Rochelle Lachance, MD, LCSW-C

Rochelle Lachance is a licensed clinician with four decades of experience helping people manage stress, anxiety, depression, addiction, and grief. She listens carefully and focuses on practical steps clients can take to feel steadier. Her approach is warm and direct, aimed at real-life problem solving more than long lectures.

Rochelle trained and practiced across hospitals, outpatient programs, psychiatric units, and substance abuse treatment settings. She also has experience providing home visits for older adults and working alongside special education teams. This gives her a wide view of how problems show up in daily life.

In sessions she uses cognitive behavioral ideas to help people notice unhelpful thoughts and try different behaviors. She also uses client-centered methods to keep conversations focused on the person's goals. Emotionally-focused and Imago approaches inform how she addresses relationship themes and attachment concerns.

Rochelle combines practical problem solving with awareness-building exercises and mindfulness techniques. She helps people set small, achievable goals and track progress. When needed she draws on her knowledge of community resources to support plans made in therapy.

Her experience spans many presenting issues including intimacy concerns, anger, obsessive-compulsive patterns, hoarding, hospice and end-of-life questions, infidelity, jealousy, personality concerns, parenting stress, and coping with life changes. She practices in Maryland and conducts sessions in English.

How her approach fits with online therapy

Rochelle commonly draws on cognitive behavioral therapy to help clients identify and shift unhelpful thoughts and behaviors. CBT tends to include simple experiments, thought records, and step-by-step behavioral changes that translate well to remote sessions. She also uses client-centered methods that prioritize what the person wants to work on, keeping sessions grounded in the client's goals and pace.

Emotionally-focused work appears when relationship or attachment themes come up. EFT-style listening helps people name emotions, track patterns, and practice different ways of responding, which can be guided effectively through conversation and role-play online. Rochelle treats finding the right mix of approaches as a partnership; she will talk with each person about their goals and try methods that fit those needs and preferences.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues, phone works when bandwidth is limited, live chat suits shorter focused check-ins, and messaging supports ongoing reflection between meetings. These options make it easier to fit sessions around work, caregiving, or other responsibilities while using the therapeutic approaches described above.