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Refuge

Our Practitioners

Dr. Joe Flanders

Founder & Psychologist
Refuge was founded by Dr. Joe Flanders, following his own journey through the wilderness. Joe is a psychologist, in practice since 2009, with expertise in Internal Family Systems therapy, mindfulness and psychedelics.
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Dr. Joe Flanders

Founder & Psychologist

Refuge was founded by Dr. Joe Flanders, following his own journey through the wilderness. Joe is a psychologist, in practice since 2009, with expertise in Internal Family Systems therapy, mindfulness and psychedelics.

Work with Joe

From the Blog

The brain (not the body) keeps the score

Joe Flanders
Joe Flanders
11 mins read
May 13, 2026

Memory Reconsolidation in Experiential Therapy

Joe Flanders
Joe Flanders
6 mins read
May 8, 2026
Read All Blog Posts

Andrew Rose

Psychedelic Integration Coach, Mindfulness Teacher
Andrew Rose is a psychedelic educator, harm reduction and integration coach, and certified mindfulness teacher. He has been working with psychedelics, meditation, and contemplative practice for over 20 years and has been educating clinicians, therapists and the general public about psychedelics and their therapeutic applications since 2017.
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Andrew Rose

Psychedelic Integration Coach, Mindfulness Teacher

Andrew Rose is a psychedelic educator, harm reduction and integration coach, and certified mindfulness teacher. He has been working with psychedelics, meditation, and contemplative practice for over 20 years and has been educating clinicians, therapists and the general public about psychedelics and their therapeutic applications since 2017.

Andrew is also the co-director of Plant Parenthood, a community organization supporting parents and families who are interested the intersection of intentional psychedelic use, parenting, and family life. He has played a strategic leadership role with a number of prominent organizations in the psychedelic sector since 2019, including Numinus, Fluence and the Psychedelic Safety Institute.

Andrew has been practicing meditation since 2002, having studied mainly in the Tibetan Buddhist tradition before becoming interested in the clinical applications of mindfulness. He is certified in Mindfulness-Based Stress Reduction by the Centre for Mindfulness Studies in 2019 and also completed MAPS’s MDMA-Assisted Therapy for PTSD training program in 2021.

Andrew in equally inspired by evidence-based and esoteric practices for healing and connection. He continues to draw inspiration from various Buddhist lineages—including Tibetan, Theravada and contemporary pragmatic dharma—as well as Internal Family Systems, attachment theory and mythopoetics.

Andrew is passionate about furthering our collective understanding of what wellbeing really means, and how it can be effectively and sustainably practiced, communicated, and scaled for the benefit of all beings.

Work with Andrew

Karine St-Jean, Ph. D.

Psychologist
Karine is a psychologist, member of the Ordre des psychologues du Quebec since 2004. She is passionate about creating spaces where human connexions can contribute to growth and healing. In her role as a psychologist, she believes that transformative journeys can happen in a therapeutic relationship when we are held by an authentic and empathic presence that allows us to connect with our inner strengths and resources.
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Karine St-Jean, Ph. D.

Psychologist

Karine is a psychologist and member of the Ordre des psychologues du Québec since 2004. She holds a PhD in psychology from the Université du Québec à Montréal.

Karine is passionate about creating spaces where genuine human connection fosters growth and healing. She believes that meaningful change happens when we feel truly seen and supported — when we’re met with authenticity, empathy, and presence. Her approach helps people reconnect with their own strengths and inner resources so they can meet life’s challenges with greater clarity and ease.

Her presence is grounded in kindness and curiosity. She offers a compassionate space where each person can feel deeply understood. From that foundation, her work goes beyond symptom relief — she gently supports clients in recognizing the patterns that keep them stuck and in exploring new, more flexible, and fulfilling ways of relating to themselves, to others, and to life’s unfolding challenges.

Karine approaches her work with humility, openness, and deep respect. She considers it a privilege to walk alongside each person as they navigate their path toward greater well-being.

APPROACH

Karine’s therapeutic style is rooted in humanistic psychology and integrates experiential and evidence-based modalities. She is trained in Mindfulness-Based Therapy, Internal Family Systems (IFS), and Acceptance and Commitment Therapy (ACT). She has also received extensive training in psychedelic-assisted therapy, including psychedelic harm reduction and integration.

