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 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 advanced practice as a Psychiatric–Mental Health Nurse Practitioner, whole-person care 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, movement, and imagination. Creativity gives expression to what words alone cannot always hold.
As a board-certified Psychiatric-Mental Health Nurse Practitioner and spiritual director, I bring an integrative understanding of mental health, spiritual care, and whole-person well-being. Daniel Siegel’s Interpersonal Neurobiology informs my attention to the interconnectedness of mind, brain, body, and relationships. Practices such as SIFT like noticing sensations, images, feelings, and thoughts, invite us to slow down, become curious, and meet our experience with compassionate presence.
My approach also draws on Parts work, attachment, family systems, embodied awareness, psychodrama, and the healing gifts of authentic relationship and community. These perspectives help us notice how our experiences live within our bodies, nervous systems, relationships, and the stories we carry. Dream work, poetry, and imagination offer gentle ways of listening to the soul and welcoming what may be asking to become known or more fully alive.
My own growth, development and formation have been shaped by mentors, clinicians, spiritual directors, and contemplative practitioners across Canada, the United Kingdom, Asia, Africa, and the United States. These experiences have honed my gift for group work and deepened my trust in creativity and play. Together, we experience interconnection — what Daniel Siegel calls “MWe,” the joining of “me” and “we.” This connection deepens our sense of belonging and gives our nervous systems room to settle. From here, we can re-imagine new beginnings and greater freedom, becoming more grounded and at “home” within.
Whether accompanying individuals or groups, I seek to create spaces for soul care where we can slow down and listen to what is happening within and between us. In spiritual direction, this includes attending to the movement of God in our everyday lives and stories, making room for greater awareness, freedom, and wholeheartedness.
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, including a new website. Details to follow!
A Whole-Person Approach
Heather McKay Maddox, MSN, ARNP, PMHNP-BC, is a board-certified Mental Health Nurse Practitioner with graduate degrees in Health Systems Leadership and Psych-Mental Nurse Practitioner. She brings decades of clinical experience, research, education, embodied leadership, and integrative wellness into compassionate, whole-person care.
Her future practice, Refuge Integrative Behavioral Health, draws on the image of a healing forest — a place where Heather found peace and beauty as a child. This sense of refuge shapes her vision for care: a place to feel heard, find grounding, and discover possibilities for healing and new beginnings.
Refuge will offer team-based, evidence-based behavioral health assessment, diagnosis, and treatment, including medication management, while attending to the many factors that shape well-being: sleep, stress, trauma, relationships, culture, identity, life transitions, purpose, meaning, and spiritual / soul care.
Her approach is relational and person-centered, grounded in connection, collaboration, and care guided by integrity. She draws on interpersonal neurobiology, attachment, Parts work, family systems, somatic awareness, psychodynamic perspectives, depth psychology, and dream work. Creative arts, group work, play, and contemplative spirituality offer space to imagine new possibilities, and find a way forward with greater freedom, beginning today.
“Care begins by seeing the person—not only the diagnosis—and building a plan that honors both suffering and possibility.”