Meet Rafaella Smith-Fiallo

Licensed Clinical Social Worker, Missouri License #: 2018000981; Nevada License #: 8279-C

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Rafaella Smith-Fiallo (she/ella)

Rafaella is a trauma therapist and sex therapist specializing in EMDR therapy, Internal Family Systems (IFS), somatic therapy, and relational healing. Her work supports individuals and couples in moving beyond insight alone to create deep, embodied change in how they experience themselves, their relationships, and their sexuality.

She works with people navigating the long-term impacts of trauma, including childhood and attachment wounds, sexual trauma, shame, anxiety, disconnection from the body, and challenges with intimacy, desire, and identity. Therapy with Rafaella is a space to slow down, explore patterns at their root, and build new internal and relational experiences grounded in safety, agency, and self-trust.

Rafaella offers both weekly therapy and therapy intensives for clients seeking more focused, in-depth trauma work. Intensives provide extended time to engage EMDR, parts work (IFS), and somatic processing in a way that supports meaningful shifts in a shorter period of time.

Clients often seek support to:

• Process childhood, complex, and relational trauma

• Reconnect with pleasure, desire, and embodiment

• Work through sexual trauma and shame

• Deepen intimacy and improve relationship patterns

• Explore sexual identity, gender, and sexuality without judgment

• Process religious, cultural, and familial messaging about sex, worth, and the body

• Build more authentic, secure, and self-connected ways of living and relating

Her approach is integrative and grounded in trauma-informed care, EMDR, IFS (parts work), somatic experiencing principles, and relational therapy. While the modalities guide the work, the focus is always on helping clients feel more connected, resourced, and able to move through life with greater freedom and ease.

Rafaella believes healing is not about rushing or fixing but creating the conditions for something new to emerge.

Specialty areas

• Trauma (childhood, developmental, complex PTSD)

• Attachment and relational trauma

• Sexual trauma, shame, and intimacy concerns

• LGBTQIA+ identity and sexuality exploration

• Relationship challenges and repair

Modalities/approaches

• EMDR

• Couple and relationship therapy

• IFS (Parts Work)

• Somatic therapy

• Sex therapy

Certifications/Licensure

• Licensed Clinical Social Worker (LCSW) - Missouri & Nevada

• Certified Sexuality Educator (CSE)

• Certified Sex Therapist (CST)

Book a free 15 minute consultation and let's see if we're a good fit.

Book a consultation

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Enjoy self-help resources?

Check out my 52-Week Journal for Couples!

Or listen to our podcast, Soft Landing: A Gentle Space for Self-Discovery, where we cover topics ranging from relationships, sex, and trauma.

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More from Rafaella: Destined To Do This Work

“While I don’t identify as a healer of anyone but myself, learning the meaning of my name years ago shaped how I understand this work: deeply personal, relational, and ongoing.”

Rafaella means “God has healed”. A name that has shaped her understanding of this work as both personal and relational: a practice of returning to yourself over time.

With over a decade of experience in trauma-informed and healing-centered spaces, her work has always centered one core theme: helping people reconnect with themselves, their bodies, and their capacity for pleasure, connection, and change. Her approach is collaborative and clinically grounded, focused on helping clients create new meaning and paths.

Schedule a consultation with Rafaella to explore whether this work is the right fit for what you’re looking for.

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