Rachael Lastoff (she, her, hers)

License information verified by TherapyDen LMHC, LPC, LPCC
Accepting Clients

Therapy with feedback, not fluff. Secular and direct, using reflection, humor, and practical tools to help you move forward with clarity.

Licensed Professional Clinical Counselor in Newport, KY

Services
  • Individual
  • Couples

About My Clients

I work well with people who want more than just a place to vent. They’re ready for honest feedback, skill-building, and real behavioral change. They reflect between sessions, are open to being challenged, and understand that growth can be uncomfortable at times. A sense of humor and a willingness to do the work go a long way here. I am sex positive, gender affirming, and work with monogamous, open, and poly relationships.

My Background and Approach

I bring over 15 years of experience as a therapist and I genuinely value watching people grow into fuller, more authentic versions of themselves. I am not a therapist who simply listens and nods. If you come to me for my experience and expertise, I will share it. Our sessions are conversational and collaborative, with direct feedback about patterns I observe and practical suggestions for change. Whether that involves reframing unhelpful thoughts or modifying behaviors, we will work together to find tools that fit you and your life. My approach is secular and grounded in evidence-based practice. I specialize in working with adults navigating trauma, relationship challenges, major life transitions, gender identity, and sexual exploration. Many of my clients are questioning long-held beliefs, redefining who they are, or working to build relationships that feel intentional and aligned.

My Personal Beliefs and Interests

I don’t believe there is one “right” way to live. We are all wired differently, shaped by different experiences, values, and identities. I believe in owning your flair and not apologizing for who you are. Therapy, to me, is about helping you build a life that feels aligned with your values — not someone else’s expectations. I was raised in a secular Jewish home, which gives me a nuanced understanding of being raised by Jewish parents and navigating cultural identity outside of a strictly religious framework. I understand the complexity of tradition, family expectations, and carving out your own path. I am a proud supporter of Planned Parenthood and you will always find free condoms, lube, dental dams, and information on abortion access and PrEP in my waiting room. I have been married for 14 years and have 3 rescue Pugs, a rescued Pomsky and 2 former feral colony cats. And in case there was still any question, I hate this Administration and look forward to this nightmare being over.

Techniques I Use

Specialties
Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Eclectic Therapy
Other Techniques
  • Attachment Theory
  • Cognitive Behavioral Therapy (CBT)
  • Couples Counseling
  • Culturally Sensitive Therapy
  • Feminist Therapy
  • Psychoanalytic
  • Psychodynamic Therapy
  • Trauma Therapy

Issues I Treat

Specialties
Gender Identity Therapy Polyamorous and Open Relationships Relationship Issues
Other Issues
  • Anxiety
  • Attachment
  • Body Image Issues
  • Depression
  • Eating Disorders
  • Family Conflict
  • Gender Identity Therapy
  • Grief or Loss
  • Historical/ Intergenerational Trauma
  • LGBTQ-Friendly Therapists
  • Marriage Counseling
  • Polyamorous and Open Relationships
  • Post Traumatic Stress Disorder (PTSD)
  • Self-Esteem
  • Sexual Abuse or Assault
  • Systemic Oppression Therapy
  • Veterans/Military Service
  • Women's Issues
I offer online counseling in the following states:
I have experience with the following
  • Agnosticism
  • Atheism
  • Judaism
  • The Satanic Temple
  • Wicca/Paganism
  • Interfaith
  • Multifaith

At A Glance

  • Experience: 18 years of practice
  • Languages: English
  • Rate: $205 - 275/session

Info

Email Rachael
515 Monmouth St
Suite 202-204
Newport, KY 41071

Reach out to Rachael