Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW (she, her)
Verified by Psychology Today Verified by Psychology Today
Let's Connect (314) 593-2416

You may look functional on the outside but feel stuck inside, struggling with intimacy, trust, communication, or repeating relationship patterns. You might carry trauma or attachment wounds and feel emotionally overwhelmed at times. You want deeper, healthier connections without losing yourself. Your goal is healing, clarity, and relationships rooted in safety, choice, and authenticity.
We specialize in trauma-informed, relational therapy for individuals and groups. We help clients understand patterns, regulate emotions, and heal intimacy and attachment wounds through evidence-based, culturally responsive care tailored to your goals.
Starting therapy can feel vulnerable, especially if past relationships or systems didn’t feel safe. You don’t need to have everything figured out to begin. If you’re ready to explore change in a supportive, non-judgmental space, we welcome you to reach out when it feels right.
Call or Email Healing Exchange LLC now for a free 15 minute consultation - (314) 593-2416
Let's Connect (314) 593-2416

Finances
Fees
- Individual Sessions $200
- Couple Sessions $225
- Sliding scale: apply if you may be eligible
Payment Methods
American Express, Discover, Health Savings Account, Mastercard, VisaInsurance
- Out of Network
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or Email us for a free 15 minute consultation now - (314) 593-2416
Qualifications
- Verified by Psychology Today Licensed by State of Missouri / 2018000981 Rafaella Smith-Fiallo
- In Practice for 11 years
- Attended Washington University in St. Louis
- Certificate from Missouri 2018000981
- Certificate from Washington University in St. Louis Master of Social Work
Clinical Social Work/Therapist: Rafaella Smith-Fiallo
Education and Years In Practice
Additional Credentials
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or Email us for a free 15 minute consultation now - (314) 593-2416
Specialties and Expertise
Top Specialties
- Sex Therapy
- Relationship Issues
- Life Coaching
Expertise
- Body Image
- Coping Skills
- Emotional Disturbance
- LGBTQIA +
- Mood Disorders
- Open Relationships Non-Monogamy
- Self Esteem
- Sex-Positive, Kink Allied
- Sexual Abuse
- Sexual Addiction
- Stress
- Suicidal Ideation
- Trauma and PTSD
- Veterans
- Women's Issues
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or Email us for a free 15 minute consultation now - (314) 593-2416
Client Focus
Age
Teen ,
Adults ,
Elders (65+)
Participants
Individuals ,
Couples ,
Group
Communities
Bisexual Allied ,
Gay Allied ,
HIV / AIDS Allied ,
Intersex Allied ,
Lesbian Allied ,
Non-Binary Allied ,
Queer Allied ,
Racial Justice Allied ,
Sex Worker Allied ,
Single Parent ,
Transgender Allied
Ethnicity
Black and African American ,
Hispanic and Latino
I also speak
Spanish ,
Swedish ,
Urdu
Age
Teen ,
Adults ,
Elders (65+)
Participants
Individuals ,
Couples ,
Group
Communities
Bisexual Allied ,
Gay Allied ,
HIV / AIDS Allied ,
Intersex Allied ,
Lesbian Allied ,
Non-Binary Allied ,
Queer Allied ,
Racial Justice Allied ,
Sex Worker Allied ,
Single Parent ,
Transgender Allied
Ethnicity
Black and African American ,
Hispanic and Latino
I also speak
Spanish ,
Swedish ,
Urdu
Treatment Approach
Types of Therapy
- Attachment-based
- Clinical Supervision and Licensed Supervisors
- Dance Movement Therapy
- EMDR
- Emotionally Focused
- Expressive Arts
- Gottman Method
- Internal Family Systems (IFS)
- Narrative
- Person-Centered
- Sex Education
- Solution Focused Brief (SFBT)
- Somatic
- Sound Healing & Reiki
- Trauma Focused
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or Email us for a free 15 minute consultation now - (314) 593-2416
Groups
Nurturing Our Attachment Wounds
This is a 6-week, supportive and shame-free group for adults who feel emotionally responsible for their parent(s) and others, and want to shift patterns that impact intimacy and connection. If you struggle to trust, over-function in relationships, or feel unsafe expressing emotional needs, this group offers a healing space to explore those dynamics. Together, we’ll build emotional safety, increase self-compassion, and support nervous system regulation. Through guided reflection and connection with others, you’ll begin to cultivate healthier, more secure relationships, with yourself and others. Come as you are; healing begins in relationship.
Expertise
Trauma and PTSD
Types of Therapy
Trauma Focused
Age
Adults
Session Cost
$80-$20
Group Meets
Every other Sun, Sat 11:30 A.M. - 1 P.M.
Location
Healing Exchange
462 North Taylor Avenue
Saint Louis, MO 63108
Email Rafaella Smith-Fiallo about this group or call - (314) 593-2416
Location
Nearby Areas
Counties
Neighborhoods
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call for a free consultation now - (314) 593-2416