Welcome. I am an Attachment based, psychoanalytic therapist. I specialize in the treatment of trauma, chronic pain, anxiety, and depression. I received my bachelor's degree from Colby Sawyer College in arts-management and my master's degree in psychology from Antioch University, New England. With over 25 years of experience I have come to understand that healing and growth are highly individual. Pain is the ultimate thief. When in emotional or physical pain, we are in effect, trapped in our body. It robs us of our energy, joy, and passion. Pain creates stress which worsens the pain and it becomes a vicious cycle. In PTSD and trauma, the brain never rests due to hypervigilence and fear. The sense of self and identity developes in a fear based, activated environment of fight or flight. Feelings are hyperintense and the traumatized self becomes frozen in the past often seeking intensity in order to feel "alive". The good news is that due to neuroplasticity, the brain possesses an innate ability to regenerate and create new neural pathways. A sense of safety is the foundation for true healing to occur. I foster a secure attachment and safe place for clients to heal at the core level. The key is to move beyond unconscious conflicts, and negative patterns that are keeping you stuck. This will free you to embrace the present with a sense of joy and rise above the pain. It is about going forward one small step at a time.

It was not until I recovered from a backbreaking horse fall several years ago that I discovered this powerful healing capacity within myself. I was compelled to share my solution for overcoming pain and anxiety with others. We will collaborate to find the best approach for YOU. You are the ultimate expert on yourself. You know yourself and your needs better than anyone else. I will help you reconnect to your own truth and learn to trust your instincts. I will take your lead as we go at your pace. I am trained as a classical, analytic therapist but have integrated my knowledge of neuroscience, and cognitive behavioral therapy into my work and believe in a balance between insight and action. My love of horses, animals and art have shaped who I have become, allowing me a unique blend of ingredients to bring to the table. In the gallery below are paintings I did during my recovery as I discovered a solution for overcoming pain and obstacles.

It would be a priviledge as well as a pleasure to partner with you on your healing path as you discover your own passions and talents along the way. Depending upon the individual, equine-related psychotherapy with horses may be appropriate (on a limited basis) to augment regular therapeutic sessions for clients who prefer this modality.

SERVICES

I treat the following issues:

Anxiety

depression

past trauma

addictions or addictive behaviours

adjustment to life stages

grief and loss

family, parenting, dynamics

harmful habits/feeling stuck

personal empowerment

women's issues

men's issues

issues of aging, elderly

divorce

personal empowerment

MY FEE IS $180. PER HOUR- (I do offer a sliding scale on a case by case basis)

I ALSO ACCEPT THE FOLLOWING INSURANCE PLANS:

Blue Cross and Blue Shield

United

UMR

Optum

Aetna

Tricare

NC State health Plan

I offer telehealth and in person therapy

DISCLOSURES

LCMHC ProfessionalDisclosure Statement

RachelSydney Garfield, MA. LCMHC

Office: 919-522-2976

E:mail: garfield.rachel@gmail.com

Qualifications

Antioch University New England, MA- CounselingPsychology- 1994

Fielding Graduate University.
Rachel Sydney Garfield, the licensee, is a licensed clinicalmental health counselor in North Carolina and her license number is 5398.
Rachel Sydney Garfield has 25 years of professionalcounseling experience.

Counseling Background

Rachel Sydney Garfield has worked with a diverse clientelefrom all racial and socioeconomic backgrounds (adults and adolescents.) She has experience with a wide range of issues including past trauma, chronic pain and illness,
addictions, depression, anxiety, and psychosis.
Rachel Sydney Garfield offers services in psychodynamic“talk” psychotherapy. Her theoretical orientation is psychoanalytic (object-relations,and attachment-based.) She incorporates elements of cognitive-behavioral theory
(CBT) and the use of sports related metaphors when appropriate. Rachel Sydney
Garfield’s area of competence is in depth, talk-therapy with the goal of achieving
a balance between insight and action. The focus of psychoanalytic therapy is to
resolve unconscious conflicts that have manifested as symptoms in the present.
Resolving past conflicts and reenactments may allow the client to gain insight,
raise self-esteem, heal losses, achieve goals, and move forward with a greater sense
of peace in the future.

Session Fees and Length of Service

Rachel Sydney Garfield holds 60-minute talk-therapy sessions.The fee is based on a sliding scale and ranges from $100.00 to $180.00 per
session based on income and ability to pay. You agree to pay_______per session.

Rachel Sydney Garfield accepts payment methods which includechecks and cash. She also accepts reimbursement from third parties such as insurance companies. All copayments are due at the time of session.

Use of Diagnosis

Some health insurance companies will reimburse clients forcounseling services, and some will not. It is important to note that most
insurance companies will require a diagnosis of a mental health condition and
indicate that you must have an “illness” before reimbursement. Some conditions
do not qualify for reimbursement. If a qualifying diagnosis is appropriate, you
will be informed prior to submitting it to the insurance company. The diagnosis
will become a permanent part of your record.

All client materials and charts are kept confidential. All communication will be part of the clinical record and accessible to you upon
request. I will keep confidential anything you say as part of the counselingrelationship with the following exceptions: (a) you direct me in writing to disclose information to someone else, (b)it is determined you are a danger to yourself
or others, including child or elder abuse, or (c) I am court ordered to
disclose information.

Complaints

Although clients are encouraged to discuss any concerns withme, you may file a complaint against me with the organization below should you feel I am in violation of any of these codes of ethics. I abide by the ACA code
of ethics. http://www.counseling.org/Resources/aca-code-of-ethics.pdf

NorthCarolina Board of Licensed Clinical Mental Health Counselors
P.O. BOX 77819
Greensboro, NC 27417

Phone: 844-622-3572 or336-217-6007

Fax: 336-217-9450

E-mail: Complaints@ncblcmhc.org

Acceptance of terms

We agree to these terms and will abide by these guidelines.

Client:________________________________ Date:__________

Counselor:____________________________ Date:___________