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Rachel Bastien-Chilson

Rachel Bastien-Chilson

Therapist · New York

Calm, practical support for life’s hard moments

  • Strengths-based approach
  • Warm and steady
  • Practical tools

About Rachel

Rachel Bastien-Chilson is a Licensed Clinical Social Worker (LCSW) who helps people facing stress, anxiety, grief, low self-esteem, depression, and major life changes. She meets each person where they are and focuses on steady, practical steps rather than quick fixes. Sessions aim to be warm and honest, with room for real conversation and moments of lightness.

Her style is collaborative and strength-based. She listens for what already works for a person, then helps shift patterns that no longer serve them. Therapy combines reflection on thoughts and feelings with practical, goal-focused work when that makes sense.

Rachel has over 11 years of experience in mental health and crisis settings. That background informs a calm, steady approach when people are navigating painful or confusing times. She emphasizes pacing therapy to match each person’s comfort level.

In sessions she attends to present concerns while bringing in relevant parts of the past. This can help with attachment wounds, abandonment, adoption and foster care histories, blended family stress, and caregiver strain. She also supports people dealing with chronic illness, body image issues, cancer-related stress, and coping after disasters.

People can expect an active, human-centered experience. Rachel balances listening with gentle challenge and practical tools. Her goal is to help people understand themselves better and make changes that feel sustainable.

Approaches and how online work can fit

Rachel describes using evidence-based therapeutic techniques that blend thoughtful reflection with practical skills. One common approach is skills-based work that teaches tools to manage anxiety, stress, and low mood - skills people can use between sessions to feel steadier. Another key element is exploring attachment and past relational patterns in a gentle way to understand how they affect current relationships and self-image.

Finding the right mix of methods is part of the process. The therapist will work together with each person to decide which techniques match their needs, goals, and comfort level, and will adjust the plan as progress is made.

If you are considering online therapy, check the therapist's session options before booking to confirm current formats. Online work can make it easier to fit meetings into a busy life, reduce travel, and allow shorter check-ins when a full session isn't needed. It can also let someone choose a quieter setting and focus on the conversation or on practicing new skills in real time. Licensed professionals use online sessions to continue collaborative, practical therapy in ways that suit people’s routines.

Areas of focus

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceEmptinessFamily of origin issuesFamily problemsFertility issuesFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersNarcissismPanic disorder and panic attacksParanoiaPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Frequently asked questions

What kinds of problems does Rachel help with?

She supports people dealing with stress, anxiety, grief, low self-esteem, depression, and major life changes, plus related concerns like caregiver stress, chronic illness, and attachment issues.

How would you describe her therapy style?

Her approach is collaborative and strengths-based, blending reflection with practical goal work and moving at a pace that feels comfortable for each person.

What experience does she bring to sessions?

Rachel has 11 years of experience in mental health and crisis work, which informs a calm, steady way of supporting people through difficult times.

What are her credentials and where is she located?

She is a Licensed Clinical Social Worker, LCSW, licensed in New York and practices from that region.

Can someone who speaks another language work with her?

Sessions are offered in English.

Does she see international clients?

She is not currently accepting international clients.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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