You can start
from where you are

online therapy across Ontario

therapy for sexuality, gender and the complicated business of living in a body

This practice welcomes queer, trans, gender-diverse, neurodivergent, kinky, polyamorous, questioning and asexual people—as well as anyone tired of fighting themselves who is curious about what it might feel like to be more on their own side.


There is room here for all of you.

Let’s make room for the life you want.

You may have spent years adapting, watching yourself closely, or trying to make yourself easier to understand, accept, or love. Or you might simply sense that something else is possible. Questions about your sexuality, gender, or relationship with your body do not make you a problem to solve. Together, we can get curious about what feels true, what feels good, and what you want more of.

Explore your sexuality, desire & intimacy →

Explore your gender →

Explore your relationship with your body →


Close-up portrait of a smiling person with short blond hair, wearing round blue glasses, a white t-shirt, and a black shirt, standing against a brick wall background.

you can

Hi, I’m Ezra (they/them)

call me Ez

I’m a Registered Psychotherapist with over 13 years of experience. My work centres sexuality, gender, desire, relationships, and how we live in and relate to our bodies. I bring warmth, curiosity, candour, and a sense of humour when it helps. My job is to help you hear yourself more clearly—not tell you who to be.

Why I became a therapist →
See how my values shape my work →

What we'll actually do.

Ezra Cake speaks and gestures with one hand during a session on their laptop, their focused expression and engaged posture conveying warmth, attentiveness and genuine care.

We’ll pay attention to what is happening—not only to what you think about it. We might trace a pattern, notice what your nervous system does before you have words for it, listen for what a protective part is trying to accomplish, or try something different and see what happens.

Sometimes we’ll slow down and stay with one small thing. Sometimes we’ll geek out about why brains and bodies do what they do. Sometimes we’ll laugh. I’ll support you, and when a thoughtful challenge could help, I’ll offer that too.

In practice, that might look like:

  • Getting to know the parts of yourself you have worked hardest not to have.

  • Learning what your nervous system needs, rather than demanding that it behave differently.

  • Understanding what sits beneath difficulties with sexuality, desire, pleasure or intimacy.

  • Making enough room to hear yourself within gender questions, complexity or change.

  • Building a relationship with your body based less on correction and more on attention, care and choice.

  • Talking plainly and working practically with arousal, orgasm, erections, pain or whatever else is happening.

The goal isn't to no longer live with complexity and challenge—that's not real life.

It's to build enough skill and trust in listening to yourself and relating to your mind and body that challenge no longer prevents you from creating the life you want.


A yellow “DEAD END” road sign stands on a sandy beach, with the water and sailboats behind it and part of a bicycle below.

feel like you’re at a dead end?

Then let’s begin.

A green button on a weathered yellow pedestrian crossing box, with a sticker above it reading “Push to reset the world.”

A fat white person with glasses and a Black person relax together in bed, one holding a mug as they look at each other.
A Black person embraces a white person from behind; both smile with their eyes closed.
A gender-ambiguous person with short dark hair smiles with their eyes closed, wearing a bright gold stripe of makeup across their cheek.
An older person laughs outdoors among flowering bushes, wearing a shirt that reads “Born This Gay.”

There are more possibilities than you currently see.

A young man with blond hair and glasses, sitting indoors, smiling and reading a book.

you can begin from here

A consultation isn’t a commitment to a whole path. It’s a chance to bring what you’re carrying, ask your questions, and see whether I might be able to support you.