If you’re over 40, you probably are not new to trying to understand yourself. You may have told your story, learned how to cope, and spent years appearing functional—and still feel overwhelmed, hopeless, disconnected, or simply not okay. Maybe therapy has failed before. Maybe you are not convinced it can help now. That does not make you a difficult client. It may make you exactly the kind of client Rachel works best with.
Rachel specializes in complex trauma, dissociation and DID, suicidal thoughts, sexual abuse, and attachment wounds that do not resolve through insight or willpower alone. Using DBR, Trauma Model Therapy, and Ego State Therapy, she works with trauma where it is held in the brain, body, and nervous system. When requested, she can also weave Christian faith, prayer, and spiritual-warfare principles into therapy naturally and without religious pressure.
Henry, Rachel’s dog Henry joins her in sessions. Clients often joke that they come to see Henry and Rachel is the bonus therapist.
You do not need to relate to everything. One familiar experience may be enough to keep exploring.
You have told your story, gained insight, learned coping skills, and tried to understand why you feel this way. You may have talked circles around previous therapists or become skilled at explaining your pain without anything underneath it actually changing.
You may compare your history to other people’s trauma, minimize what happened, or feel as though you have not suffered enough to deserve specialized help. Yet your body, relationships, and sense of self continue to carry the effects.
Dissociation may leave you feeling unreal, far away, floaty, emotionally numb, or disconnected from your body. Different parts of you may hold conflicting feelings, memories, needs, or ways of functioning that are difficult to explain.
You may carry suicidal thoughts, hopelessness, or the exhausting sense that no one can fully understand what is happening inside you. You do not necessarily want your life to end. You may desperately want the pain, pressure, or aloneness to stop.
Narcissistic abuse, betrayal, attachment wounds, or life with an alcoholic may have left you questioning your perceptions, worth, and ability to trust. You want more than help managing the relationship—you want to heal what it changed inside you.
Military service, law enforcement, or other high-stakes work may have required you to remain capable while carrying things few people understand. You want a therapist who can tolerate the full story, speak directly, and respect the strength it took to survive.
What it feels like to work with Rachel
Rachel is not a passive therapist. She pays close attention, tracks what is happening in real time, and is willing to say what needs to be said. She can sit with dissociation, suicidal thoughts, profound aloneness, and experiences that feel unspeakable without becoming frightened, distant, or unsure what to do next.
Her style is confident, direct, relational, and often surprisingly warm. She uses truth and humor without minimizing pain, and she brings hope without asking you to manufacture it for yourself. Rachel will challenge you when challenge serves the work—but she will not push your nervous system faster than it can safely go.
Rachel believes trust is something a therapist earns. She does not assume that her title, training, or confidence automatically makes her safe. Instead, she works to understand how you experience the relationship and pays attention to the subtle moments when you move toward connection, brace for harm, disappear internally, or expect to be misunderstood.
Many of Rachel’s clients are intelligent, self-aware, and skilled at explaining themselves. They may have talked around previous therapists or learned how to analyze their trauma without ever reaching the place where it is still held. Rachel notices when insight becomes a way to stay distant from the work and helps bring attention back to what is happening beneath the words.
This is deep therapy, but deep does not mean forceful or endlessly reliving the past. Rachel works intentionally and respects the limits of your system. Her goal is not to keep you in therapy forever or help you remain functional enough. Her goal is to help resolve what continues to haunt you so that you can get better, reclaim your life, and eventually leave therapy.
Specialized areas of focus
Complex trauma is rarely contained within one memory. It may involve years of abuse, neglect, fear, exploitation, humiliation, betrayal, or relational instability—often beginning before you had the language or power to understand what was happening. Survival responses can then become woven into the way you experience your body, relationships, identity, and the world around you.
