Now scheduling new clients! Virtually and in-person at 462 N Taylor Ave Suite B2, St. Louis, MO 63108. Call us: 314-414-4700 or Choose your provider!

Hey, I'm Rafaella
she/ella, LCSW, CSE, CST
I’m the founder and director of Healing Exchange, and while I’m not currently seeing therapy clients, I remain deeply engaged in the heart of the work. My clinical focus centers on the intersections of trauma, sexuality, and relationships, and I specialize in supporting people as they reconnect with themselves and with others in more authentic, pleasurable, and liberatory ways.
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I’m trained in EMDR, IFS, CPT, and somatic-based practices, and I integrate these modalities into my consultation work with clinicians, educators, and organizations. Whether through clinical consultations, professional development trainings, or speaking engagements, I’m passionate about reshaping how we understand healing -- centering justice, embodiment, and radical care in every space I’m part of.
Offerings
Here are the services that Rafaella offers:
Individual Therapy
Individual support while navigating a variety of concerns.
Relationship Therapy
Reconnection and enhancing intimacy in all of your relationships.
Education & Speaking
Reflection, insight, and humor wrapped into a clear message.
Clinical Consultation
Bring your clinical questions, I'd love to support you!
Specialty Areas
Childhood trauma and attachment, sexual trauma and abuse across the lifespan, sexual pleasure and orgasm difficulties, relational betrayal, lgbtqia+ identity exploration, non-monogamy, kink/BDSM
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My Approach​
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Internal Family Systems (IFS)
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Eye-Movement Desensitization Reprocessing (EMDR)
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Cognitive Processing Therapy (CPT)
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Cognitive Behavioral Therapy (CBT)
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Gottman Method Couples Therapy
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Dialectical Behavioral Therapy (DBT)
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Somatic Experiencing (SE)
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Bibliotherapy
Ages
Individuals 18+
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Rates
$225+
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Insurance
Anthem, BCBS, Optum, UHC






