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Kristi Rachal, LCSW

Experienced LCSW for addiction and relationships
  • CBT and mindfulness
  • Solution-focused methods
  • Accepts Louisiana clients

About Kristi Rachal

Kristi Rachal is a Licensed Clinical Social Worker (LCSW) with 23 years of direct practice across a range of settings. She has provided care in prisons, hospitals, home health and hospice, and private practice, and has substantial experience working with Veterans, active duty military members, and their families. Her clinical work has included sex offender treatment, anger management, addictions counseling, and support for LGBTQ issues, as well as care for individuals, couples, and families.

She combines a relaxed, informal manner with a focus on accountability and practical solutions. Time with Kristi is intended to feel comfortable and at ease, giving space for clients to explore concerns while also learning strategies they can use day to day. Her work emphasizes measurable change through solution-focused techniques and Cognitive Behavioral Therapy, helping people identify unhelpful thought patterns and develop coping skills to manage emotions and behaviors.

Kristi addresses a wide set of concerns including addictions, depression, anxiety, relationship and family difficulties, grief, parenting challenges, intimacy-related issues, ADHD, burnout and compassion fatigue, and first responder stress. She also offers informed, nonjudgmental support around kink, BDSM, and alternative sexual cultures. Based in Louisiana, Kristi brings decades of experience and practical tools to help clients move toward clearer goals and improved functioning.

Areas of Expertise

Also Specializes In

Stress, AnxietyLGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional Focus Areas

BDSM, kink, and alternative sex cultureBlended family issuesCaregiver issues and stressCodependencyCommunication problemsControl issuesDivorce and separationDrug and alcohol addictionFamily problemsFirst responder issuesForgivenessHospice and end-of-life counselingInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesParanoiaPolyamory / non-monogamous relationshipsSelf-loveSexualityWomen's issues

Therapeutic Approach

Cognitive Behavioral Therapy (CBT) Mindfulness Therapy Solution-Focused Therapy

Frequently Asked Questions

How much experience does Kristi Rachal have?

Kristi Rachal has 23 years of clinical experience.

Is Kristi Rachal a licensed therapist?

Yes. She holds the LCSW credential, which stands for Licensed Clinical Social Worker. Her licenses are listed as OR LCSW L15071 and LA LCSW 8246.

In which languages does Kristi Rachal provide therapy?

Kristi provides therapy in English.

Where is Kristi Rachal located?

Kristi is located in Louisiana.

How can I work with Kristi Rachal as my therapist?

You can work with Kristi through video calls, phone sessions, live chat, or text-based messaging.

Does Kristi Rachal work with international clients?

No. Kristi does not currently work with international clients.

How much does therapy with Kristi Rachal cost?

The cost of therapy can vary depending on factors such as your location and Kristi's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current pricing and plan details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick. Click the "Start Therapy" button and complete a short questionnaire that helps match you with a therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches and Online Care



Kristi uses Cognitive Behavioral Therapy to help clients recognize patterns of thinking that contribute to distress and to practice specific skills that change emotional responses and behaviors. This approach is useful for anxiety, depression, addictive behaviors, and stress-related problems. Mindfulness Therapy is offered to teach present-moment awareness and stress-reduction techniques that can improve emotional regulation and reduce reactivity in relationships and daily life. Solution-Focused Therapy guides conversations toward practical goals and small, achievable changes so clients can move forward even when time or resources are limited.

Choosing the right approach is a collaborative process. Kristi works with each person to understand their needs, goals, and preferences, then tailors techniques and pacing so the work fits the individual. Clients and therapist decide together which methods to emphasize as treatment progresses.

Online sessions through video, phone, live chat, or text-based messaging expand flexibility and make it easier to fit therapy into busy lives. These options allow licensed professionals to provide consistent, ongoing support from a distance, making it simpler to access care during major life transitions, work demands, or when in-person visits are impractical.

Ready to start therapy with Kristi Rachal?

Take the first step toward a better you.