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Rachel Bastien-Chilson

Rachel Bastien-Chilson, LCSW

New York

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Licensed Clinical Social Worker - Life purpose and coping

  • Stress and anxiety
  • Grief and loss
  • Life change support

About Rachel

Rachel Bastien-Chilson is a Licensed Clinical Social Worker (LCSW) practicing in New York with 11 years of experience. She works with adults facing stress, anxiety, grief, low self-esteem, depression, and major life changes. Rachel emphasizes steady, practical work rather than quick fixes.

She begins by listening to the specific problems a person brings. Sessions look at current thoughts, feelings, relationships, and patterns. When it helps, she also considers relevant parts of a person’s past. The pace is deliberate and adjusted to what feels manageable.

Rachel describes the work as both reflective and active. Some sessions focus on understanding emotions and beliefs. Other sessions use concrete steps and goal-focused work to try different ways of coping.

She frames therapy as collaborative and strengths-based. That means she helps people notice resources they already have and build on them. Humor and straightforward conversation are part of how she connects and keeps sessions human.

Over the years Rachel has also supported people dealing with abandonment, adoption and foster care issues, aging and geriatric concerns, attachment problems, blended family questions, body image, cancer, caregiver stress, chronic illness or pain, codependency, commitment and control issues, communication difficulties, and coping after disasters. Her approach adjusts as the work and goals evolve.

How Rachel uses evidence-based approaches online

Rachel describes using evidence-based therapeutic techniques that blend reflection and action. One common approach is working with present-day thoughts and behaviors to reduce anxiety and depression by testing new responses and building coping skills. This helps when low mood or worry makes daily tasks feel harder. Another approach focuses on attachment and relationships, looking at how past connections shape current patterns. That work can clarify why certain relationships trigger strong reactions and suggest practical ways to change interaction patterns. Choosing the right approach is part of the process. Rachel works collaboratively with each person to decide which methods fit their needs, goals, and preferences. She adjusts the plan as progress or priorities change. Confirm the exact online session formats before booking, since the profile does not list them. Many people find online sessions help fit therapy into a busy life because they reduce travel time, allow shorter check-ins during a workday, or make it easier to keep regular appointments. If camera-free or phone options are needed, check what is offered when you schedule so sessions match your routine and comfort.

Areas of expertise

Additional focus areas

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

Experience

11+ years

Listed in

New York

Languages

English

Frequently asked questions

What kinds of concerns does she address?

She works with stress, anxiety, grief, self-esteem, depression, and people coping with life changes, plus related issues like caregiver stress, chronic illness, and body image.

How would she approach feeling stuck or directionless?

Her style is collaborative and practical; sessions alternate between reflective conversations and concrete steps to try new ways of coping and making decisions.

How much clinical experience does she have?

She has 11 years of experience in mental health and crisis work, working with adults through difficult life moments.

What credential does she hold and where is she based?

She is a Licensed Clinical Social Worker (LCSW) licensed in New York and practices there.

Which languages are sessions offered in?

Sessions are offered in English.

Does she work with international clients?

She does not accept international clients at this time.

What are the session formats?

Please confirm current session options before booking, as specific formats are not listed in the profile.

How are fees and starting therapy handled?

Cost varies with location and sessions use a subscription that can be canceled at any time. To begin, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.

Rachel Bastien-ChilsonLCSW

Continue with Rachel