Counseling Services

My Approach

I practice modern Psychodynamic and Feminist therapy. "Psychodynamic" is a perplexing term that aims to describe depth oriented therapy that strives to get past our daily defenses and identify core issues that hold us back. We will slow things down so we can begin to understand the patterns that otherwise happen quickly and outside of your awareness. Commonly, people come to see me when other modalities have felt sterile, unhelpful, or they have yet to feel understood. I encourage you to read about the effectiveness of psychodynamic therapy and see if this could be the right approach for you. There is no pre-determined treatment length and your problems are neither too big or too small to receive this kind of help.

‍Successful outcomes of working with me include:

Profound shifts in your personal narrative
Finding meaning in your struggle so you can move forward
Increased sense of safety in relationships
Defined personal boundaries
Effective communication skills
Increased sense of self and individuality
Increased sense of strength and vitality
Increased tolerance for the inevitable pain we all experience in life

The Benefits of Working With Me

As a therapist, I understand the importance of prioritizing my own health in order to offer exceptional care to my clients. That is why I choose to maintain a small practice, ensuring that I can provide an elevated therapy experience. I’m proud to work from a place of abundance rather than burnout. What does this mean for you? In our work together you can expect:

Quick response times between sessions
Progressive, person centered patient care
Flexible and individualized treatment options to fit your specific needs
Support navigating your out-of-network benefits
Access to my network of other preferred healthcare referrals such as psychiatric prescribers, primary care, neurodiversity specialists, dieticians, etc.

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Let's Talk

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Therapy for Women

I currently offer individual psychotherapy sessions for adult women over the age 18. My skills are best suited for women struggling with the following:

Relationships/Heartbreak/Divorce
Questioning compatibility w/a long term partner
Anxious attachment style
No contact/estrangement w/a family member
Imposter syndrome & burnout
Navigating male dominated career fields
Living with chronic illness
Perfectionism & self acceptance
Loneliness
Existential dread

I meet with most of clients for a standing appointment every week. Many of my clients find coming to therapy is an integral part of their week that helps them process the events of their life and reset. The duration of our work together is up to you and the topic can always be revisited. To inquire about an appointment, please fill out this form or book a phone consultation and I'll be in touch soon!

Walking Therapy

Zoom fatigue? Missing connection? Having difficulty finding time for yourself? My clients receiving individual therapy may have the opportunity to participate in walk and talk sessions. If you are interested in walking therapy, I will assess your appropriateness for this modality during our initial consultation or intake appointment.

We all know the health benefits of walking, but the American Psychological Association reports that research is starting to show that creativity, self-awareness, emotional awareness and other positive therapy outcomes can heighten during movement. For some, walking side by side instead of making direct eye contact may be an easier way to talk. Other benefits of walking therapy might include:

•Increased mind/body connection

•Nervous system regulation & Breath practice

•An active approach to processing emotions

•Connection with nature‍

•Stress reduction

*Walking sessions are currently taking place at one Seattle park, with the possibility for more locations added in the spring of 2023.*

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Discernment Counseling

Discernment Counseling is a relatively new, unique, and advanced method of helping couples on the brink. This is a short term service for couples that don't feel much hope to start traditional couples therapy. It is best for couples experiencing ambivalence about staying together, and lack clarity about how to move forward. Trained discernment counselors understand that traditional couples therapy is likely to stall out with this ambivalence present and helps you make a more confident decision about the relationship.

The goal in Discernment Counseling is NOT to solve the relationship problems, but to clarify if they could potentially be solved and how - ultimately choosing a direction for the relationship.

In just 1-5 sessions, you will be able to decide a direction for the relationship, whether that leads to a decision to divorce/break up or make a final all out effort to restore the relationship with an agreed upon agenda. Ending a relationship is a big decision. This is an opportunity to assess salvageability, give the relationship the thoughtfulness it deserves, and make a conscientious decision about how to move forward. The first session is 2 hours, and subsequent meetings are 90 mins.

Discernment Counseling is NOT suited for these situations:

When one partner has already made the final decision to divorce/leave the relationship.
When one partner is coercing the other to participate.
When there is danger of domestic violence.

Fees & Scheduling

FEES & INSURANCE

$275 per individual session (50 mins telehealth or walking)
$550 per discernment session (2 hours telehealth)

I am a private pay practitioner. As an out of network provider, the money spent on my services will go towards your deductible (if applicable) before your plan starts reimbursing you. Clients are expected to pay for each appointment at the time of service and will receive a detailed receipt (superbill) each month to submit to insurance for reimbursement (superbills apply to individual sessions only). Many people have out of network benefits they can use for therapy that they are unaware of, but benefits vary by plan. You can submit your own claims directly to your insurance through your member portal, or through a third party app like Reimbursify. To find out what your out of network benefits are, you can use a service like Nirvana, or contact your insurance company and simply ask "what is my out of network reimbursement for outpatient therapy?" I typically see people reimbursed between 40-80%. For payment I take all major credit cards as well as HSA/FSA cards. Click here to read more about why I'm not an "in network" provider.

SCHEDULING

Please book a phone consultation to get started or fill out this inquiry form and I will get back to you quickly. I typically respond within 24 business hours. Upon scheduling, you will be given access to a client portal where you can view and electronically sign all of the necessary documents to begin our work together.

CANCELLATION POLICY

My clinical hours are limited each week. The time you book is yours and exclusively held for you. If you are late for a session you may lose some of that time. If you need to cancel or reschedule your appointment, please do so no less than 48 hours in advance. You will be responsible for the full session fee if you fail to do so.

Testimonials

"I am extremely grateful for Rachel's wisdom, skill and compassion. I can clearly point to her treatment as staving off significant suffering in my life. She has given me an altered inner voice that has more grace and tolerance for my own reactions to things but also more skills for interacting with curiosity and compassion instead of anxiety. I will be quick to recommend her when given the chance." -Former therapy client, 2022

"Talking to Rachel makes me feels so much better. I can now make sense of my pain, and know that I really needed help despite feeling like my problems weren't big enough to warrant professional help. Rachel really understood me. I'm so glad I found her." -Former therapy client, 2022

"I've seen a handful of therapists and Rachel was the best fit for me. She made me feel comfortable enough to open up about the things I feel most shame about. I never felt judged. She is gentle but straightforward. It's still a process, but I am doing so much better." -Former therapy client, 2021

"I feel much more confident and capable in my work now than before starting therapy with you." -Former therapy client, 2021

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