You may already understand your history intellectually and still find yourself overwhelmed by shame, terror, grief, rage, mistrust, or the belief that you were somehow responsible. Rachel works beyond insight alone, using DBR, Trauma Model Therapy, Ego State Therapy, and somatic tracking to reach the levels where trauma continues to be held.
Deep trauma work does not require forcing you to recount every detail or relive the worst experiences of your life. Rachel follows what your nervous system can tolerate, helping clear unresolved shock and emotional pain while strengthening your capacity for connection, agency, and a life that is no longer organized around survival.
Dissociation can appear as emotional numbness, lost time, derealization, depersonalization, dizziness, feeling floaty, or the sense that you are observing your life from far away. For some people, experience becomes organized into distinct parts or identity states that hold different memories, emotions, beliefs, roles, and ways of functioning.
These responses are not evidence that you are broken. They reflect the intelligence of a mind and nervous system that found a way to survive what could not be fully experienced at the time. Rachel understands dissociation as an adaptive response and approaches every part of the system with respect, curiosity, and care.
Using specialized trauma and dissociation training, Rachel helps clients build internal communication, reduce conflict between parts, increase continuity and choice, and process trauma without overwhelming the system. The goal is not to eliminate parts that protected you, but to help the whole system experience greater safety, cooperation, and freedom.
Suicidal thoughts do not always mean that you want your life to end. Sometimes they express an urgent need for the pain, pressure, shame, or aloneness to stop. You may feel frightened by the thoughts, accustomed to living with them, or hesitant to tell a therapist because you are afraid of being judged, overreacted to, or treated like a problem to manage.
Rachel does not flinch from conversations about suicide. She meets them directly, calmly, and relationally, working to understand what the thoughts mean within the context of your trauma and your life. She takes safety seriously without reducing you to a risk assessment or losing sight of the person carrying the pain.
Therapy explores what has made death feel like relief while also working with the trauma, attachment wounds, and nervous system states beneath the hopelessness. When you cannot access hope for yourself, Rachel is willing to hold it with you until something begins to shift.
Being raised by, partnered with, or deeply connected to an alcoholic or narcissistic person can gradually change how you experience yourself. You may have learned to monitor someone else’s mood, question your perceptions, accept blame, suppress your needs, or work relentlessly to preserve a connection that never felt reliably safe.
Even after the relationship changes or ends, your body may continue anticipating conflict, rejection, abandonment, or emotional withdrawal. You may understand that the dynamic was harmful and still feel attached, responsible, guilty, or unsure whether you are allowed to trust your own experience.
Rachel helps clients understand the attachment and survival patterns these relationships created while addressing the deeper wounds beneath them. Therapy supports stronger boundaries, restored agency, greater trust in your perceptions, and healing from the belief that love must require abandoning yourself.
A deeper look at the work
Trauma rarely stays confined to one symptom or part of life. Explore the areas below for a fuller sense of the clients Rachel understands particularly well and the patterns her work can help address.
Trauma does not expire because many years have passed. You may have spent decades raising a family, working, caring for others, or simply doing what was necessary to keep moving. Now that life is quieter or changing, memories, emotions, and questions you once pushed aside may be asking for attention.
You may wonder whether it is too late to heal, whether revisiting the past will accomplish anything, or whether you should simply be grateful and leave things alone. Rachel has a particular heart for adults 65 and older and does not believe age disqualifies anyone from meaningful change.
Therapy can help resolve old trauma without erasing the strength and wisdom that helped you survive. The goal is not to spend your remaining years analyzing the past. It is to reduce the power the past still holds so there is more room for peace, connection, agency, and joy now.
High-stakes service can require you to act decisively, compartmentalize emotion, remain vigilant, and continue functioning after experiences that would overwhelm many people. Those abilities may have protected you and others, yet they can become difficult to turn off when the shift, deployment, or career ends.
You may carry traumatic images, moral injury, survivor guilt, anger, emotional numbness, isolation, sleep disturbance, or a nervous system that never fully stands down. You may also be reluctant to explain your world to a therapist who has not earned your respect or cannot tolerate the full reality of what you have seen.
