What kept you alive deserves to be understood.

Hi, I’m Rachel.
I’m glad you’re here.

Most people arrive carrying something they’ve held for a long time—often longer than they realized. You don’t need the right words for it, or a diagnosis, to begin. You only need somewhere honest to start.

In my practice, therapy is about more than getting through the week. It’s about understanding why you do what you do—and discovering that most of it once made sense.

The patterns that feel like problems now were usually solutions once: the ways you learned to stay safe, stay close, stay useful, stay in control, or keep going when keeping going was everything. Together, we make sense of them. We honor what they did for you. And when you’re ready, we update the ones that have started to cost you more than they protect.

Whatever brought you here, you don’t have to sort it out alone. There’s a way through—and you’re welcome to begin with me.

I’m also the author of the forthcoming What Kept You Alive: On Trauma, Survival, and What Helps Us Heal—a book about the ways we adapt to survive, the science that explains them, and the long road of integration. You’ll find more about the book, and my essays, on my Writing page.

When you’re ready, reach out. There’s no wrong way to start.