About Rachel
Rachel Bastien-Chilson is a Licensed Clinical Social Worker (LCSW) based in New York who helps people facing stress, anxiety, grief, low self-esteem, depression, and major life changes. She offers a calm, steady presence and focuses on practical steps that make daily life easier. Sessions are paced to match each person’s comfort and readiness.
She avoids rushing to fix problems. Instead she helps people notice patterns that once protected them but now hold them back.
How Rachel works
Rachel combines compassionate listening with clear, goal-oriented work when it fits. She brings curiosity, insight, and a touch of humor to keep the process human and approachable. With 11 years in mental health and crisis work, Rachel draws on a strengths-based, collaborative style.
She looks at current thoughts, feelings, and relationship dynamics while also considering past events when that helps. Therapy can include reflection, practical skills practice, or a mix of both depending on the moment. Rachel pays attention to complex situations like attachment concerns, abandonment, adoption and foster care issues, caregiving stress, chronic illness or pain, and changes related to aging.
She also supports people coping with body image, codependency, communication or control struggles, and the aftermath of disasters. Clients can expect an engaged, person-focused process where the therapist shows up as a real person - steady, warm, and honest.
Over time the work aims to make daily life feel more manageable and to help people act in ways that reflect their values and goals.
What Rachel works with
The areas below are the ones Rachel selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 11 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based approaches for online care
Rachel uses evidence-based therapeutic techniques that focus on helping people change unhelpful patterns and build coping skills. One common approach helps people identify and shift thought patterns that contribute to anxiety and depression, teaching practical skills to manage symptoms and make clearer choices. Another approach focuses on strengthening attachment and relationship patterns, helping people understand how early relationships affect current behavior and connections with others.Finding the right approach is part of the work. The therapist will review your concerns, goals, and preferences and together you will choose methods that feel like a good fit. This is a collaborative process that can change as your needs evolve and progress is made.
Online therapy offers practical flexibility. Video calls let you see facial cues and use a conversational format much like an in-person visit. Phone sessions can be easier when bandwidth is limited or you prefer not to be on camera. Live chat or text-based messaging can fit quick check-ins, brief reflections, or times when a written format helps you organize thoughts. These options make it easier to fit consistent therapy into a busy life.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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