Skip to main content
Headway
Headshot of Rachael Sewell, LMFT

Rachael Sewell

Therapist
12 years of experience
  • Virtual
  • Substance use / addiction, Bipolar disorder, Relationship issues, PTSD
  • Individual therapy, Family therapy, Couples therapy, Child or adolescent therapy

Great to meet you!

As a therapist, I believe my role is to provide person-centered support, guidance, and understanding to individuals, couples, and families of all ages. Beginning therapy can feel difficult, but you do not have to navigate life’s challenges alone. Together, we can explore what you are experiencing, identify what is getting in the way, and develop practical skills to help you cope, heal, and grow.

I have extensive experience working with a wide range of mental health concerns and life challenges, to include: Depression, Anxiety, Bi-Polar Disorder. Post-Traumatic Stress Disorder (PTSD), Attention Deficit Disorder (ADD/ADHD),Grief/Loss, Family/Couples dynamics, Work/Academic Stress, Parenting, Gender/Sexuality (LGBTQIA Ally), Life Transitions, Mood/Personality Disorders, Substance Use/Addictions. I also work with clients seeking personal growth, improved self-esteem, healthier relationships, and greater day-to-day functioning.

I understand how challenging these concerns can be. My goal is to create a safe, supportive, and nonjudgmental space where you feel heard, respected, and empowered in your therapeutic journey. Together, we CAN create, discover, and put to practice concrete skills that enable you to cope, grow, and make positive, sustainable change. Therapy can be challenging, but you do not have to face those challenges alone—Everyone can benefit from working with a therapist and while sometimes it may feel difficult therapy can be and IS worth the effort.

My approach to therapy

My therapeutic approach is grounded in client-centered philosophy, which means I believe therapy should be collaborative, individualized, and guided by your unique needs, goals, preferences, and readiness for change. I recognize that no single approach works for everyone, so I draw from a diverse range of evidence-based therapeutic modalities and adapt treatment to best support each individual, couple, or family.

My clinical approaches include Acceptance and Commitment Therapy (ACT), Behavioral Activation (BA), Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), Psychodynamic Therapy, Solution-Focused and Problem-Focused Therapy, Family Systems Theory, Structural Family Therapy, Strategic Family Therapy, and Play and Art Therapies. My work is also informed by an understanding of internalized oppression and the ways that personal, social, cultural, and systemic experiences can influence mental health and well-being.

I am certified as a provider of three evidence-based trauma-processing therapies: Cognitive Processing Therapy for Trauma (CPT-T), Prolonged Exposure (PE), and Written Exposure Therapy (WET).

I bring both professional clinical experience and personal understanding to my work as a therapist. My goal is not to place you into a predetermined treatment model, but to draw upon a broad range of therapeutic tools and evidence-based interventions to find what works best for you. Together, we can develop practical strategies and skills that support healing, growth, improved functioning, and meaningful change.

What you can expect from me

During our first session, my primary goal is to begin to know you and understand what brings you to therapy. I will ask questions about your current concerns, symptoms, goals, relationships, life experiences, and any previous experiences with mental health treatment.

As part of the initial intake, I will ask questions related to your emotional and physical well-being. We will discuss safety, including screening for thoughts of suicide or self-harm when appropriate. These questions are an important part of understanding your overall needs and helping to ensure that you feel safe and supported.

The first session is also an opportunity for you to learn about how I work and to ask questions about the therapeutic process. Together, we will begin identifying areas you would like to work on and develop an initial treatment plan that reflects your individual needs, preferences, strengths, and goals.

Most importantly, your first session is the beginning of a relationship. My hope is that you leave feeling that you have been genuinely heard and that we have begun creating a path forward together.

About me

  • I identify as
    Caucasian, Woman
  • My style is
    Humorous, Empowering, Challenging

Qualification and insurance

  • Years of experience
    12 years of experience
  • Training
    MA (Master of Arts) at Antioch University Seattle
  • License type
    LMFT (Licensed Marriage/Family Therapist) (Washington)
  • Licensed in
  • Insurance accepted
    Aetna, Carelon Behavioral Health, Cigna, Horizon Blue Cross and Blue Shield of New Jersey, Independence Blue Cross Pennsylvania - Virtual National Network, Premera Blue Cross Washington, Providence Health Plan, Regence BlueShield of Washington

Cost

Care details

  • Top specialties
    Substance use / addiction, Bipolar disorder, Relationship issues, PTSD
  • More specialties
    Anxiety, ADD/ADHD, Depression, Eating disorders, Sleep disorder, Family issues, LGBTQIA+, Stress management, Anger management, Panic disorders, End of life care, Grief or loss, Maternal mental health, Men's issues, Women's issues, Identity issues, Trauma, Transgender issues, Diabetes, Chronic conditions
  • Therapy methods
    Prolonged Exposure (PE), Gestalt, Solution Focused Brief Therapy (SFBT), Multi-Systemic (MST), Internal Family Systems Therapy (IFS), Psychodynamic, Structural Family, Humanistic, Art Therapy, Trauma Focused CBT, Positive Psychology, Solution Focused Couples Therapy, Strategic Family Therapy, Strength-Based, Acceptance and Commitment Therapy (ACT), Behavioral Activation (BA), Experiential, Play, Relational, Motivational Interviewing, Cognitive Behavioral Family Therapy, Psychoanalytic, Cognitive Processing (CPT)
  • Care types
    Individual therapy, Family therapy, Couples therapy, Child or adolescent therapy
  • Ages served
    Adults, Seniors, Children, Infants / Toddlers, Adolescents
  • Languages
    English