Rachel Dore O’Desky specializes in helping those struggling with body image, exercise, self-esteem, and/or relationships with food. She also supports those who have achieved recovery but are worried about slipping back into old behaviors or allowing overwhelming emotions to get in the way of day-to-day activities.
What would your clients and colleagues say is your therapist superpower?
I am a Super-feeler. I feel things on a deep and intense level and tend to feel the emotions of those around me. From body language, the flick of an eyebrow, to the tone of voice, I sense it and understand it instantly. I’m, therefore, unapologetically authentic in my own emotional experience and expression, and that helps me build rapport with my clients because I “get it,” and my clients can see that too.
Being a super-feeler helps me validate the emotions in the room so I can walk through them with you. We’re in it together. I’m literally right alongside you, feeling what you feel and coaching you through it.
What does a typical session with you look like?
My approach to therapy is collaborative, compassionate, highly individualized, and evidence-based. My sessions are often delivered in a modular fashion, so consistent sessions are key.
We’ll always start with the question, “What’s new or different since the last time I saw you?” I always ask this question because we always end our sessions with goals and action items for the week and I want to know how that went and what outcomes are worth reporting.
We will talk about hard things, and I may challenge you to do hard things, but I’ll be doing so with the utmost empathy and respect. Together, we will optimize the work so that it’s tolerable and to ensure disturbing material is addressed in brief sequential doses.
The ultimate outcome is that you will become an expert on your own emotional patterns and learn how to break free from the cycles that are no longer serving you.
What is your specialty and how do you treat it?
I am a Certified Eating Disorders Specialist (CEDS). I take a multi-disciplinary approach: I work closely with Physicians, Dietitians, Psychiatrists, and any other providers to ensure a comprehensive treatment experience.
Eating Disorders can best be described as emotional disorders. I integrate evidence-based change principles into the treatment planning process. I use an eclectic blend of cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), and exposure with response prevention (ERP).
The treatment experience begins with skill-building and enhancing motivation for change, and increased emotional awareness, which leads to improved distress tolerance, improved cognitive flexibility, and consistent use of coping skills to prevent relapse.
I’m also trained in eye movement destination and reprocessing therapy (EMDR), a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences. This may also be part of the treatment plan, when appropriate.
Rachel Dore O’Desky is a Certified Eating Disorders Specialist and an EMDR-trained clinician. She promotes transformation using evidence-informed treatment modalities. With over a decade of experience in the field of Eating Disorders and treating co-occurring conditions, Rachel has the clinical expertise and professional experience to help you live the life you deserve.
Short Term (Solution-focused, etc.)
Ideal for those who are coming in with a specific problem they’d like to address and gain clarity on. Typically, short term therapies are present focused and do not dive deep into your past.
Structured therapies are goal and progress oriented. Therapists may incorporate psychoeducation and a specific “curriculum.” In order to stay on track, therapists may provide worksheets and homework.
Insight-oriented (Psychodynamic, Existential, etc.)
Exploring the past and making connections to present issues can help clients gain insight. Getting to the root of the issue and finding deeper self-awareness can help with long-term change.
Non-directive (Humanistic, Person-centered, etc.)
Going with the flow and seeing where it leads.
Behavioral (CBT, DBT, etc.)
Focuses on changing potentially unhealthy or self-destructive behaviors by addressing problematic thought patterns and specific providing coping skills.
Trauma Focused (EMDR, TF-CBT, etc.)
Recognizing the connection between trauma experiences and your emotional and behavioral responses, trauma focused therapy seeks to help you heal from traumas.