The toughest moments in life are easier to face when you’re not alone

Together is better

We help kids, adults, and families navigate illness, loss, and grief with knowledge, compassion, and careful planning

Offerings

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Threshold Counseling

When you or someone you love is diagnosed with serious illness or dies from natural causes, trauma, or suicide, the loss transforms your life forever. We help you greet these thresholds by honoring your unique experience and drawing on inner wisdom.

Our threshold and grief counselors offer care to any adult enduring illness or anticipating loss, including the loss of a child.

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End-of-life Care

We believe every human deserves a high-quality life and dignified death regardless of age, background, beliefs, or resources. With experience caring for children and adults at end of life, we ensure presence, peace, and profound connection.

Our end-of-life doulas welcome those utilizing Medical Aid in Dying [MAiD] and/or psychedelic-assisted therapy support.

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Celebrations of Life

Storytelling is at the heart of every memorial service and gathering we’ve helped plan and facilitate. We hold space for you and your community to honor a loved one’s life in ways that feels personal, authentic, memorable, and deeply meaningful.

Our humanist celebrants specialize in joyful, non-religious, spiritual gatherings for cross-cultural communities.

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Planning & Advocacy

Navigating health systems, making decisions, and establishing goals of care can feel overwhelming. We help you gain access to resources, complete vital paperwork, and move through meetings faster so you can focus on what really matters.

Our patient and family support specialists work with children, adults, families, and providers at home and in the hospital.

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Grief Counselor, End-of-Life Care Planning and Support, Medical Aid in Dying (MAiD) Specialist

Breq Lightner

The heart of it

From Breq, founder of Threshold Movement

Threshold Movement found its wings in the Pediatric Intensive Care Unit (PICU) at a children’s hospital in San Francisco. It was here that I met a sassy, brilliant, and brave kid nicknamed “Pickle” who changed my life forever.

As the PICU Spiritual Care Specialist—also known as a hospital chaplain—I had the chance to befriend Pickle’s family, a motley crew of super humans with hearts of gold. Pickle was wrestling with an unexpected and very complicated illness that he would not survive.

During the last few months of Pickle’s life, I walked alongside his mom and siblings and extended family during interactions with doctors, nurses, social workers, child life specialists, and other providers. Together we focused on offering the best medical care and highest quality of life for Pickle. We cried, we laughed, we told stories, we played games, and we ate a lot of snacks. We focused on the present and in doing so made memories for the future.

I do not believe in the concept of a ‘good’ or ‘bad’ death. Every body dies; no one is immune. Sometimes there is ease during the process, and other times struggle, same as when we’re born. Some lives last for minutes and others for decades. Every life is whole and complete, regardless.

I do believe in meaningful threshold experiences. There is no ‘right’ way to being alive, or enduring illness, or dying. Our precious opportunity is to be present with what is, and to ask for care and support when we need it.

Together is better. ❤️‍🩹

Two masked women, including a healthcare worker in scrubs, converse in a hospital hallway.

Breq offering care to a nurse while advocating for Pickle’s wishes. Learn more: Child & Family Wraparound Support

Testimonials

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Reach out

Is it unreasonable to imagine that you deserve care and support in life too?