Rachel Sirek

My work is informed by both clinical training and lived experience. My background in crisis and outpatient care across hospitals, jails, homes, and community settings, along with two terms of service in AmeriCorps, shaped my understanding of systemic inequities and what showing up for someone truly means.

Growing up neurodivergent and navigating systems that fell short of supporting me is why I'm passionate about helping others understand their own brains. Common ADHD topics like sensory gating, working memory, pattern recognition, sensory filtering, and time-driven productivity are things many of us haven't been taught about. Because of that, people with ADHD often feel isolated or misunderstood.

Neurodivergence includes ADHD, autism, dyslexia, sensory processing differences, learning disabilities, and other ways of thinking and experiencing the world. It isn’t something that needs to be fixed, it's part of human diversity. Therapy can help you better understand your brain, reduce self-criticism, and find approaches that fit how you operate. I especially enjoy supporting clients with ADHD to better understand executive functioning, emotions, and their sense of identity.

I work with a wide range of concerns, including bipolar disorder, anger, anxiety, depression, relationship challenges, life transitions, stress, trauma, and PTSD. I also have experience with more complex presentations, such as borderline personality disorder, narcissistic traits, antisocial traits, and psychosis/schizophrenia.

I have a big, Maine Coon cat named Moose who occasionally makes an appearance on camera. I love camping in the mountains, running, watching true crime, and snacks.

I love science, and we use that in session to help us better understand what’s happening with your brain, emotions, behaviors, and patterns.

We use what works, explore what comes up, and build tools that actually make sense for your life.

I also show up as me in the room. I have processing differences and may write things down while you’re talking so I can fully take in what you’re saying. My ADHD shows up too — I might move around a lot on screen or laugh and say I had an ADHD moment. Therapy is a space where we both get to be human.

Our first session is usually a little more structured because we’ll complete the intake process and gather the information needed for insurance, as well as learn more about your background, goals, and what brings you to therapy.

After that, we get to be our weird selves and start exploring what’s showing up for you -whether that’s something from your week, patterns you’ve noticed, emotions, relationships, or just trying to better understand yourself. We’ll talk about how your brain works, how neurodivergence may impact your experiences, and what approaches feel supportive for you.

Therapy doesn’t have to look one specific way here. Feel free to move around, stim, take breaks, and show up as yourself. All animals are welcome in session too.