She works with adults experiencing anxiety (including eco-anxiety), mood challenges, grief, life transitions, chronic illness, and professional or existential concerns. For eligible clients, she may integrate the use of psychedelic substances to support and enhance ongoing psychotherapy, always in compliance with legal guidelines. Drawing on her entrepreneurial experience, she also offers professional coaching.

Karine provides individual therapy in French and English, primarily online.

She looks forward to meeting you!


Not currently accepting new psychotherapy clients

Karine is not taking on new clients for standard psychotherapy at this time. Our other practitioners are welcoming new clients.

Find another practitioner

From the Blog

On the path of connecting with psychedelic medicines

Karine St-Jean
Karine St-Jean
8 mins read
Feb 27, 2024
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Andrea Reyes

Psychologist
Andrea is a registered psychologist with the Ordre des Psychologues du Québec. She holds a Ph.D. in Counselling Psychology and a Master’s degree in Psychiatry from McGill University. She has trained and worked in different settings including hospital outpatient clinics, E.R. Psychiatry, university counselling centers and private practice.
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Andrea Reyes

Psychologist

Training, Experience & Specialties

Andrea is a registered psychologist with the Ordre des Psychologues du Québec. She holds a
Ph.D. in Counselling Psychology and a Master’s degree in Psychiatry from McGill University. She has trained and worked in different settings including hospital outpatient clinics, E.R. Psychiatry, university counselling centers and private practice.

She offers individual therapy as well as couple therapy and provides services in English, French and Spanish. She is also currently offering Ketamine-Assisted Therapy for clients presenting with treatment-resistant depression and trauma symptoms as well as Psychedelic-Assisted Therapy through Health Canada’s Special Access Program.

Andrea completed her pre-doctoral internship at the Sex and Couple Therapy Service and in the Cognitive Behavioral Therapy Unit of the MUHC. At these services, she received specialized training in couple therapy, in treating sexual dysfunction, anxiety disorders and trauma. She has also completed over a 100-hours of training in Psychedelic-Assisted Therapy. She has worked with individuals from diverse backgrounds and presenting with a wide range of difficulties but specializes in anxiety, mood disorders, obsessive compulsive disorder, trauma, couple difficulties and issues surrounding female sexuality.

APPROACH

My approach is primarily client-centered, meaning the client is treated as the expert of their own experience and I a guide meant to provide support and direction during the therapy process. When working with you, my first priority is to foster a supportive and warm environment that can help you feel at ease. We will then work collaboratively to build a treatment plan that suits your specific needs, preferences and that is also strongly grounded on evidence. In doing so, I also take into account cultural and other lifestyle differences. Rather than managing symptoms, I strive to accompany you in making integral changes that address the root-cause of your difficulties.

My approach will often be emotion-focused, process-oriented and trauma-informed. An approach that encourages the demonstrated benefit of being present-focused, body-aware and aligned with one’s values. I thus draw from experiential approaches, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavioral therapy and Somatic Approaches. In working with couples, I have received training in evidence-based approaches including Emotion-Focused Therapy, Cognitive Behavioral Therapy for couples and mindfulness-based interventions, particularly for couples struggling with sexual difficulties.

So, what can you expect from a typical therapy session with me? Our work on a typical session will focus on helping you gain further insight regarding your experiences and recurrent patterns while providing you with practical strategies to help you respond differently to your lived experiences.


Not currently accepting new psychotherapy clients

Andrea is not taking on new clients for standard psychotherapy at this time. Our other practitioners are welcoming new clients.

Find another practitioner

Jean-François Jodouin

Psychologist
Jean-François is a clinical psychologist who believes that our minds, hearts, and bodies should not be considered separately in therapy. Consistent with this, he focuses […]
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Jean-François Jodouin

Psychologist

Jean-François is a clinical psychologist who believes that our minds, hearts, and bodies should not be considered separately in therapy. Consistent with this, he focuses professionally and personally on how we can best be in relationship with others, with ourselves, and with our bodies.

In therapy, he often integrates breathwork and other body-centered practices, grounding his methods in trauma-informed care. For Jean-François, the well-considered and well-supported use of psychedelics can be a powerful means of deepening these processes.

