Rachel Bastien-Chilson, LCSW

Rachel Bastien-Chilson is a Licensed Clinical Social Worker (LCSW) who helps people manage stress, anxiety, grief, low self-esteem, depression, and life changes. She frames therapy as a partnership and focuses on steady, practical progress rather than quick fixes. Sessions aim to be warm and straightforward so people can show up as they are.

Rachel pays attention to patterns that once helped but now hold people back. She invites curiosity about current thoughts, emotions, and relationships, and brings in relevant parts of a person's past when it makes sense. Her style mixes reflective conversation with goal-focused work to make small, useful changes.

She has 11 years of experience in mental health and crisis work, and leans on that background when people face complicated or sudden stressors. Rachel works with concerns such as abandonment, attachment issues, caregiving stress, chronic illness and pain, cancer-related distress, blended family challenges, and body image. She also supports people coping with natural or human-caused disasters and other co-occurring difficulties.

In sessions she uses a strengths-based, collaborative approach. Rachel aims to be steady, warm, and direct, and she brings curiosity and an occasional touch of humor. Therapy with her can be reflective or practical depending on what someone needs that week.

Rachel practices in New York and conducts sessions in English. If you are exploring help with chronic health challenges or everyday stress, she can help you sort priorities, build coping strategies, and find ways to make daily life feel more manageable.

Therapeutic approaches and online care that fit your life

Rachel uses evidence-based therapeutic techniques that focus on how people think, feel, and behave. One common approach helps people notice unhelpful thinking and try new ways of responding to stress and mood shifts; it is useful for anxiety, low mood, and everyday worry. Another approach emphasizes building on strengths and practical skills to manage symptoms and daily demands, which can help when coping with chronic illness, caregiving strain, or major life transitions.

Finding the right approach is a shared process. The therapist will work collaboratively to choose methods based on a person's goals, current needs, and preferences. That plan can change over time as new challenges or insights emerge.

Confirm the available session options before booking, as formats are not specified here. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow for shorter check-ins or flexible timing around appointments or work. Talk with the therapist about what will best fit your routine and what practical adjustments might help sessions feel manageable.