Rachel Vohnoutka, LPC SAC PMH-C
Telehealth Counseling Services in the state of Wisconsin
About Me
Many people I work with feel overwhelmed by anxiety, stress, or depression while trying to keep everything together on the outside. You may struggle with perfectionism, self-criticism, or coping habits—like substance use or emotional avoidance—that once helped but no longer feel sustainable. Therapy can be a place to slow down, understand these patterns, and build healthier ways of coping. I’m here to help you find a new path forward.I am a dually licensed therapist with over 10 years of experience providing mental health and substance abuse counseling in Wisconsin. My expertise lies in helping people overcome depression and anxiety, and navigate major life transitions including college stress, early career pressures, and the complexities of pregnancy or postpartum adjustment.My approach is collaborative, practical, and grounded in evidence-based therapies including cognitive behavior therapy (CBT, ERP), dialectical behavior therapy (DBT), and mindfulness-based approaches (such as ACT). Together we’ll develop tools to help you manage stress, cope with difficult emotions, and create a more balanced, meaningful life.
Areas of Specialization
I specialize in helping adults navigate anxiety, depression, perfectionism, chronic stress, and major life transitions. I also have specialized experience working with substance use concerns and with individuals navigating pregnancy, postpartum, and other periods of significant adjustment. I also enjoy working with college students and young adults as they navigate the challenges of school, relationships, early careers, and developing a greater sense of identity and direction.
Frequently Asked Questions
Do you offer in-person or virtual therapy?I provide secure telehealth (virtual) counseling to adults throughout Wisconsin, including clients in the Milwaukee, Waukesha, Madison, and surrounding areas.Who do you work with?I work with adults experiencing concerns such as anxiety, depression, perfectionism, chronic stress, substance use, and life transitions. I also have specialized experience working with pregnancy, postpartum, and perinatal mental health concerns.What can I expect from an initial therapy session?The first session is an opportunity for us to get to know one another, discuss what brought you to therapy, and identify what you would like to work on. We’ll also talk about your history and what you’re hoping to get out of therapy. Most importantly, it’s a chance for you to decide whether I feel like the right fit for you.How often will we meet?Most clients begin with weekly or every other week sessions, although the frequency can vary depending on your needs and goals. As therapy progresses, we can adjust the frequency together.How long are therapy sessions?Standard individual therapy sessions are 53 minutes.Is therapy confidential?Yes. Information shared during therapy is generally confidential and protected by law, with limited exceptions required by law or related to safety. I’ll review confidentiality and its limits with you at the beginning of treatment.How do I get started?The first step is to reach out through the contact form below or via email. We can set up a free consultation call to discuss whether we would be a good fit. If so, we’ll schedule an initial appointment.
Insurance
I am in-network with several insurance plans, including Blue Cross Blue Shield, United Healthcare/Optum, Dean, Quartz, Aetna, Cigna, and Ascension. Insurance coverage varies by plan, so I recommend confirming your specific mental health benefits with your insurance company before beginning treatment.If I am not in-network with your insurance plan, you may still be able to use out-of-network benefits or pay a cash rate per session.
Schedule a Consultation
To set up a free 15 minute video consultation, please fill out this form or email me at [email protected]. It is helpful to include your general availability and the name of your insurance (if you're planning to utilize benefits). Thank you!