Rachel brings a direct, confident approach that respects competence without confusing it with invulnerability. She does not require you to translate every experience into softer language. Therapy focuses on helping the brain and body process what remains unresolved while protecting your dignity, privacy, identity, and sense of agency.
Organized abuse and coercive systems can disrupt a person’s ability to trust memory, perception, relationships, and even their own mind. Control may have been maintained through secrecy, threats, exploitation, spiritual manipulation, isolation, punishment, or the demand that loyalty matter more than truth.
Survivors may carry fragmented memories, dissociation, internal conflict, conditioned fear, shame, or experiences that seem impossible to explain. You may have learned that speaking would make you unbelievable, unsafe, disloyal, or responsible for what happened next.
Rachel understands that this work requires patience, discernment, and a therapist who will neither dismiss your experience nor impose an explanation onto it. Therapy focuses on strengthening internal safety, reality orientation, agency, and communication while carefully addressing trauma at a pace the whole system can tolerate.
Emotional intensity is often treated as though it is the problem rather than a response with a history. You may feel deeply attached and suddenly terrified of rejection, move between needing connection and pushing it away, or use self-harm to regulate pain that feels impossible to express or contain.
A borderline personality diagnosis can carry significant stigma. Rachel does not approach clients as manipulative, attention-seeking, or inherently difficult. She looks beneath the pattern for attachment injury, trauma, dissociation, fear, and the nervous-system responses that make relationships and emotions feel so urgent.
Therapy combines honesty, accountability, and compassion. Rachel helps clients understand the roots of their reactions, tolerate difficult states without abandoning themselves, communicate more directly, and build relationships that do not have to be organized around crisis, fear, or the expectation of being left.
You may be intelligent, capable, successful, and deeply self-aware while still feeling fundamentally inadequate. Praise may not land. Accomplishments may provide only brief relief. You may work harder, care for everyone else, or continually improve yourself without ever reaching the point where you feel acceptable.
Trauma and attachment wounds can create beliefs about worth long before the thinking brain is able to evaluate them. Rejection, humiliation, neglect, abuse, or chronic misattunement may leave the nervous system expecting that belonging must be earned and that being fully known will eventually lead to abandonment.
Rachel helps clients work beneath positive affirmations and intellectual reassurance to address where shame is actually held. Therapy supports a more coherent identity, greater tolerance for being seen, and the growing recognition that your value does not depend on remaining useful, impressive, invisible, or easy to love.
You may have worked hard in therapy and still feel stuck. Perhaps you understand exactly why you struggle but cannot stop the reaction. Maybe you learned useful coping skills, yet those tools disappear when your nervous system is overwhelmed. Or you may have spent sessions retelling painful experiences without reaching the place where anything actually changed.
This does not necessarily mean that you failed therapy or that healing is impossible. The approach may not have reached the level where your trauma is held. Some wounds cannot be reasoned away because they are rooted in the body, deep brain, attachment system, and protective organization of the mind.
Rachel uses DBR, Trauma Model Therapy, and Ego State Therapy to work at these different levels. She does not start from the assumption that you need to tell the story again. She starts by paying attention to what remains unresolved and choosing an approach capable of helping it move.
Professional details
Review Rachel’s education, advanced trauma training, clinical approaches, client fit, and practical session information.
Rachel is independently licensed and has extensive specialized training and clinical experience in complex trauma, dissociation, Dissociative Identity Disorder, attachment injury, sexual abuse, and suicidal thoughts. She is also the founder and owner of Joshua Tree Counseling. Her Arizona license remains registered under her former last name, Rachel Lohrman.
Rachel works with trauma at multiple levels rather than relying on one model for every client. Her primary approaches are Deep Brain Reorienting, Trauma Model Therapy, and Ego State Therapy. Together, these methods address trauma held in the deep brain and body, the beliefs and attachment patterns shaped by experience, and the parts of the self that developed to survive.
