TheraSummit® Specialisms 2026
Healing Beyond Four Walls
Reimagining Therapy Through Nature, Movement, and Place
What happens when therapy moves beyond the traditional therapy room? Explore how nature, movement, sensory experience and place can become meaningful parts of therapeutic practice by listening to Cierra's presentation for the TheraSummit® Specialisms 2026.
TheraSummit® Specialisms 2026 • For therapists and clinicians
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Risks & Considerations for Nature-Based Therapy & 10 Nature-Based Prompts for Clinicians
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About Cierra
Bringing therapy beyond the traditional room
Cierra Garrow is a Registered Psychotherapist, Registered Marriage and Family Therapist, founder of Cambrian Counselling and Wellness, and an international speaker.
She specializes in experiential and nature-based therapy, helping clinicians move beyond the therapy room and into more dynamic, real-world approaches to care.
Through her work in ecotherapy, nervous system regulation, and clinical training, Cierra bridges innovation with ethical practice, offering practical tools that are both grounded and transformative.
The Presentation
What if the therapy room isn't the only place healing happens?
In this presentation, Cierra explores how nature-based approaches can create more flexible, accessible, and responsive ways of working with clients.
Nature-based work has changed Cierra's own relationship to her clinical practice. It helps her stay connected, creative, regulated, and aligned with the kind of care she wants to offer.
You'll also explore practical ideas you can begin reflecting on in your own clinical practice.
Inside the Presentation
Three ideas to take with you
01
It Is More Than “Talk Therapy Outside”
It is an intentional clinical approach that uses movement, sensory experience, place, metaphor, relationship, and the natural world as part of the therapeutic process. The outdoors can be an equalizer for power dynamics due to its ability to be neutral.
02
Movement & Environment Can Open New Pathways for Connection
Children, teens, neurodivergent clients, and clients who feel stuck in seatedconversation or struggle with eye contact may access insight, regulation, andconnection more easily when they are moving, noticing, playing, or engaging withtheir environment.
03
It Still Requires Strong Clinical Boundaries & Considerations
Nature-based work can look creative and flexible, but it requires careful attention to clinical relevance, consent, confidentiality, leave-no-trace principles, risk assessment, accessibility, documentation, scope of practice, and therapeutic intention.
