Rachel Bastien-Chilson, LCSW
Licensed in New York · 11 years in practice
Rachel Bastien-Chilson helps people facing stress, anxiety, depression, grief, self-esteem problems, and major life changes.
License and registration
- LCSW, New York
- 092066 · expires January 2027
- NPI
- 1851936413 · national provider identifier
- Years in practice
- 11
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Rachel
Rachel Bastien-Chilson helps people facing stress, anxiety, depression, grief, self-esteem problems, and major life changes. She is a Licensed Clinical Social Worker with eleven years of experience in mental health and crisis work. Sessions emphasize steady, honest conversation and practical steps that fit each person's life.
Her style is calm and collaborative. She moves at a pace that feels manageable and avoids rushing to quick fixes. Rachel encourages clients to bring their whole story and meets them with warmth, curiosity, and a bit of humor when it fits.
Background and approach
In sessions she looks at what is happening now - thoughts, feelings, relationships, and behavior patterns - and brings in earlier experiences when that helps make sense of things. Work can be reflective or action-oriented depending on the moment. The aim is to make small shifts that add up to meaningful change.
She also supports people dealing with issues tied to adoption and foster care, abandonment, attachment concerns, blended family stress, caregiving burden, chronic illness or pain, cancer, body image, and aging-related challenges. Communication problems, codependency, commitment and control issues are also areas she addresses. Therapy with Rachel is practical and relational.
She focuses on strengths and helps clients build on what already works. People can expect steady support while learning skills and perspectives that help them cope and move forward.
Focus areas and approaches
Everything Rachel lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Grief
- Self esteem
- Depression
- Coping with life changes
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Online support
Evidence-based techniques for online care
Rachel uses evidence-based therapeutic techniques that focus on practical change and emotional understanding. One approach emphasizes identifying unhelpful patterns in thoughts and behaviors and then trying small, practical experiments to shift them; this can help with anxiety, low mood, and stress. Another approach focuses on strengthening relationships and attachment patterns by looking at how past connections shape current reactions, which can be useful for abandonment, attachment, and blended family concerns.Finding the right way to work together is part of the process. The therapist will collaborate with each person to choose methods that match their goals, needs, and comfort level. Over time, techniques are adjusted based on what helps most, so the plan evolves as progress is made.
Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video is good for face-to-face conversation and visual cues, phone sessions can fit a shorter break or use less bandwidth, and messaging or live chat work well for quick check-ins or ongoing support between sessions. These options make it easier to fit therapy into a busy life while keeping the work focused and practical.
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Questions people ask
What concerns does she help with?
She works with stress, anxiety, depression, grief, self-esteem struggles, and coping with major life changes. She also focuses on issues like adoption and foster care, attachment, caregiving stress, chronic illness, and body image.
How would you describe her style and approach?
Her approach is collaborative and strengths-based, moving at a gentle pace rather than pushing quick fixes. Sessions mix reflective conversation with practical steps tailored to each person.
What kind of experience does she have?
She brings eleven years of experience in mental healthcare and crisis work. That background informs a calm, steady manner in sessions.
What are her credentials and location?
She is a Licensed Clinical Social Worker - LCSW - licensed in New York and practices from that region.
Which languages are supported?
Sessions are offered in English.
What session formats are available?
She sees clients by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and preferences.
How is cost handled?
Cost varies with location and therapist availability and is billed through a subscription model that can be canceled at any time.
How do I begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.
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