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RH Portrait of Rachel Horn

Rachel Horn

Collaborative, practical care for life changes

LCSW California

Experience
4 years in practice
Focus areas
LGBT, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Rachel

About Rachel

Rachel Horn is an LCSW who brings four years of professional clinical experience to her work in California. She uses a respectful, sensitive, and compassionate stance while tailoring conversations and care plans to the unique needs of each person who seeks support.

Background and approach

Her background includes working with stress and anxiety, LGBT-related concerns, coping with life changes, relationship and intimacy issues, addictions, trauma and abuse, parenting, and depression among other areas. Rachel favors evidence-informed methods such as Cognitive Behavioral Therapy alongside acceptance and client-centered approaches, and she integrates motivational interviewing and solution-focused techniques when appropriate.

She frames therapy as a collaborative process that asks clients to identify goals and build practical skills for day-to-day life. Those who choose to work with her can expect an emphasis on empowerment, clear communication, and a focus on concrete strategies that align with each client’s priorities.

Sessions are offered through multiple online formats to fit different schedules and preferences, and practical steps are provided to begin the matching and scheduling process.

Practical therapeutic approaches for online care

Rachel often draws on Cognitive Behavioral Therapy to help clients identify and shift unhelpful thoughts and behaviors, which can reduce distress and build concrete coping skills for anxiety, depression, and stress-related concerns. She also uses Acceptance and Commitment Therapy to support people in clarifying values and learning to accept difficult feelings while committing to meaningful action. Client-Centered Therapy underpins her approach as well, emphasizing empathy, nonjudgmental listening, and tailoring the pace of work to each person’s needs.

Finding the right approach is a collaborative process. The therapist works with clients to explore which methods best match their goals, preferences, and life circumstances, and adjusts techniques over time to ensure the work stays relevant and practical.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and comfort levels. These formats make it easier to maintain continuity of care, fit sessions into busy lives, and choose the communication style that feels most useful for the work at hand.

Frequently asked questions

What kinds of concerns does she address?
She works with a broad range of issues including stress, anxiety, depression, LGBT-related concerns, relationship and intimacy matters, addictions, trauma and abuse, parenting challenges, and coping with life transitions.
How would you describe her therapeutic style?
Her style is compassionate and client-centered, blending practical skill-building with acceptance and goal-focused techniques to meet each person where they are.
How much clinical experience does she have?
She has four years of professional experience working in clinical settings prior to her current online practice.
What credentials and location should I know about?
She holds the LCSW credential and practices in California; her licensure details include NC LCSW C017241 and TX LCSW 39716.
Are sessions available in other languages or to international clients?
She offers services in English and is not currently accepting international clients.
Which session formats are offered?
Clients can work with her via video calls, phone sessions, live chat, or text-based messaging to accommodate different needs and schedules.
How are fees and payment handled?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist’s availability.

Areas of expertise

Primary focus

LGBTRelationship issuesFamily conflictsSelf esteemCoping with life changes

Also works with

Stress, AnxietyAddictionsTrauma and abuseIntimacy-related issuesParenting issuesDepressionCoaching

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFertility issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMulticultural concernsPolyamory / non-monogamous relationshipsPostpartum depressionPregnancy and childbirthProcess addiction (porn, exercise, gambling)Self-loveSexualityWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

4+ years

Licensed

Texas, California, Massachusetts, North Carolina

Languages

English