Rachel Sienko

This therapist provides inclusive, collaborative care for individuals seeking meaningful change, improved coping skills, and greater emotional well-being. Using an integrative clinical approach, therapy emphasizes acceptance, emotion regulation, interpersonal relationships, and practical strategies for navigating stress and other life challenges.

Treatment is tailored to each client’s individual experiences and goals, with interventions frequently drawn from Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT). Through these approaches, clients are supported in understanding emotional and behavioral patterns, strengthening coping skills, and developing healthier ways of responding to difficult situations.

Committed to working with people across diverse backgrounds and identities, this therapist practices through a multicultural and social justice-informed lens, creating an affirming and respectful environment where clients can feel understood and supported. Letters of support for gender-affirming medical care are also available when appropriate.

Services are provided primarily through telehealth, with limited in-person appointments available on Tuesday afternoons. The overall approach is warm, practical, and personalized, helping clients move toward their goals with greater confidence and self-awareness.