Holding a Ph.D. in clinical psychology and another in cognitive science, Jean-François has trained across various related disciplines, including psychotherapy, coaching, massotherapy, and yoga, in different parts of the world such as Canada, Europe, and the USA. He is a registered member of the Ordre des Psychologues du Québec (OPQ) and of the Canadian Psychological Association (CPA), the Society for Sex Therapy and Research (STARR) and the Canadian Society for Pelvic Medicine (CSPM).

Jean-François offers psychotherapy to individuals, couples, and groups, and continues to supervise, teach and consult internationally, mainly for non-profit organizations.


Work with Jean-François

Mischa Davison

Psychologist
Mischa is a Masters-level Clinical Psychologist with over 17 years of experience as a therapist and psychologist.. She has advanced training in Internal Family Systems […]
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Mischa Davison

Psychologist

Mischa is a Masters-level Clinical Psychologist with over 17 years of experience as a therapist and psychologist.. She has advanced training in Internal Family Systems (IFS Level Two) and Somatic Experiencing, with a primary focus on IFS. She provides individual therapy via video with adult clients. 

Mischa’s practice is LGBTQIA+ and neurodiversity-positive. She believes in creating a safe and nonjudgmental space where vulnerability can be witnessed and supported to release what is no longer needed or helpful, and to make room for what feels more essential and alive. She brings her love of metaphor and myths to her work, providing further experiential opportunities for the playful reworking of rigid or stuck patterns. 

More recently, Mischa has received training in the use of psychedelic-assisted therapy to further enhance and support standard psychotherapy. She is available online for preparation/integration sessions for psychedelic experiences or for in-person support during medicine sessions, based on case-by-case clinical consideration as well as current legal and ethical guidelines. 

Mischa works with clients who are experiencing symptoms of anxiety or low mood, sexuality and gender-related issues, relational difficulties, creative blocks, significant life transitions such as the aging process, and larger psycho-spiritual or existential concerns.

Mischa’s approach summed up by Aesop himself:

The North Wind and the Sun:

One day, the North Wind and the Sun had a quarrel about which of them was stronger. They decided to test their strength by seeing who could strip a traveller along the road of his overcoat. The North Wind blew with great fury but the man simply held his coat closer. Then the sun shone down with his natural warmth and the man began to feel relaxed, safe and warm. He took off his overcoat and lay down under the shade of a tree.   (Aesop)

In a similar way, gentleness and compassionate warmth create the best environment for healing and, ultimately, for growth and change. 

Mischa looks forward to joining you on your journey of healing and discovery.

Work with Mischa

Naomi Boulet

Somatic Experiencing Practitioner | Relationship & Intimacy Coach
Naomi Boulet is a Somatic Experiencing Practitioner (SEP) and a certified relationship and intimacy coach working with individuals and couples. Since 2019, she has supported […]
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Naomi Boulet

Somatic Experiencing Practitioner | Relationship & Intimacy Coach

Naomi Boulet is a Somatic Experiencing Practitioner (SEP) and a certified relationship and intimacy coach working with individuals and couples. Since 2019, she has supported clients in healing trauma, regulating their nervous system, and cultivating deeper, more fulfilling relationships—with themselves, with others, and with life. Whether you are caught in cycles of intense emotions, navigating challenging relational dynamics, or feeling the exhaustion of a nervous system stuck in a state of vigilance, you may find that intellectual insight alone hasn’t shifted how you truly feel. You are likely seeking a transformation that goes beyond understanding—one that allows you to resolve past experiences at the nervous system level and feel grounded, connected, and truly at home within yourself.

Naomi offers a warm, non-judgmental space where she acts as an ally and guide, supporting clients in reconnecting with their unique essence beneath the layers of conditioning and survival responses. At the heart of her work is the belief that the body holds an innate intelligence for healing, and that with the right support, even deeply rooted patterns can shift. Her sessions are intentionally longer (75–90 minutes), allowing the spaciousness needed for deep exploration and meaningful integration. Her approach integrates Somatic Experiencing and relational coaching, and is grounded in neuroscience while also honouring the soulful—sometimes almost mystical—realm of deep embodied healing. This work is further informed by Internal Family Systems (IFS), attachment theory, the Developmental Model of Couples Therapy, mindfulness practices, and her 15 years of experience in massage therapy and
bodywork.

Naomi specializes in working with developmental and sexual trauma, relationship issues, intimacy, and life or relationship transitions. She also supports individuals and couples exploring ethical non-monogamy and other forms of unconventional relationships. She welcomes adults and couples from diverse backgrounds, including queer and LGBTQ+ clients.

