Therapy for Men in Toronto  Virtual Across Ontario
I believe change rarely comes through shame, pressure, or trying harder alone. Often it begins with understanding what you've been carrying, what you've been protecting, and what you may be ready to shift.
No two men arrive with the same story. Therapy should reflect that. My approach is tailored to your unique needs and circumstances. It is a process of collaboration and co-creation.Â
Meet Tom
My Approach
Tom Colquhoun, MSW, RSW
Social Worker & Psychotherapist
I'm glad you're here.
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I've spent over 13 years supporting people navigating substance use concerns, mental health challenges, trauma, and periods when life feels hard to hold together. My experience spans hospital settings, community mental health, substance use counselling, criminal justice, and private practice.
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Over the years, I kept seeing men show up with similar struggles that often remained hidden beneath otherwise functional lives. Middle Mile grew out of wanting to create therapy specifically for that experience.
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I'm particularly drawn to the pressure many men carry privately: overthinking, compulsive coping, burnout, substance use, emotional disconnection, and feeling stuck while appearing functional on the outside. Much of what I've learned has come from years of sitting across from people, listening carefully to what they're struggling with, and understanding what actually helps. I've also done my own work, and know the difference between understanding something in theory and having to work through it yourself.
Therapy with me tends to be practical, direct, and depth-oriented. We may work on immediate tools to manage stress, urges, or difficult emotions while also exploring the patterns and ways of coping that developed over time.
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I won't simply sit back and listen and validate. I'll ask questions, offer perspective, challenge you when it may be helpful, and work with you to turn insight into something you can actually use outside the room.
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I think it's important to find some light moments in the heaviness of it all. The work extends beyond symptom reduction. It is about clarity, understanding, and finding new ways to experience yourself and the world around you.
10+ years inpatient concurrent disorders
Modalities I May Draw From:
Acceptance & Commitment Therapy (ACT)
Dialectical Behavioural Therapy (DBT)
Internal Family System  (IFS)
Somatic Experiencing
Motivational Interviewing
Psychodynamic Exploration
Cognitive Behavioural Therapy (CBT)
Trauma-Informed approaches
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For more than a decade, I've worked in an acute hospital setting supporting individuals and families navigating substance use, mental health challenges, compulsive behaviours, and periods of significant instability.
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That experience has taught me to look beyond a symptom or diagnosis and understand what a behaviour is doing for someone, what keeps it going, and what might actually help them move forward.
No pressure. Just a conversation.
No pressure. Just a conversation.