Rachel LaFleur (She/her)

I have been practicing ACT since 2017. I ground treatment in ACT, though I often fold in other treatments as appropriate. ACT places an emphasis on what matters to the person I am working with, helping them to gain a further sense of direction, while also guiding them through a process of exploring and learning to cope with the challenging thoughts, feelings, and experiences that show up when living meaningfully and purposefully.

My clinical training and daily practice are consistent with a CBT approach. CBT is an "umbrella" of treatment approaches. Under this umbrella, I also specialize in behavioral parent training, a treatment that supports parents in turning their daily interactions with their child into therapeutic ones, and Infererence-Based CBT, which an OCD-specific treatment that targets faulty reasoning and obsessional doubt.

Exposure therapy is about facing discomfort, often in the service of doing what matters. If this sounds like ACT based on my description above, that makes sense; these treatments pair well with one another. Exposure therapy, often called Exposure and Response Prevention (ERP), is a process of transforming one's relationship with discomfort and avoidance. It can be done very systematically or more organically, and ACT helps dive deeper into managing the thoughts and feelings that show up.

We specialize in Behavioral Parent Training. Weekly appointments are used to discuss and practice treatment techniques, which parents then utilize on a daily basis at home and in the community. Because treatment is happening on an ongoing basis, during critical moments, and in more natural environments, treatment is often faster and more effective as compared to other, common child treatments.

Young child treatment is specialized work that can help parents manage defiance, anxiety, meltdowns, sleep, or even toileting. Appointments are used to discuss and practice treatment techniques, which parents then utilize on a daily basis at home and in the community. Because treatment is happening on an ongoing basis, during critical moments, and in more natural environments, treatment is often faster and more effective as compared to other, common child treatments.

We specialize in Behavioral Parent Training. Weekly appointments are used to discuss and practice treatment techniques, which parents then utilize on a daily basis at home and in the community. Because treatment is happening on an ongoing basis, during critical moments, and in more natural environments, treatment is often faster and more effective as compared to other, common child treatments. For young children I treat everything from tantrums and separation anxiety to toileting and sleep.

I specialize in Behavioral Parent Training. Weekly appointments are used to discuss and practice treatment techniques, which parents then utilize on a daily basis at home and in the community. Because treatment is happening on an ongoing basis, during critical moments, and in more natural environments, treatment is often faster and more effective as compared to other, common child treatments. For young children, I treat everything from tantrums and separation anxiety to toileting and sleep.

I individualize treatment using several frameworks. Acceptance and Commitment Therapy (ACT) helps clients to stay connected with their reasons for treating their OCD and to gain skills in managing discomfort. Exposure therapy (ERP) provides a technical framework for when and how to practice tolerating discomfort. Inference-Based Cognitive Behavioral Therapy (I-CBT), a fairly new treatment, addresses some of the faulty beliefs that underly the disorder and does not involve exposure.

It's exciting when I am working with someone and they share their excitement in my understanding of the nuances around their anxiety symptoms. I enjoy providing solutions that are both technical and practical. As appropriate, I sometimes borrow from my lived experience to share relevant examples to facilitate your understanding of the tools we'll explore as you learn to manage your own anxiety or support a child or loved one in managing theirs.

My lived and professional experience with anxiety help me to readily spot it and understand its nuances, provide practical solutions, and, as appropriate, provide relevant examples to facilitate your understanding of the tools we'll explore as you learn to manage your own anxiety or support a child or loved one in managing theirs.

My lived and professional experience with anxiety help me to readily spot it and understand its nuances, provide practical solutions, and, as appropriate, provide relevant examples to facilitate your understanding of the tools we'll explore as you learn to manage your own anxiety or support a child or loved one in managing theirs.

My lived and professional experience with anxiety help me to readily spot it and understand its nuances, provide practical solutions, and, as appropriate, provide relevant examples to facilitate your understanding of the tools we'll explore as you learn to manage your own anxiety or support a child or loved one in managing theirs.