Rachael Lustfeldt, LCSW, CSW

Rachael Lustfeldt is a licensed clinical social worker in Georgia who helps people manage stress, anxiety, grief, depression, and big life changes. She focuses on practical steps that people can use right away. Rachael emphasizes strengths people already have and offers steady support through hard moments.

She prefers straightforward, collaborative work. Sessions look at patterns that keep problems going and build alternative ways of coping. Rachael uses structured tools alongside conversation so people leave with things to try between sessions.

Rachael draws on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and narrative approaches to match methods to each person's needs. That means addressing unhelpful thoughts, clarifying values, and reshaping the stories people tell about themselves. She also uses solution-focused steps to set clear, short-term goals.

Her background includes more than a decade of practice and work with concerns such as caregiver stress, chronic illness and pain, hospice and end-of-life counseling, domestic violence, and isolation. She brings experience supporting people facing health-related challenges like cancer and HIV/AIDS, and those coping with first responder stress and compassion fatigue.

Rachael offers sessions in English and works with adults from Georgia. She aims to create an environment where people feel heard and can try small, doable changes that add up over time.

Approaches that fit online care

Rachael commonly uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in online sessions. CBT focuses on identifying and changing unhelpful thoughts and behaviors, which works well over video or messaging when people want concrete techniques to reduce anxiety or depression. ACT helps people clarify values and accept difficult feelings while committing to meaningful actions, useful for coping with grief, chronic illness, or life transitions.

Rachael treats treatment selection as a collaborative process. She will work with each person to figure out which approach, or combination of approaches, best matches their goals and preferences. That conversation guides whether sessions emphasize skill practice, values work, or reframing the personal story.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is helpful for deeper conversation and skill coaching, phone can be easier when bandwidth is limited, live chat supports quick check-ins, and messaging is useful for short updates or ongoing reflection. These options make it easier to fit therapy into work, caregiving, or medical schedules while keeping a steady course of care.