- Stress and anxiety
- Grief and loss
- Family of origin
About Rachel
Rachel Bastien-Chilson is a Licensed Clinical Social Worker (LCSW) in New York with 11 years of clinical experience. She works with adults dealing with stress, anxiety, grief, low self-esteem, depression, and life changes. Rachel pays attention to how past family roles and early relationship patterns continue to shape feelings and choices today, including attachment and family of origin issues.
Sessions move at a measured pace. Rachel listens to what is happening now - thoughts, emotions, relationships - and brings in relevant parts of the past when that helps explain current patterns. She focuses on practical shifts in thinking and behavior as well as reflective exploration of earlier family dynamics.
Her style balances direct conversation with moments of reflection. People can expect clear discussion, occasional humor, and persistent attention to what is useful in day-to-day life. Therapy can include goal-oriented work and exercises aimed at improving how someone copes with stress and manages mood.
Rachel has a background in mental health and crisis work that informs how she supports people during difficult transitions. She works with concerns tied to abandonment, adoption and foster care history, blended family dynamics, caregiver stress, chronic illness, body image, and aging related issues among others. This experience guides a pragmatic approach to problem solving.
Clients are invited to notice patterns learned early and consider different ways of responding now. Rachel emphasizes collaboration and helps people test small changes in thinking and behavior. The work is steady and practical, focused on clearer communication, stronger self-awareness, and more effective coping.
Approaches used and how online sessions work
Rachel uses evidence-based therapeutic techniques that help people understand and change patterns. One common approach focuses on identifying and shifting thoughts and behaviors that keep anxiety and low mood active, using practical exercises and small behavioral experiments to test new ways of responding. Another approach attends to attachment and early relationship patterns, looking at how those early roles influence current interactions and helping people try different responses in the here-and-now.Choosing which approach to use is a collaborative process. Rachel will work with each person to identify goals, preferences, and the problems they want to address, and then shape sessions to match those needs. That means techniques can shift over time as a client learns and makes progress.
The profile does not specify particular session formats, so confirm the available options before booking. Online work can make it easier to fit therapy into a busy week, shorten commute time, and allow for check-in conversations that are practical for daily life. Many people find remote sessions help them maintain continuity during transitions and make consistent practice more feasible.
Areas of expertise
Additional focus areas
Experience
11+ years
Listed in
New York
Languages
English
Frequently asked questions
What concerns does she address related to family patterns?
She works with issues like attachment difficulties, abandonment, blended family dynamics, and how family of origin patterns affect adult relationships.
How would you describe her therapeutic style?
Her approach is collaborative and practical, combining reflective conversation with exercises aimed at changing unhelpful patterns.
How much experience does she have?
She has 11 years of experience in mental health and crisis work, which informs how she supports people through change and loss.
What credential does she hold and where is she based?
She is an LCSW licensed in New York and practices with that credential in that state.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English, and she does not accept international clients at this time.
What formats are used for sessions?
The original profile does not list specific session formats; please confirm current session options before scheduling.
How are sessions paid for and what does cost look like?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and then scheduling a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.