About Rochelle
Rochelle Nakoa is an LCSW based in Missouri who helps people managing anxiety alongside a wide range of life challenges. She draws on 13 years of experience to support people facing stress, depression, relationship struggles, grief, addiction, and trauma. Rochelle aims to make therapy straightforward and practical for everyday life.
She favors an approach that centers the person and their goals. Sessions focus on clear steps clients can try between meetings, like tracking thoughts, practicing new ways to communicate, and organizing feelings on paper.
Background and approach
Rochelle often combines talk-based work with tools from cognitive behavioral methods and attachment-focused thinking to tackle patterns that keep people stuck. Her background includes work with hospice patients, veterans, and people in correctional settings. Those roles shaped how she listens for themes like loss, adjustment, and the fallout from trauma.
She also has experience supporting concerns around substance use and intimate partner violence. Rochelle uses a calm, nonjudgmental style in sessions. She encourages clients to name what matters to them and to take small, manageable steps toward change.
The goal is to reduce overwhelm and build confidence in handling everyday problems. Clients can expect practical skill-building alongside space to tell their story. Rochelle works with people on issues such as parenting strain, caregiving stress, sleep and eating problems, identity and relationship questions, and navigating major life transitions.
How Rochelle’s Approaches Work Online
Rochelle often draws on client-centered work and cognitive behavioral techniques when meeting online. Client-centered therapy focuses on listening and reflecting so people can name their values and goals; it helps with confidence, self-understanding, and big life decisions. Cognitive behavioral therapy (CBT) looks at thoughts and behaviors and offers concrete exercises to change unhelpful patterns, which can be useful for anxiety, sleep problems, and mood shifts.Finding the right approach is part of the work together. Rochelle will ask about your goals and preferences, and then suggest a mix of methods that suit your situation. This is a collaborative process and adjustments are made as progress and needs become clearer.
Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexibility. Video is useful for longer sessions and exercises that benefit from visual cues. Phone sessions can be a good fit when bandwidth is limited or a client prefers not to be on camera. Live chat or text messaging work well for brief check-ins, homework support, or shorter coaching-style contact between sessions. These options make it easier to fit therapy into busy days and to keep momentum between appointments.
Questions people ask
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What this therapist works with
Most often
- Addictions
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 13 years
- Licensed
- Missouri
- Languages
- English
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