Rachael St.Claire PsyD
Licensed Psychologist
Colorado
Artist: Rachael St.Claire
Evidence-based psychotherapy that integrates behavioral science, mindfulness, and contemplative wisdom to support meaningful, lasting change
Psychotherapy for Adults Seeking Clarity, Emotional Balance, and Meaningful Change
I provide evidence-based psychotherapy for adults across the lifespan, including emerging adults, adults in midlife, and older adults. All sessions are offered through secure telehealth for clients throughout Colorado, allowing you to access compassionate, individualized care from the privacy of home.
I specialize in treating anxiety, chronic worry and rumination, OCD, depression, and the emotional challenges associated with major life transitions and chronic illness. My work supports adults seeking greater clarity, stability, and a more flexible and meaningful relationship with their inner experience.
In addition to treating specific conditions, I also work with adults who feel stuck, overwhelmed, or disconnected from what matters most. Many people describe patterns such as persistent worry, emotional reactivity, cycles of avoidance, or self-criticism that make daily life harder. Whether your suffering is clearly defined or difficult to name, therapy can help you shift these patterns, strengthen psychological flexibility, and build a more grounded and intentional way of living.
Areas Of Specialization
Anxiety Disorders & High-Functioning Anxiety
Persistent or generalized anxiety
Health anxiety
Emotional overwhelm or stress reactivity
Morning anxiety or dread
Anxiety related to aging, identity, or life transitions
OCD & Intrusive Thoughts
Harm OCD
Scrupulosity / moral OCD
Checking and reassurance-seeking
Intrusive, unwanted thoughts
Rumination-centered OCD patterns
Psychological Adjustment to Chronic Illness
Anxiety related to health changes
Emotional exhaustion and fatigue
Identity and role shifts due to illness
Managing uncertainty and medical stress
Chronic Worry, Overthinking, & Rumination
Feeling “stuck in your head”
Repetitive negative thinking
Difficulty disengaging from worry
Rumination after conversations or decisions
Worry that interferes with sleep
Depression in Adults & Older Adults
Persistent low mood or loss of interest
Depression linked to life changes or chronic illness
Morning heaviness and difficulty initiating the day
Co-occurring anxiety, worry and rumination
Sleep Disturbance Connected to Anxiety or Mood
Difficulty falling asleep due to worry
Nighttime rumination
Middle night and early morning awakening driven by anxiety or mood disruption
How I approach my work with clients
My work is grounded in the scientist–practitioner model and evidence‑based psychotherapy. I bring honesty, compassion and directness to a collaborative exploration of thoughts, emotions, and behavioral patterns, integrating proven behavioral therapies with mindfulness and wisdom traditions to help you build a flexible, purposeful life.
Process-Based Therapy (PBT)
Process-Based Therapy is a modern, highly personalized form of psychotherapy that goes beyond simply treating symptoms or “labels.” Instead of relying on a one-size-fits-all treatment protocol, PBT helps us understand how your anxiety, low mood, rumination, or intrusive thoughts work together within the larger story of your life.
Together, we map the patterns, habits, and emotional processes that keep you feeling stuck and identify the most impactful places to create change. This approach is especially helpful for people who have tried therapy before and didn’t get the results they hoped for.
PBT is active, collaborative, and deeply tailored to you—not just to a diagnosis. Our goal is to strengthen the skills that help you adapt to stress, navigate challenges with more confidence, and build a life that feels grounded, meaningful, and aligned with your values.
Evidence‑Based Therapeutic Approaches
In my work as a psychologist, I draw from a range of evidence‑based approaches to meet you where you are. Different tools resonate with different people at different times; by blending these modalities thoughtfully, we can address your unique challenges and strengths. Below are some of the primary therapeutic lenses I use and how they might help you.
Acceptance and Commitment Therapy (ACT)
ACT helps you cultivate psychological flexibility so you can respond more skillfully to distressing thoughts and feelings. Rather than trying to fight or suppress your internal experiences, you learn to notice them with openness and to anchor yourself in what truly matters to you. This approach combines mindfulness strategies with values‑based action, so you spend less energy struggling and more energy moving toward a meaningful life. It’s especially helpful for anxiety, chronic worry, and perfectionism.
Cognitive Behavioral Therapy (CBT)
CBT is a structured, goal‑oriented therapy that examines the relationships between your thoughts, behaviors, and emotions. By identifying patterns that keep you stuck—such as catastrophic thinking or avoidance behaviors—you gain tools to challenge and change them. Together we develop practical strategies for shifting unhelpful thoughts and building healthier habits. CBT has a strong evidence base for treating anxiety disorders, depression, OCD, and stress‑related problems.
Exposure and Response Prevention
ERP is a specialized form of cognitive behavioral therapy designed to treat obsessive‑compulsive disorder and related anxiety conditions. In a safe, gradual manner, you’re guided to face feared thoughts, images, or situations while resisting the urge to perform compulsive rituals. This process retrains your brain to tolerate uncertainty and reduces the anxiety that drives obsessions and compulsions. ERP has strong research support and is considered a gold‑standard treatment for OCD and certain phobias.
Mindfulness-Based Cognitive Therapy (MBCT)
MBCT weaves together cognitive therapy techniques and mindfulness practices to interrupt cycles of worry, rumination, and depressive thinking. You’ll learn to observe thoughts and feelings with curiosity rather than getting swept away by them. This increased awareness helps you recognize early warning signs of anxiety or mood shifts and respond with compassion. MBCT is particularly effective for preventing relapse in recurrent depression and for reducing chronic stress.
Dialectical Behavior Therapy (DBT)
DBT teaches four core skills—mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness—to help you navigate intense emotions and challenging relationships. It provides concrete tools for calming your body, understanding your feelings, and communicating more clearly. DBT encourages both acceptance of where you are and commitment to change, which can be especially powerful for people who feel emotionally reactive or overwhelmed. Research supports its use for mood disorders, impulsivity, and self‑destructive patterns.
Mindfulness-Based Interventions
Mindfulness‑based interventions cultivate present‑moment awareness and compassionate attention. Through guided practices, you develop the ability to observe thoughts, sensations, and emotions without judgment, which reduces reactivity and fosters stability. These skills can be integrated into any therapy to help manage stress, anxiety, and mood swings. Practicing mindfulness supports greater self‑compassion and helps you respond rather than react to life’s challenges.
Buddhist‑Informed Psychotherapy
Buddhist‑informed psychotherapy integrates principles from early Buddhist wisdom—such as impermanence, compassion, insight, and non‑identification—with contemporary psychological science. This approach offers a deeper understanding of how suffering arises and provides practical tools for cultivating clarity, intention, and wise action in daily life. It complements evidence‑based methods by inviting a more spacious and flexible relationship with your inner experience. Many clients find that incorporating these teachings helps them move beyond symptom relief toward a more mindful and meaningful way of living.
As Tsong Khapa wrote more than six centuries ago:
The human body at peace with itself,
is more precious than the rarest gem.
Cherish your body, it is yours for this one time only.
The human form is won with difficulty, it is easy to lose.
All worldly things are brief, like lightning in the sky;
this life you must know, as the splash of a raindrop;
a thing of beauty that disappears, even as it comes into being.
Therefore, set your goal,
make use of every day and night to achieve it.
— Tsong Khapa (1357–1419)