Naomi offers sessions in both French and English, available online and in person. To learn more, visit Naomi’s website (https://www.naomiboulet.com)


Work with Naomi

Mona Palotai

Sexologist and psychotherapist
You may be coming to therapy because you feel stuck in recurring relational patterns, or because certain past experiences continue to influence your reactions, your […]
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Mona Palotai

Sexologist and psychotherapist

You may be coming to therapy because you feel stuck in recurring relational patterns, or because certain past experiences continue to influence your reactions, your relationships, or your sexuality. You may feel a need to free yourself from what is holding you back, to process losses, and to integrate painful experiences. Or simply a desire to better understand yourself. You may be seeking greater self-compassion, a deeper sense of alignment with who you truly are, and more authenticity in your relationships.

I am a sexologist and psychotherapist, holding a master’s degree in clinical sexology from UQAM. I am a member of the Ordre professionnel des sexologues du Québec (OPSQ) and hold a psychotherapy permit issued by the Ordre des psychologues du Québec (OPQ). I work with relational and sexual difficulties, problematic sexual behaviors, trauma, anxiety, depression, grief, and life transitions.

I offer a warm space where all emotions are welcome. I bring a sensitive and attuned perspective to what arises—a mirror that helps you see yourself more clearly. At times, I may be gently challenging when it supports your growth, always with respect and care. I believe that change takes root in a safe relationship where you can be fully yourself and where we can learn together to tolerate difficult emotions. The dynamics that emerge between us become entry points for understanding and transforming those that show up elsewhere in your life.

My approach is relational and grounded in humanistic and psychodynamic traditions. It also integrates elements of somatic therapy, Internal Family Systems (IFS), and mindfulness. I place great importance on your whole experience—bodily sensations, emotions, thoughts, and behaviors—believing that their integration allows for deep transformation.

If it is part of your path, I also offer support for the preparation and integration of psychedelic experiences, within a thoughtful, legal, and ethical framework grounded in harm reduction.

I work with adults in individual psychotherapy, in French, both in person and online, on Thursdays and Fridays.

If something in these words resonates with you, I invite you to reach out to explore the possibility of working together.

Work with Mona

Lolita Frésard

Lolita Frésard

Sexologist / Psychotherapist
Some therapeutic journeys begin with a desire to understand the patterns that repeat in our relationships, to explore our relationship with ourselves, or to (re)discover […]
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Lolita Frésard

Sexologist / Psychotherapist

Some therapeutic journeys begin with a desire to understand the patterns that repeat in our relationships, to explore our relationship with ourselves, or to (re)discover a sexuality that is satisfying and aligned with who we are. Others may emerge in the aftermath of trauma, sexual violence, or a painful relational experience. Still others are about preparing for or integrating a psychedelic experience in a way that is safe, ethical, and respectful of one’s own pace. In all of these contexts, it can be invaluable to find a space where trust is built gradually, without judgment or pressure.

I am Lolita Frésard, a sexologist-psychotherapist in Montréal, a member of the Ordre professionnel des sexologues du Québec (OPSQ) and the holder of a psychotherapist’s permit issued by the Ordre des psychologues du Québec (OPQ). I am also a doctoral candidate in sexology at the Université du Québec à Montréal (UQAM), with a concentration in feminist studies.

My approach is integrative, feminist, intersectional, and non-pathologizing. It is grounded in particular in humanistic and relational traditions. I work with queer, LGBTQIA+, and polyamorous people, as well as with those facing power dynamics, trauma, sexual violence, or relational and sexual difficulties.

In my work, I pay particular attention to the ways our intimate, bodily, and sexual experiences are shaped by personal histories, relationships, social norms, and power relations. Therapy can then become a space to better understand what is being replayed, to reclaim a sense of agency, and to gradually transform the dynamics that limit one’s sense of safety, freedom, or authenticity.

I offer a warm, sensitive, and engaged space, where your experience can be welcomed without judgment and without being reduced to a symptom or an individual difficulty. I place great importance on each person’s pace and on the gradual building of a safe, trusting therapeutic relationship.

My path is a singular one: before sexology, I worked for several years as an actor, playwright, and director in Switzerland, developing projects centered on desire and intimacy. This artistic grounding continues to nourish my approach.