Although Rachel’s work is highly specialized, sessions do not need to feel technical or clinical. Much of the time, it may feel like you are talking with someone who is tracking what is happening beneath the words and helping clear the toxic residue trauma left in your body and nervous system.
Rachel continues to participate in advanced consultation focused on Deep Brain Reorienting and its integration with body-based and relational trauma treatment. Her clinical development is ongoing because complex trauma and dissociation require more than basic trauma training.
Christian trauma therapy with Rachel
When Christian faith is important to you, Rachel can weave prayer, Scripture, biblical truth, identity in Christ, and spiritual-warfare principles naturally into the trauma-healing process. She does not use faith to bypass pain, offer shallow answers, or pressure you into a predetermined conclusion. Christian counseling is included only when you request it; clients of every faith background receive the same skilled, compassionate, and respectful trauma care.
Rachel begins with your preferences rather than assumptions. Some clients want Christian faith to be openly present throughout trauma therapy. Others want prayer, Scripture, or spiritual reflection included only when it connects naturally with a particular memory, conflict, belief, or moment in the healing process.
Depending on what feels meaningful to you, therapy may include conversations about identity in Christ, truth and lies, forgiveness, discernment, spiritual authority, grief, purpose, attachment to God, or the ways trauma has affected your ability to experience safety, trust, and belonging.
Faith integration does not replace Rachel’s clinical approach. It becomes part of the work alongside DBR, Trauma Model Therapy, Ego State Therapy, nervous-system tracking, and specialized treatment for complex trauma and dissociation.
Trauma can affect far more than memory. It may alter your sense of identity, your relationship with your body, your capacity to trust, and your understanding of where God was when painful experiences occurred. You may believe Christian truth intellectually while feeling abandoned, contaminated, unprotected, ashamed, or unreachable at a much deeper level.
Rachel does not assume that quoting the right verse will resolve what your nervous system still carries. She helps clients notice the difference between what they consciously believe and what wounded parts of them have come to expect from God, themselves, and other people.
Christian trauma therapy can create room for those conflicts to be named honestly. Psychological and spiritual healing are allowed to work together without treating either one as unreal, unnecessary, or sufficient on its own.
When requested, Rachel can work from a Christian spiritual-warfare framework grounded in the biblical story: human beings are created as image bearers of God, the Fall introduced real evil and suffering into the world, and Christ has already overcome the darkness.
This perspective recognizes that trauma may involve both psychological injury and a spiritual struggle around identity, truth, freedom, hope, and belonging. Therapy may explore the lies trauma taught you, the truth of who you are, and the ways fear, shame, secrecy, or coercion have attempted to keep you disconnected from yourself, other people, and God.
Spiritual warfare is never used to intensify fear, blame you for symptoms, label every psychological experience as demonic, or replace careful clinical treatment. Rachel approaches this work thoughtfully, collaboratively, and without sensationalism.
Survivors are sometimes pressured to forgive quickly, remain in harmful relationships, stop feeling angry, or treat reconciliation as proof of spiritual maturity. Rachel does not use Christian language to silence pain, excuse abuse, or require you to restore access to someone who has repeatedly harmed you.
When forgiveness becomes part of the work, it can be explored honestly and carefully. Forgiveness does not require denial, immediate trust, the absence of consequences, or the removal of necessary boundaries. Truth and responsibility still matter.
Rachel helps clients distinguish conviction from toxic shame, responsibility from false guilt, and reconciliation from compelled relationship. Faith can support greater freedom without demanding that you abandon yourself again.
You are welcome to speak honestly about harm caused by Christians, churches, leaders, or religious systems. Rachel will not defend an institution at your expense, minimize spiritual abuse, or assume that your questions represent a failure of faith.
