Now scheduling new clients! Virtually and in-person at 462 N. Taylor Ave, St. Louis, MO 63108. Choose your provider!
Were you taught to never air out your dirty laundry and feel exhausted from carrying it all?
While being told, "What happens in this house, stays in this house" might have been said with good intentions, it probably caused you a lot of pain, confusion, and loneliness. So where do you go to discuss all the topics you've been taught to avoid?
You're here because you're...
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Done carrying the weight of a lifetime of secrets.
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Ready to trade in years of silence and unburden yourself from shame.
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Unlearning generational patterns and learning healthier ones.
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Retiring the mask you've worn to protect yourself.
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Ready to create a life that's all your own.
The most taboo topics center the most intimate areas of our lives -- our relationships, our sexuality, and our traumas.
But the truth is...

You deserve to feel good in your relationships.
You don't have to follow the path others have led in your family or even society. You get to choose how your relationships look and to feel good in them.
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Confidence in your sexual expression is possible.
Being flooded with messages and images about who you are supposed to be as a sexual person can be confusing but it's never too late to figure it all out.
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Trauma is what happened, not who you are.
Your whole identity can shift because of trauma but reclaiming yourself and meeting new versions of yourself will be part of the healing journey.
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Begin the Exchange!
Frequently Asked Questions
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1) What are the rates?
Rates range from $135 to $225 depending on the service and the provider. Providers may have space for reduced rate clients so ask during the consultation if needed. More about our rates here.
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2) What's the difference between therapy and coaching?
Glad you asked! We have an entire blog to help, read it here.
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3) Do you accept insurance?
Rafaella is the only therapist who accepts insurance (Anthem/BCBS, Option/UHC). All other therapists are private pay and if you have out-of-network benefits, we can provide the paperwork needed for reimbursement. Coaching services are not covered by insurance.
​4) Do you accept FSA/HSA?
Yes, we do! Just inquire with your FSA/HSA administrator to confirm the specific eligibility requirements and any limitations that may apply beforehand.
5) Do you offer virtual sessions?
Yes! All therapy providers offer virtual and in-person service. Coaches only provide virtual services.
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Have another question? Contact us here!