LMHC, 15 years of experience
New to Grow
Rachel Spiller is a Licensed Mental Health Counselor with 14 years of experience in the field of mental health counseling, treating both adult and adolescent clients diagnosed with a multitude of psychiatric disorders including bipolar disorder, schizophrenia, major depressive disorder, substance use disorder, and many others. She is passionate about helping clients build a life worth living. Rachel utilizes evidence-based techniques to support clients in building self-esteem and gaining coping skills as they learn to manage depression, anxiety, ADHD, and life transitions. Real change starts with small changes every day. Rachel looks forward to supporting you as you build your self-esteem, identify pathways of change, and look to add greater fulfillment to your life. If you are ready to learn how to optimize your strengths and live a more mindful life, schedule an appointment with her today!
In the first session, I will listen as you share what is most important to you and the changes that you want to see through the therapeutic process. I want to get to know you. I want to accomplish learning about you as a client, and also giving you a general idea of how our sessions will be structured.
I’m compassionate and open minded to all. I take a nonjudgmental stance with all of my clients and encourage them to express themselves at any pace they feel comfortable. I am solution focused and support my clients learning skills and building strengths that make a positive impact on their lives.
I work best with clients who welcome honesty provided with humor and warmth. Every client is in a different state of readiness, and I am prepared to meet you where you are in the moment. I encourage clients to be open minded and ready for change.
I work with clients to support challenging negative thoughts. Client's are often trapped in their negative thoughts and unable to escape or recognize that these are based on feelings rather than facts. CBT techniques can support a clearing of the thought process as well as decrease the depression and anxiety that can be associated with these thoughts.
Clients that struggle with depression, anxiety, mood dysregulation, substance use disorder and many other psychiatric concerns can benefit from DBT in order to learn appropriate coping skills to manage daily life stresses. The concept of DBT involves 3 mind states: Emotional, Reasonable and Wise. Clients are encouraged to combine the emotional and reasonable in order to be balanced in the wise mind. There are 4 subcategories: Interpersonal Effectiveness, Distress Tolerance, Emotional Regulation, and Mindfulness. The coping skills within those 4 subcategories are designed to help the client achieve the wise mind.
At times in our lives, our current actions do not align with our goals for the life we want to live. As a clinician I support the client in being honest with themselves and beginning to recognize if their behaviors are helping or hurting their goals. I join with the client to support them achieving their desired goals and finding the small steps and goals on the way.
Clients are very often not-mindful as it is easy to find yourself doing more than one thing at a time. We are watching TV while scrolling on the phone; having a conversation while thinking about what we will eat for dinner later; driving while focused on an incident that previously occurred or one that may occur in the future. Mindfulness is a tool that can support staying in the moment and fully experiencing the circumstances occurring. Meditation, deep breathing, and yoga are some examples of mindfulness but other activities can be mindful including: knitting, golf, drawing, etc. Any activity that helps the mind remain focused and still can be considered a mindful activity.
I worked in a residential facility for 12 years and ran groups on an almost daily. Group therapy can be useful in addition to individual therapy as it allows for others to connect with others and experience empathy for others who may be experiencing the same or similar circumstances. Additionally providing support for others can provide emotional growth for the individual providing the support.