top of page

Therapy & Coaching Services

Areas of Specialization

  • Relationship and attachment issues

  • Trauma: childhood, adult, systemic, intergenerational, sexual assault, domestic and intimate partner violence

  • LGBTQ+ Identity

  • Health at Every Size, chronic illness and pain, disability, and body-based oppression

  • Somatic (body-based) healing and mindfulness

  • Parts-work

  • Sex work and kink-affirming

My Approach

I specialize in working with issues of complex and adulthood trauma, LGBTQ+ populations, and expansive sexualities such as polyamory/non-monogamy, kink/BDSM, and sex work. I and neurodiversity-affirming, fat-friendly and body-neutral, and passionate about working affirmatively with those affected by disability, chronic illness, and chronic pain.

I approach therapy and coaching from a holistic and trauma-informed lens, utilizing somatic (body-based), parts-work, and relational modalities. In relationship therapy, I bring in elements of Imago Relationship Therapy and Emotionally Focused Therapy for couples. Read more about my approach to couples therapy here. I am trained in Trauma-Informed Stabilization Treatment (TIST)
 with Janina Fisher and Sensorimotor Psychotherapy. I earned my Master's in Social Work from the Silberman School of Social Work at Hunter College.

I also believe that forms of social oppression such as racism, sexism, ableism, heterosexism, cissexism, and so on, operate as traumas and stressors as well and thus, are of concern as barriers to wellness. My work is grounded in the principles of non-judgment, positive regard, harm reduction, and compassion. 

I am queer, femme, non-binary, a trauma survivor, neurodiverse, and chronic pain/illness experience-identified. While I always ask permission in sessions about self-disclosure, I strongly believe that our shared humanity is essential to therapy and coaching's effectiveness. 

I am not in network with any insurance but can provide therapy clients with superbills for out of network reimbursement. I highly recommend calling the number on the back of your insurance card to confirm you have this benefit for psychotherapy. My rates (therapy and coaching) are $225 for individual sessions and $300 for couples sessions and currently, all sliding scale spots are full. If you'd like to be on a waitlist for sliding scale spots as they become available you can fill out this form

What's the difference between psychotherapy and coaching?

​1. Coaches do not diagnose or treat any mental health conditions. If we work together as coach & client, I am not your therapist or your social worker, although I can bring my education and training into the session.
2. Coaching clients cannot use or be reimbursed by th
eir health insurance companies for session fees.
3. Coaching often focuses on skills education and practice and can be more solution and action-oriented than psychotherapy. Coaching often also lends itself to more time-bound
(rather than ongoing) arrangements.


Does this sound like a good fit for your healing journey? Reach out to me to set up a free 30 minute phone consultation!

Thanks for reaching out!

Rachel Harlich is a member of The Embody Lab somatic therapy learning community and therapist directory.
Rachel Harlich is trained in Sensorimotor Psychotherapy, and brings this somatic trauma and attachment-focused lens and skillset into her individual and couples therapy and coaching sessions, in NYC, NY state, and internationally.
Rachel Harlich is a kink-aware psychotherapist who works with BDSM clients in affirming ways.
Rachel Harlich is a polyamory and non-monogamy friendly psychotherapist and coach.
bottom of page