- Stress and anxiety
- Trauma and abuse
- Guilt and shame
About Deborah
Deborah 'Rachel' Friedman is an Ohio LISW with 32 years of professional experience. She helps people who are facing stress, anxiety, trauma and abuse, grief, depression, and issues related to LGBT identity. She also works with concerns such as control issues, forgiveness, guilt and shame, and isolation.
Rachel treats people as the experts on their own lives. She focuses on practical steps and clear conversation. Sessions look at what is happening now and what can be changed in everyday life.
Her approach draws from client-centered work, cognitive behavioral methods, mindfulness, solution-focused techniques, and trauma-focused practices. That mix supports talking through painful memories, learning new patterns, and testing small changes between sessions.
She also has experience outside clinical work as a pet and service dog trainer, including a sub-specialty in psychiatric service dogs. That background informs a practical, down-to-earth style and an interest in supports people use in daily routines.
People who come for help often want tools to manage panic, mood shifts, or the weight of guilt and shame. Rachel uses short, manageable steps and direct feedback. She encourages realistic experiments people can try between sessions.
To begin, readers should confirm session options and follow the site's booking steps. Rachel works in English and accepts international clients, and scheduling starts with the platform's matching questionnaire.
How her approaches translate to online sessions
Client-Centered Therapy focuses on the person's perspective and strengths. In practice this means sessions start with the client's concerns, and the therapist follows the client's lead to clarify goals and options. Cognitive Behavioral Therapy (CBT) looks at links between thoughts, feelings, and behavior. It includes practical exercises and small experiments that a person can try between sessions to test different ways of responding.Finding the best approach is treated as a collaborative process. The therapist and client review how techniques are working and adjust methods to match needs, goals, and preferences. That might mean leaning more on trauma-focused work for past harm, or on solution-focused steps for immediate coping strategies.
Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit sessions into everyday routines, shorten check-ins when time is limited, or allow for video or phone choices depending on what the person prefers. The therapist will discuss practical arrangements and scheduling once the matching questionnaire has been completed.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
32+ years
Listed in
Ohio
Languages
English
Frequently asked questions
What kinds of problems does she address?
She works with stress, anxiety, trauma and abuse, grief, depression, and LGBT related concerns, along with issues like guilt and shame, control problems, and isolation.
How would she approach shame or guilt in sessions?
She uses client-centered conversation alongside cognitive behavioral and trauma-focused techniques to name feelings, test beliefs, and practice different responses in daily life.
How much clinical experience does she have?
She has 32 years of professional work experience as an Ohio LISW.
What is her credential and where is she based?
She is an LISW licensed in Ohio.
In which language are sessions conducted?
Sessions are offered in English.
Can people outside the United States work with her?
She accepts international clients; confirm any cross-border details when scheduling.
How are fees and payments handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What are the first steps to start working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.