Rachael

Rachael Lastoff

Psychotherapist

“An unbiased listener providing reflective and direct feedback to help you gain clarity and insight.”

About Me

I offer a calm, unbiased space where you can truly be heard. Through careful listening and thoughtful questions, I provide both reflective and direct feedback. This process helps you untangle complex feelings and gain fresh clarity. If you are seeking deeper insight, our sessions can guide you to understand yourself better and find a way forward.

Approach

I balance attentive listening with targeted, sometimes direct questions that help you notice patterns that keep you stuck. In my Asheville office and through secure online sessions in English, we move at a steady, collaborative pace—sometimes slowing to track sensations and memories, other times mapping decisions and small experiments between appointments. Expect a blend of reflective noticing, mindfulness practices, and coaching-style tasks tailored to trauma, identity shifts, eating concerns, and relationship work. This way of working often fits adults and couples seeking practical insight and steady support.
Contact Rachael

Ask a quick question or arrange a time to meet.

Basic Information

In-person & Online

Services

Services Offered:

  • Coaching

    A goal-oriented practice focused on identifying objectives, overcoming obstacles, and taking action, centred on the present and future rather than past difficulties.

  • Counseling

    A form of talk therapy providing a safe, confidential space to explore feelings, thoughts, and behaviours with a trained professional.

    Learn more about Counseling
  • Mindfulness

    The practice of paying deliberate attention to the present moment without judgement, used to reduce stress and increase awareness of automatic reactions.

    Learn more about Mindfulness
  • Online Therapy

    Therapy sessions conducted over video call, phone, or secure messaging, using the same professional methods delivered remotely.

    Learn more about Online Therapy
  • Psychoanalysis

    An in-depth therapy that explores unconscious patterns, early experiences, and inner conflicts to produce lasting psychological change, typically involving frequent sessions.

    Learn more about Psychoanalysis
  • Individual Therapy

    One-on-one therapy sessions between a client and a therapist, focused on that person's specific concerns and goals.

    Learn more about Individual Therapy
  • Therapy

    Professional treatment for mental health concerns, providing a structured space for insight, emotional processing, and behavioural change.

    Learn more about Therapy
  • Relationship Counseling

    Counselling for couples or partners focused on improving communication, rebuilding trust, and strengthening emotional connection.

Works With:

  • Adults
  • Couples
  • Individuals

Area of Expertise

Scope of Practice:

  • Abuse

    Emotional, physical, or sexual mistreatment by another person that causes lasting psychological harm and disrupts a person's sense of safety.

  • Life Transitions

    Major life changes, such as relocation, retirement, parenthood, or career shifts, that disrupt routine and require psychological adjustment.

    Learn more about Life Transitions
  • Eating Disorders

    A group of conditions, including anorexia, bulimia, and binge eating, involving disturbed eating behaviours and a distorted relationship with food and body image.

    Learn more about Eating Disorders
  • LGBTQI+ Support

    The unique psychological experiences of LGBTQI+ individuals, including identity exploration, coming out, discrimination, minority stress, and relationship dynamics.

  • Identity Issues

    A person's sense of who they are, including their values, beliefs, roles, and self-perception, and the distress that arises when this sense is unclear, fragmented, or negative.

  • Online Therapy

    Therapy sessions conducted over video call, phone, or secure messaging, using the same professional methods delivered remotely.

    Learn more about Online Therapy
  • Relationship Issues

    Difficulties in romantic relationships, including communication problems, trust breakdowns, conflict patterns, or uncertainty about the relationship's future.

    Learn more about Relationship Issues
  • Trauma Therapy

    Therapeutic approaches specifically designed to help people process and recover from traumatic experiences.

    Learn more about Trauma Therapy

Professional Title:

  • Psychotherapist

    A professional trained to provide in-depth therapy that explores patterns in thoughts, emotions, and relationships to produce lasting change.

Credentials

Registrations

State of North Carolina

Licensed Professional Counselor

State of Kentucky

Licensed Marriage and Family Therapist; Professional Clinical Counselor

State of Ohio Counselor; Social Worker and Marriage and Family Therapist Board

Licensed Marriage and Family Therapist; Professional Clinical Counselor

Qualifications

Rivier University

Service Areas

Life Informed Therapy

In-person & Online

Downtown

Asheville, Kentucky

United States