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Kristi Rachal

Kristi Rachal, LCSW

Louisiana

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Licensed Clinical Social Worker - Addictions and Life changes

  • CBT techniques
  • Solution-focused work
  • Mindfulness therapy

About Kristi

Kristi Rachal is a Licensed Clinical Social Worker (LCSW) with 23 years of practice in Louisiana. She works with people facing addictions, depression, anxiety, relationship and family issues, grief, parenting stress, career uncertainty, ADHD, and questions about intimacy and LGBT concerns. Kristi also addresses compassion fatigue, bipolar disorder, and coping with life changes.

Her background includes work in prisons, hospitals, private practice, home health, and hospice. She has experience with veterans, active duty military, sex offender treatment, anger management, and addictions counseling. In private practice she has worked with individuals and couples and has supported people navigating blended family dynamics and caregiver stress.

Kristi’s style is informal and direct. She favors a solution-focused way of working and uses Cognitive Behavioral Therapy techniques to help people notice and change unhelpful thinking patterns. Mindfulness practices are part of her approach when they fit a person’s needs.

Sessions typically focus on concrete skills and steps. Clients can expect discussion of practical coping strategies, behavior changes, and ways to manage stress, anger, or addictive patterns. She emphasizes accountability alongside developing new habits.

Her experience also covers sensitive topics such as BDSM and kink culture, infidelity, hospice and end-of-life concerns, and first responder stress. People looking for straightforward, goal-oriented work around life direction or difficult transitions may find this approach helpful.

How her approaches translate to online work

Kristi uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try different behaviors. CBT focuses on practical steps and small experiments to reduce anxiety, improve mood, or change addictive patterns.

She also draws on Mindfulness Therapy to teach simple attention and grounding practices. Mindfulness can help with stress, anger management, and staying present when emotions feel intense. Her solution-focused approach narrows sessions to achievable goals and clear next steps so progress can be tracked week to week.

Choosing the right approach is collaborative. She will work with each person to decide which methods fit their goals and preferences, adjusting techniques as needs change. That discussion is part of the first sessions rather than a one-time decision.

Confirm current session options before booking so you know how she is offering sessions at the moment. Online work can make it easier to fit therapy into a busy week, allow for shorter check-ins when needed, and remove travel time. Some approaches translate well to brief video or phone conversations, and practical CBT exercises can be done between sessions to reinforce progress.

Areas of expertise

Also works with

Stress, AnxietyLGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

BDSM, kink, and alternative sex cultureBlended family issuesCaregiver issues and stressCodependencyCommunication problemsControl issuesDivorce and separationDrug and alcohol addictionFamily problemsFirst responder issuesForgivenessHospice and end-of-life counselingInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesParanoiaPolyamory / non-monogamous relationshipsSelf-loveSexualityWomen's issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Mindfulness TherapySolution-Focused Therapy

Experience

23+ years

Listed in

Louisiana, Oregon

Languages

English

Frequently asked questions

What kinds of concerns does she help with?

She works with addictions, depression, anxiety, relationship and family problems, grief, parenting stress, career questions, ADHD, and many intimacy or sexuality-related issues.

How does she approach feeling stuck or directionless?

Her work is solution-focused and practical. She uses Cognitive Behavioral Therapy and mindfulness tools to identify patterns and test small changes.

How much clinical experience does she have?

She has 23 years of experience working in prisons, hospitals, home health, hospice, and private practice.

What credential does she hold and where does she practice?

She is a Licensed Clinical Social Worker (LCSW) practicing in Louisiana.

Can I work with her if English is not my first language?

Sessions are offered in English.

Does she see international clients?

She does not accept international clients at this time.

How are sessions billed and what does cost look like?

Cost varies with location and sessions use a subscription that can be canceled at any time.

What do I need to do to begin working with her?

Click the See online therapy options button, complete a short matching questionnaire, and schedule your first session.

Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.

Kristi RachalLCSW

Continue with Kristi