Trauma connected to coercive religion, spiritual manipulation, misuse of authority, or betrayal by trusted leaders may affect your relationship with God as well as your ability to feel safe in Christian community. Those injuries deserve to be understood without pressure to return to a particular church, belief, or practice.
You may bring anger, grief, doubt, confusion, faith, or the absence of faith into the room. Rachel’s role is not to control the conclusion. It is to help you understand what happened and support healing with integrity.
You can ask for direct Christian counseling, request a bold spiritual-warfare perspective, include prayer or Scripture only when relevant, or keep therapy entirely clinically focused. Your preferences may change as the work unfolds.
Rachel can move comfortably between psychological, neurological, relational, and spiritual language without requiring you to engage every framework. Faith integration should support the work you came to do, not become an agenda placed over it.
If Christianity is not your faith structure, you do not need to protect yourself from hidden religious pressure. Rachel offers the same direct, relational, highly specialized trauma therapy to clients from every background and walk of life.
Rachel, in a few words
Henry is Rachel’s 75-pound black-and-white therapy dog, gentle giant, and deeply bonded companion. He sits quietly with clients while they work through experiences that may be difficult—or sometimes impossible—to put into words. His steady breathing, enormous head resting on a leg, and complete lack of concern about whether anyone is doing therapy correctly often bring a different kind of safety into the room.
Outside the office, Rachel enjoys long walks with Henry, reading and writing, creating cozy spaces, and continuing to learn about the intricate brain and nervous system God designed. She loves old bookshops with creaky floors, ominous monsoon skies, and being outside early enough to watch the first light enter the desert.
Rachel was born and raised in Tucson and remains closely connected to her parents and three sisters, who all live nearby. Her three children, given to her through adoption, are grown now, and she is also a grandmother. Horses were a meaningful part of her life for many years, and she is finding her way back to running.
The desert is home, but Ireland is the place Rachel imagines disappearing to—traveling by train through the countryside, standing along the cliffs of Kerry, wandering through Dublin, or drinking tea on the grass at Trinity College.
How therapy may unfold
Begin with what is happening now. Rachel works to earn your trust, understand how your system protects you, and create a relationship where you feel met rather than analyzed. You do not need to complete a massive intake or retell every traumatic experience before meaningful work can begin.
Move beneath explanation alone. Rachel uses DBR, Trauma Model Therapy, Ego State Therapy, and real-time nervous-system tracking to work with unresolved shock, attachment pain, trauma-shaped beliefs, and protective parts without forcing you to relive what overwhelmed you.
As the trauma carries less charge, you can respond from the present instead of repeating old survival patterns. Rachel helps you strengthen boundaries, trust your perceptions, experience greater internal cooperation, and build a life no longer organized around fear, shame, or survival.
Trauma therapy is more like an archaeological excavation than digging for treasure: soft brushes, time, and layers—not a shovel, haste, or brute force.
Maybe this time can be different
Maybe therapy has failed before. Maybe you have told the story, learned the coping skills, and become very good at explaining why you are still stuck. Rachel will not ask you to spend years circling the same material or force you to relive what your system worked so hard to survive. You can bring your skepticism, your questions, and the parts of your experience that have been difficult for anyone else to understand. Rachel will meet you directly, work with what is actually happening beneath the words, and help you move toward a life with more agency, connection, peace, and room for joy. Her goal is not to keep you in therapy forever. It is to help you get better and get back to living.
We use cookies to improve your experience on our site. By using our site, you consent to cookies.
Manage your cookie preferences below:
Essential cookies enable basic functions and are necessary for the proper function of the website.
These cookies are needed for adding comments on this website.
Google reCAPTCHA helps protect websites from spam and abuse by verifying user interactions through challenges.
Statistics cookies collect information anonymously. This information helps us understand how visitors use our website.
Google Analytics is a powerful tool that tracks and analyzes website traffic for informed marketing decisions.
Service URL: policies.google.com (opens in a new window)
