- Client-centered approach
- CBT for patterns
- Mindfulness skills
About Rachael
Rachael Considine is a New York licensed mental health counselor (LMHC) with six years of clinical experience. She works with adults on stress, anxiety, trauma and abuse, grief, parenting concerns, self-esteem, LGBT issues, relationship and family concerns, sleep problems, anger, depression, coping with life changes, and ADHD. Sessions are conducted in English and are intended for people living in New York.
Rachael centers the client's experience and perspective in sessions. She treats people as the experts on their own lives and focuses on strengths they already have. Conversations are straightforward and practical, not full of jargon. The aim is to help people notice patterns, try new responses, and reduce moments of overwhelm.
Her work draws on client-centered methods that prioritize listening and collaboration. She also uses cognitive behavioral therapy to identify thoughts and behaviors that keep problems going. Mindfulness practices are introduced to build moment-to-moment awareness and reduce reactivity.
Rachael integrates narrative and motivational interviewing techniques when useful. Narrative approaches help people reframe the stories they tell about themselves. Motivational interviewing supports choosing small, sustainable changes and keeping them going.
Sessions tend to focus on concrete, usable tools: emotion regulation strategies, problem-solving steps, and short experiments to practice between meetings. People often come away with specific action items to try in daily life. The therapist asks about goals and adapts the pace to each person’s readiness to change.
How therapeutic approaches are used in online sessions
Client-centered therapy focuses on listening and collaboration. In practice this means the therapist guides conversations, reflects back what is said, and helps people set goals that fit their life. This approach is useful when someone wants to feel heard and take ownership of next steps.Cognitive behavioral therapy (CBT) looks at the links between thoughts, feelings, and behavior. Online CBT sessions often include identifying unhelpful thought patterns, planning small behavior experiments, and practicing skills between meetings to reduce reactivity and manage anger triggers.
Mindfulness therapy teaches simple attention skills. These exercises help people notice physical and emotional signals early, which can reduce sudden outbursts and make it easier to choose a different response.
Finding the right mix of approaches is part of the process. The therapist works with clients to decide which methods match their goals, needs, and preferences. That collaboration can change over time as progress is made or new challenges emerge.
Confirm which session formats are offered before booking, as the biography does not specify them. Online work can make it easier to fit sessions around family and work responsibilities, allow shorter check-ins when needed, and reduce time lost to travel. Many people find virtual sessions help keep momentum between appointments and make it simpler to practice skills in everyday settings.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
New York
Languages
English
Frequently asked questions
What concerns does she address related to anger?
She helps people struggling with anger alongside stress, anxiety, trauma, relationship and family concerns, and sleep problems.
What is her general approach in sessions?
She uses a client-centered style that emphasizes listening and collaboration, with practical exercises and straightforward conversation.
How much clinical experience does she have?
Rachael has six years of professional work experience as an LMHC in New York.
What credential and location are listed?
She holds the New York LMHC credential and practices with a New York location noted.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How are fees and billing handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What do I need to do to start?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.