Spiritual Direction & Soul Care
A contemplative space for spiritual companionship —
listening together for the movements of God.
Welcome
This space exists as a gentle landing place: a place to pause, breathe, and reconnect with what is unfolding within you. Here, your story is honored. Your inner life is approached with care. And you are met with curiosity, compassion, and respect for the pace of your journey.
My work integrates contemplative-evocative spiritual direction, faith-informed narrative therapy, and psycho-spiritual care to offer guidance to those seeking healing, clarity, and renewed direction. Together, we attend to your lived experience of your sacred story.
"You are welcome exactly as you are —
no striving, no pretending, no rushing."
The Work
My approach weaves together six interlocking streams of care — each attending to a different dimension of the whole person.
Supporting you in making meaning of your experiences, noticing old narratives shaped by survival or loss that don't fit anymore, and allowing a truer, more life-giving story to emerge naturally.
Contemplative and evocative listening as you explore your relationship with God, within your inner life — your questions, your unknowns, and the invitations unfolding for your life.
Honoring how experience is held in the body and nervous system, cultivating safety, regulation, and compassion as foundations for healing and integration.
Gently holding the interconnectedness of mind, body, and spirit, informed by interpersonal neurobiology — honoring your lived experience without labeling, supporting awareness, integration, and compassionate self-reflection.
Using prayer, reflective writing, poetry, imagination, and silence to awaken insight, deepen awareness, and nourish the inner life.
Attending to dreams, symbols, patterns, and the deeper movements of the psyche, while noticing what emerges in the here and now — inviting curiosity toward how past and present, conscious and unconscious, may illuminate meaning, relationship, and the unfolding inner life.
Here We Listen
Come as a seeker.
Come with your spiritual wrestlings, heartaches or triumphs.
Come longing for clarity, spaciousness, and renewal.
"This is a place to begin again.
A sanctuary for the inner life."
listening is a reverent act
About
Most people arrive carrying more than they can name — a story unfinished. I meet them at the threshold of where the story is asking to be told, to be heard, for Truth to find its voice.
I am a spiritual director, mentor, educator and retreat facilitator devoted to spiritual formation, inner healing, and relational transformation. I accompany individuals and groups in listening deeply to their lives — attending to the places where prayer, experience, and relationship meet — so that the wisdom God has already placed within each person can be named, trusted, and lived from.
I served as mentor and faculty with the CenterQuest School of Spiritual Direction, where I taught Contemplative Prayer and Theological Reflection, and walked alongside emerging directors in their formation.
I have always been drawn to story. Formed by my Gaelic and Celtic roots, where music, poetry, and ancestral memory carry meaning, I learned early that listening itself is a reverent act. This way of listening continues to guide my vocation, particularly as people find themselves at profound life-changing thresholds — marked by transition, desire, longing, loss, or trauma.
Alongside spiritual direction, my life's work has unfolded in healthcare and education. For more than thirty years, I have worked with individuals and families living with illness, grief, trauma, mental health, and profound change.
At heart, my calling is to cultivate spaces where people feel seen, known, and safe enough to tell the truth of their lives — spaces where spiritual formation and neuroscience meet with humility, compassion, and grace, and where fuller freedom in Christ is gently invited.
Formation & Credentials
My formation weaves together psychiatric-mental health nursing, trauma-informed whole-person formation and leadership, early studies in theatre arts, and a lifelong grounding in Celtic Christian spirituality. The arts have long been a backbone of how I understand the human experience — through story, poetry, image, imagination, movement, symbol, and the ways creativity gives expression to what words alone cannot always hold.
As a board-certified Psychiatric-Mental Health Nurse Practitioner, I bring an integrative understanding of spiritual care, mental health, and whole-person well-being alongside my work in spiritual direction and psychospiritual accompaniment. A strong foundation of my approach is Daniel Siegel’s Interpersonal Neurobiology (IPNB) and its understanding of the interconnectedness of mind, brain, body, and relationships. Practices such as SIFT — attending to sensations, images, feelings, and thoughts — offer a gentle way of slowing down, becoming curious about present-moment experience, and cultivating greater awareness, integration, and compassionate presence.
My work is also informed by attachment and parts-informed approaches, family systems, somatic and trauma-informed practice, narrative approaches, and the healing potential of authentic relationship and community. Together, these perspectives invite attention not only to what has happened in our lives, but to how experience continues to live within the body, nervous system, relationships, and stories we carry.
I am particularly drawn to depth psychology and the meeting place of psyche and soul. Jungian thought and dreamwork invite curiosity toward dreams, symbols, images, shadow, imagination, and movements of the unconscious. Psychodynamic perspectives invite us to notice relational patterns shaped through earlier experience while also attending carefully to what is arising here and now, within ourselves and in relationship. I seek to listen for what may be asking to become known, integrated, or more fully alive.
My formation has also been deeply shaped by psychotherapists, interdisciplinary clinicians, spiritual directors, and contemplative practitioners across Canada, the United Kingdom, Asia, Africa, and the United States during my own healing journey. Through mentorship and participation in psychodrama, sociometry, group process, family systems, Internal Family Systems (IFS), motivational interviewing, trauma-informed practice, and Wisdom spirituality, I have come to appreciate the relational field itself as a place of discovery. Psychodramatic and sociometric ways of seeing have particularly illuminated how roles, relationships, and patterns of belonging shape us, and how creativity, spontaneity, and re-imagining the way forward can open possibilities for renewal and a new way of showing up in the world — more grounded and at “home” within.
Poetry, storytelling, dreamwork, and the creative arts remain central to my practice. I understand imagination, play, and creative expression not simply as artistic endeavors, but as pathways toward meaning-making, nervous-system regulation, integration, and transformation. They can offer language for lived experience, bring us into relationship with hidden or forgotten aspects of ourselves, and open possibilities that may not emerge through words alone.
Whether accompanying individuals or groups, I seek to create spaces where people can slow down and attend more deeply to what is happening within and between us: mind, body, psyche, soul, relationship, and community. Within spiritual direction, this includes listening for the movement of God within one’s lived experience and story, allowing greater awareness, freedom, integration, and wholeheartedness to emerge.
Contact
If something in these pages has spoken to you, I'd be honored to hear your story. Reach out to begin a conversation.
mckaymaddox@gmail.comAn additional practice and service is launching soon: Refuge Integrative Behavioral Health, along with a new website. Details to follow!
A Whole-Person Approach
Heather McKay Maddox (MSN-HSL, MSN-PMHNP-BC), Psychiatric Mental Health Nurse Practitioner, brings decades of clinical experience, research, embodied leadership, education, and integrative wellness into compassionate, whole-person mental health care.
Her soon to be newly launching practice, Refuge Integrative Behavioral Health, offers team-based, evidence-based psychiatric assessment and treatment while holding a broader understanding of the many factors that shape mental health, including sleep, stress, trauma, relationships, culture, identity, life transitions, purpose, meaning, and spiritual care.
Her approach is relational and person-centered, informed by interpersonal neurobiology, attachment and parts-informed approaches, family systems, somatic awareness, psychodynamic thinking, Jungian depth psychology and dreamwork, narrative practices, group process, creative arts, and contemplative spirituality.
“Care begins by seeing the person—not only the diagnosis—and building a plan that honors both suffering and possibility.”