Lambert, 2011). Technique matters, but the therapeutic alliance matters more.
Mego’s practice is built on the conviction that people do not need to be fixed. They need to be understood. Most presenting problems, whether trauma responses, relational patterns, sexual concerns, or existential distress, make sense when placed in the context of a person’s history. The work is to build that context together, clearly and without judgment, and then to identify what change is possible and what it would actually require.
This is not passive work. It asks something of both people in the room. But for those who are ready, it can be among the most meaningful things a person undertakes.
Therapy for adults and couples
If you are looking for therapy for trauma, relationships, sexuality, gender identity, grief, or life transitions.
If you or your legal counsel need PRRA, H&C, or immigration-related clinical documentation.
Consultation, workshops, or specialized training in immigration evaluations and refugee mental health.
Professional services
For clinicians, lawyers, and organizations, Mego also offers professional consultation and training shaped by real practice in refugee mental health and immigration evaluations.
One-on-one consultation for clinicians seeking guidance on immigration evaluation practice, ethical boundaries, report writing, and clinical framing.
Specialized professional development on immigration evaluations, trauma-informed interviewing, refugee mental health, and related legal-clinical contexts.
Meet Mego
Mego Nerses is a Registered Psychotherapist (RP) and Certified Counsellor (CCC) offering virtual psychotherapy to adults and couples across Ontario. He has offices in both Toronto and Ottawa and serves clients throughout Ontario.
I walk alongside people carrying invisible weight: grief, trauma, longing, or the quiet ache of trying to belong. Over the years, I’ve sat with stories shaped by injustice, exile, and pain — not only personal, but systemic. I am a long-time therapist-witness to social injustice and institutional betrayal, and I carry that awareness with care into every session. My work is grounded in deep listening, ethical presence, and a belief in your capacity for healing — even if you’re not sure it’s possible yet.
From my earliest days as a student to my current role supporting clients and organizations across Canada, this timeline shares the key moments that shaped my work.
Psychotherapy, also known as talk therapy, can offer a wide range of benefits for individuals struggling with mental health issues. Some of the potential benefits of psychotherapy include:
Location: Ottawa
This is a private event and open to CAF members only.
Location: Toronto, Canada & Virtual
Location: The Royal (1145 Carling Avenue, Room 1424)
Limited seating available!
Yes. Mego offers PRRA-related immigration evaluations and clinical documentation within the scope of psychotherapy practice. This service does not include legal advice or immigration representation.
Yes. Mego offers H&C-related immigration evaluations for cases involving hardship, family separation, vulnerability, mental health strain, and related psychosocial factors where clinically relevant.
Appointments are currently offered virtually across Ontario.
Yes. Immigration evaluation services may involve direct work with clients and, where authorized and clinically appropriate, coordination with legal counsel.
Services are available in English, Arabic, and Armenian.
Mego also works with certified interpreters to assist clients who do not speak English or French.
Yes. Mego works with couples and individuals on relationship, intimacy, trust, communication, and sex-therapy-related concerns.
REFERENCES: Norcross, J. C., and Lambert, M. J. (2011). Psychotherapy relationships that work II. Psychotherapy, 48(1), 4-8. https://doi.org/10.1037/a0022180
I am an Ottawa-based Registered Psychotherapist and have a full-time private practice. In the past, I worked in social service agencies for many years. I offer individual, relationship, and sex therapy in English, Arabic, and Armenian to adults 18+, and I do not work with minors.
In 2011, I earned a master’s degree in Counselling from the University of Ottawa. I am a Registered Psychotherapist in Ontario (CRPO#001132) with the College of Registered Psychotherapists of Ontario. In addition, I am a Certified Counsellor with the Canadian Counselling and Psychotherapy Association (CCPA#3058). My clinical training focuses on relationship and sex therapy and trauma/PTSD. Since 2013, I have been at Algonquin College as a seasonal professor, teaching courses in mental health and addiction.
I feel privileged to have had the opportunity to publish peer-reviewed articles and contribute chapters concerning Counselling, coming out, and trauma related explicitly to LGBTQ+ refugees and newcomers to Canada. I have presented numerous workshops and continue to offer trainings nationally and internationally on the mental health of LGBTQI+ and SOGIE refugees and asylum seekers.
Professional Work
Early in my professional career, I specialized in individual therapy and served clients with depression, anxiety, PTSD, and grief. Since then, I have taken my clinical work to a higher level and gained more experience in four areas: PTSD and Trauma, Sexuality and Gender Identity, Sex and Relationship Therapy, and Refugee mental health issues. I have received various trainings in these areas since choosing to specialize. As an example, I received training from Division 56, Trauma Psychology, Physicians for Human Rights, and the Global Institute of Forensic Research in writing immigration evaluations for immigration courts. Furthermore, I have completed multiple trainings in trauma/PTSD therapy and relationship therapy (Poly. Kink). I have participated in numerous training opportunities in the field of sex therapy, sexuality, and gender identity.
I am a LGBTQI+/poly/kink/CNM supportive and informed therapist.
Therapeutic approaches
In addition to Narrative Exposure Therapy for PTSD (NET), I have also been trained in Cognitive Processing Therapy (CPT) for PTSD and Experiential Therapy and Focusing. I integrate social justice and rights-based principles into my work as a trauma-informed therapist.
Awards
In recognition of my dedication to helping LGBTQ+ refugees and asylum seekers in Canada, I received the 2017 Humanitarian Award from the Canadian Counselling and Psychotherapy Association (CCPA).
AffiliationsI have an international affiliate membership with Division 56, Trauma Psychology, the American Psychological Association (APA), and the Global Institute of Forensic Research.
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For the time being, we will be conducting appointments exclusively through virtual means.
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