For adults who feel the need, I also offer preparation and integration sessions in connection with psychedelic experiences, whether they take place in an institutional context or not. I can also provide this support insofar as the process falls within a legal, ethical, and authorized framework.

I work with adults and adolescents in individual psychotherapy, in French. Sessions take place in person at my office in downtown Montréal, near the Sherbrooke metro station on the orange line, or online depending on specific needs.

I invite you to reach out to explore the possibility of moving forward together.

Work with Lolita
Estelle Arcand

Estelle Arcand

Psychoeducator and Psychotherapist
I have been working in the helping professions for over fifteen years. Holding a bachelor’s and master’s degree in psychoeducation from the Université de Montréal, […]
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Estelle Arcand

Psychoeducator and Psychotherapist

I have been working in the helping professions for over fifteen years. Holding a bachelor’s and master’s degree in psychoeducation from the Université de Montréal, as well as a graduate certificate in participatory practice in psychosocial intervention from the Université de Sherbrooke, I have been practicing as a psychoeducator since 2019. I also completed training in psychotherapy in 2024 to broaden my clinical intervention perspectives.

My career has led me to work alongside children, adolescents, adults, families, and teams in multidisciplinary clinical settings, schools, social pediatrics, geriatrics, addiction, problem gambling, and university teaching. This diversity of experience informs a clinical practice that is rigorous, attuned, and adapted to each person’s reality.

I view psychotherapy as a privileged space for self-exploration, where the permissions we grant ourselves can be transformed within the context of a secure relationship. My approach is integrative, humanistic, and strengths-based. It draws on third-wave cognitive-behavioral approaches — including ACT, mindfulness, self-compassion, and somatic approaches — while also incorporating tools from IFS, as well as psychodynamic and systemic perspectives.

Within the context of psychedelic-assisted psychotherapy, I offer harm reduction-based support, centered on preparation and integration of experiences, within a safe, ethical, and legal framework. I work with clients aged 18 and older navigating relational, emotional, or developmental challenges, life transitions, trauma, addiction, or difficulties with self-assertion. Depending on individual needs, I also offer psychoeducation, parental guidance, ecotherapy, and the use of artistic mediums as therapeutic tools.

Appointments are available via teleconsultation Monday through Thursday between 10 a.m. and 5 p.m., and in person on Fridays as needed.

Work with Estelle
Caroline Lepage, Psychologist at Refuge

Caroline Lepage

Psychologist
Caroline is a psychologist and has been a member of the Ordre des psychologues du Québec since 2006. She holds a Ph.D. in Educational Psychology […]
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Caroline Lepage

Caroline is a psychologist and has been a member of the Ordre des psychologues du Québec since 2006. She holds a Ph.D. in Educational Psychology from the Université du Québec à Montréal. She has worked in a variety of settings, including schools, youth centres (Centres jeunesse), adult and youth psychiatry teams, correctional services, and addiction rehabilitation centres.

Caroline has completed training in psychedelic-assisted therapy, including harm reduction and the integration of experiences. She continues her professional development in this field as part of the Refuge team. The approaches that guide her work include psychedelic-assisted therapy, third-wave cognitive behavioural therapy, and systemic therapy.

Caroline takes a genuine interest in the unique experience of each person she works with. She is passionate about understanding marginal human trajectories and atypical life paths. People who consult Caroline are looking to undertake a meaningful process of self-reflection. Reclaiming a sense of agency over their lives is at the heart of this process. Building a relationship of trust, mutual respect, and a safe space are central to Caroline’s professional values.

Caroline offers psychotherapy services to adults, as well as to families and groups. She also provides individual and group clinical supervision. For clients engaged in a legal psychedelic-assisted therapy process, Caroline offers support through the preparation and therapeutic integration phases, as well as harm reduction. This work is always carried out in accordance with applicable laws and regulations.

Caroline’s services are available in person and via telepractice. She works primarily in French but has a good understanding of English.

Beginning a therapeutic journey is often an anxiety-provoking step. It is, however, the start of a great adventure whose purpose is to meet the most important person in your life: YOU!

I look forward to meeting YOU.

Work with Caroline
Refuge Psychology Montreal
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    4060 St Laurent Blvd
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    CA
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Refuge
  • About
    • Our Story
    • Blog
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  • For Practitioners
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