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!

ABOUT ME

I'm Rafaella Smith-Fiallo
LCSW, CSE, CST, ella/she
I’m the founder and director of Healing Exchange, and while I’m not accepting new 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.
MY PRACTICE
Rafaella (she/ella) is a Licensed Clinical Social Worker, Certified Sexuality Educator, and Certified Sex Therapist who is passionate about helping people reconnect with themselves, their bodies, and their pleasure. She offers trauma-informed sex therapy rooted in care, collaboration, and liberation.
Whether you’re navigating trauma, shame, disconnection, or relationship challenges, therapy with Rafaella is a collaborative space to explore, process, and heal. She brings over a decade of experience supporting clients through grief, identity development, sexual health issues, body image concerns, relationship stress, and more.
"You deserve pleasure in all of your relationships, especially the one that you have with yourself."
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Areas of Interest
FAQs
​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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I work with: Adults
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Availability: Currently Not Accepting New Clients
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Setting: In-person and virtual options
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Insurance: Anthem/BlueCross BlueShield/United
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Rate: Individual therapy - $200; Couples therapy - $225​
