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RN Portrait of Rochelle Nakoa

Rochelle Nakoa

Dedicated LCSW guiding practical, relational healing

LCSW Missouri

Experience
13 years in practice
Focus areas
Addictions, Family, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages
English

About Rochelle

Rochelle Nakoa is an LCSW based in Missouri who focuses on a wide range of concerns including addictions, trauma and abuse, family and relationship struggles, mood and anxiety disorders, grief, and challenges related to intimacy and self-esteem.

Background and approach

With 13 years of clinical experience, she brings background working with hospice patients and families, military and veteran readjustment, substance use and relationship issues within active military settings, and mental health care inside correctional facilities. Those roles contributed to a depth of experience with sexual trauma and intimate partner violence.

Her style centers on collaboration and helping people clarify what matters most to them. Rochelle draws on cognitive behavioral techniques to identify and shift unhelpful thoughts and behaviors, and she integrates client-centered and attachment-informed approaches to strengthen self-understanding and relationships.

Her work often combines practical coping strategies with reflective exploration so clients can address current problems while building long-term resilience. Rochelle accepts international clients and offers multiple remote session formats to fit different needs.

She holds a Missouri LCSW (MO LCSW 2012013818) and aims to meet clients where they are while supporting meaningful change over time.

How therapeutic approaches translate to online care

Rochelle commonly uses Cognitive Behavioral Therapy to help clients identify patterns of thinking and behavior that contribute to distress and to develop practical strategies for change. CBT often targets issues like anxiety, depression, and coping with life stressors by teaching skills for managing thoughts and reactions.

She also incorporates Attachment-Based and Client-Centered approaches to explore relational patterns and strengthen a sense of self. Attachment-informed work focuses on how early and current relationships shape expectations and responses, which can be useful for healing trauma, intimacy challenges, and communication problems. Client-Centered methods emphasize empathy, validation, and collaboration to create a respectful space for clients to identify their goals.

Finding the right approach is a collaborative process: Rochelle will work with clients to determine which methods best fit their needs, goals, and preferences and may blend strategies over time. This collaborative planning helps tailor sessions to what feels most helpful for each person.

Online therapy through video, phone, live chat, or text-based messaging offers practical flexibility for fitting care into busy lives or for those who are not local to Missouri. These formats make it possible to maintain continuity of care, try different communication styles, and access licensed professionals from a distance while focusing on the same therapeutic goals used in face-to-face work.

Frequently asked questions

What concerns does Rochelle commonly address?
She works with a broad set of issues including addictions, trauma and abuse, family and relationship problems, depression and anxiety, grief, intimacy-related issues, and challenges like ADHD and compassion fatigue.
What is her therapeutic style and approach?
Rochelle blends client-centered listening with cognitive behavioral techniques and attachment-informed work to combine practical skills with exploration of underlying relational patterns.
How much clinical experience does she have?
She has 13 years of professional experience, including work in hospice, military and veteran readjustment, and correctional mental health settings.
What credentials and location should I know about?
She is an LCSW licensed in Missouri with license number MO LCSW 2012013818 and practices from that state.
Are sessions available in languages other than English or internationally?
Sessions are offered in English, and she is able to accept international clients.
Which session formats does she offer?
Rochelle provides video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How are costs and payment handled for sessions?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What is the first step to begin therapy with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to her availability.

Areas of expertise

Primary focus

AddictionsFamily conflictsTrauma and abuseCareer difficultiesDepression

Also works with

Stress, AnxietyLGBTRelationship issuesGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFertility issuesFirst responder issuesForgivenessGuilt and shameHearing impairedHIV / AIDSHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismPanic disorder and panic attacksParanoiaPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyGottman MethodMindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

13+ years

Licensed

Missouri

Languages

English