Rachael LastoffLicensed Professional Clinical Counselor, LCMHC, LMHC, LPCC (she, her)

About

My ideal client is at a turning point. You may be navigating a recent setback—like a breakup, career shift, or identity change—or carrying a long-standing struggle that’s become too heavy to ignore. You're thoughtful and self-aware, but you're stuck in patterns that you can’t shift on your own. Many of my clients are moving through life transitions: questioning identity, redefining relationships, or rebuilding after change, and are ready for clarity and direction. I help adults navigate trauma, life transitions, identity exploration, and complex relationships. My work includes gender-affirming care, LGBTQIA+ support, and couples counseling for monogamous, open, poly, and kink relationships. Using DBT-informed skills, I help clients build emotional regulation, set boundaries, and create lives that feel authentic and al

Specialties