Rachel Caudillo (she/her)

Depression may not always look like sadness, tearfulness and sleeping all day. Often times, my clients are surprised to learn that irritability, sleep difficulties, anger and with older adults, memory impairments ("Masked Depression") are also common depressive symptoms. Depression can be situational and a normal response to loss. However, problemmatic when prolonged and impacting our work, life quality, relationships and self-care. The good news is that depression is treatable!

Anxiety is likely the top reason people have come to me for therapy. Anxiety and panic can be scary and often feel like a medical emergency. In my work with individuals experiencing uncontrollable symptoms (examples include heart-racing, sweaty palms, dry mouth, blurry vision, feeling light-headed and even fainting), I have found Cognitive Behavioral Therapy (CBT) and relaxation strategies to be effective in the prevention of future panic attacks.

I have extensive experience working long-term with adult and aging medically fragile and end-life patients residing in acute care and skilled nursing facilities. I currently provide individual therapy in multiple local area skilled nursing facilities. Additionally I provide collateral support to family members, caregivers, nurses, facility staff and community support partners in an effort to best support the individual patient.

Early in my career, I facilitated an Anger Management psychoeducational group for adults experiencing difficulty expressing and experiencing anger. I have learned that for many, anger has been viewed as a problem. Anger is a normal emotion that when expressed appropriately can bring about personal growth. Communication is the key. In my work with individuals, we look at anger and it's expression and presentation in our lives, and how to manage and model the appropriate expression.

Narrative Therapy is a model of telling one's lived experiences in a format that promotes growth and resiliency. I find this modality best used with the older adult population. I received training and education in this therapy modality in graduate school and frequently use it in my daily therapy work with individuals.

Cognitive Behavioral Therapy (CBT) is an effective treatment and evidenced based practice modality extremely effective in reducing common mental health symptoms associated with anxiety and depression in a short time frame. I was trained and educated in the provision of CBT and trauma-focused CBT (TF-CBT) in my extensive work in the mental health field over the past 25 years. I have completed several trainings in the use of CBT.

Early in my career I facilitated a psycho-educational anger management group for adults experiencing difficulties managing and expressing anger. The key is communication. Together I have worked with individuals in therapy to explore this emotion's presentation and impact in their lives, and together identify opportunities to improve the expression of this emotion in a healthy way to thereby improve interpersonal relationships and promote emotional stability and self-esteem.

Narrative Therapy is a modality involving the telling of one's lived experiences in a means to promote insight, resiliency and growth. It is extremely impactful in my therapy with older adults. I received training in this modality during my graduate school education and use it quite regularly and appreciate it's efficacy in promoting symptom relief and improved positive focus.