Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
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Rachel Howell

Pre-Licensed Professional, MSW (she, her)

Verified by Psychology Today Verified by Psychology Today
1 Endorsed
Call Me
Let's Connect (509) 236-8396
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Available both in-person and online
Spokane, WA 99201
Life brings seasons of challenge, change, and growth. Whether you're healing from past trauma, navigating the complexities of life, or working to release patterns that no longer serve you, I offer a supportive, collaborative space to help you move forward and reconnect with yourself. These seasons of uncertainty can leave you asking, “What’s the meaning in all this?” or simply, “How do I get through the week?” You don’t have to face these questions alone. Together, we’ll explore what's weighing you down and build lasting skills that help life feel more manageable, meaningful, and aligned—both in and beyond therapy.
I work with adults and teens, specializing in OCD, trauma, and chronic pain. My integrative approach draws from ACT, ERP, EMDR, IFS, somatics, and mindfulness. In therapy, we’ll explore ways to deepen your self-connection, process what’s unresolved, let go of patterns that keep you stuck, and rediscover the parts of yourself that have been forgotten.
To me, healing isn’t about “fixing what’s broken.” It’s about reconnecting with the wholeness that stress, symptoms, and trauma may have obscured. I believe everything you need to heal is already within you. My role as your therapist is to walk alongside you and help you uncover that true sense of self. If this resonates, I’d love to hear from you.
Call or Rachel Howell now for a free 15 minute consultation - (509) 236-8396

My Practice at a Glance

Available both in-person and online

Cinder & Fern Counseling

Spokane, WA 99201

(509) 236-8396
My website
I offer therapy in-person, in Spokane, and via telehealth throughout WA state. I am in office M-Th with flexible appointment times.
I specialize in Obsessive-Compulsive (OCD), Trauma and PTSD and Chronic Pain 
$150 Per Session, I accept insurance 
I see individuals and groups  
Please watch my video to learn more about me and my practice.
Rachel Howell
Let's Connect (509) 236-8396
Photo of Rachel Howell, Pre-Licensed Professional, MSW

My Practice at a Glance

Available both in-person and online

Cinder & Fern Counseling

Spokane, WA 99201

(509) 236-8396
My website
I offer therapy in-person, in Spokane, and via telehealth throughout WA state. I am in office M-Th with flexible appointment times.
I specialize in Obsessive-Compulsive (OCD), Trauma and PTSD and Chronic Pain 
$150 Per Session, I accept insurance 
I see individuals and groups  
Please watch my video to learn more about me and my practice.
Rachel Howell

Finances

Fees

  • Individual Sessions $150
  • Sliding scale: apply if you may be eligible

Payment Methods

American Express, Discover, Health Savings Account, Mastercard, Visa

Insurance

  • Aetna
  • Ambetter
  • Asuris Northwest Health
  • Blue Cross
  • Blue Shield
  • BlueCross and BlueShield
  • Cigna and Evernorth
  • Community Health Plan of Washington
  • Coordinated Care
  • Kaiser (Out-of-Network)
  • Medicaid
  • Molina Healthcare
  • Premera Blue Cross
  • Regence
  • Wellpoint | Amerigroup
"
I offer sliding scale with a regular rate of $150 an hour for private pay. If finances are of concern please reach out; I strongly believe in making mental health care accessible. I also take the insurances listed here, including WA State Medicaid.
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call or for a free 15 minute consultation now - (509) 236-8396
"
I offer sliding scale with a regular rate of $150 an hour for private pay. If finances are of concern please reach out; I strongly believe in making mental health care accessible. I also take the insurances listed here, including WA State Medicaid.
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call or for a free 15 minute consultation now - (509) 236-8396

Qualifications

  • Verified by Psychology Today Prelicense by State of Washington / CG60920702 Supervised by Megan Carter (Washington / LW60506082) Rachel Howell
  • Education and Years In Practice

  • In Practice for 1 year
  • Attended Chamberlain University, MSW, Graduated 2026
  • Additional Credentials

  • Membership with National Association of Social Workers (NASW) 886992065 / 2026
"
I am an LSWAIC applicant (pending board approval) in WA. I have been working in the mental health field for the last 10 years as a Peer Support Specialist and Community Health Worker. I have thorough grounding in the therapeutic modalities listed below. Have questions? Please ask; I'd love to chat!
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call or for a free 15 minute consultation now - (509) 236-8396
"
I am an LSWAIC applicant (pending board approval) in WA. I have been working in the mental health field for the last 10 years as a Peer Support Specialist and Community Health Worker. I have thorough grounding in the therapeutic modalities listed below. Have questions? Please ask; I'd love to chat!
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call or for a free 15 minute consultation now - (509) 236-8396

Specialties and Expertise

Top Specialties

  • Obsessive-Compulsive (OCD)
  • Trauma and PTSD
  • Chronic Pain

Expertise

  • Anxiety
  • Chronic Illness
  • Coping Skills
  • Depression
  • Geriatric and Seniors
  • Grief
  • LGBTQ+
  • Life Transitions
  • Polyamory & ENM
  • Self Esteem
  • Sex-Positive & Kink Friendly
  • Sexual Abuse
  • Spirituality
  • Stress
  • Women's Issues
"
I work with clients navigating the intersections of trauma, chronic pain, OCD, and related concerns. Our brains often adapt in powerful ways to keep us safe—but sometimes those adaptations can lead to patterns like chronic pain, obsessive-compulsive tendencies, anxiety, or dissociation. Whether you're dealing with longstanding struggles or new challenges, we'll work together to address these.
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call or for a free 15 minute consultation now - (509) 236-8396
"
I work with clients navigating the intersections of trauma, chronic pain, OCD, and related concerns. Our brains often adapt in powerful ways to keep us safe—but sometimes those adaptations can lead to patterns like chronic pain, obsessive-compulsive tendencies, anxiety, or dissociation. Whether you're dealing with longstanding struggles or new challenges, we'll work together to address these.
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call or for a free 15 minute consultation now - (509) 236-8396

Endorsement

Mars DeArman
Mars DeArman
Licensed Social Worker AssociateLSWAIC
Rachel is a compassionate and knowledgeable therapist whose genuine care for clients shines through. She is client-centered, warm, and personable, while also bringing a unique and specialized approach to working with OCD, trauma, and dissociation.

Client Focus

Age

Teen
Adults
Elders (65+)

Participants

Individuals
Group

Communities

Blind Allied
Deaf Allied
Gay Allied
HIV / AIDS Allied
Immuno-disorders
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Transgender Allied

Religion

Buddhist

Age

Teen
Adults
Elders (65+)

Participants

Individuals
Group

Communities

Blind Allied
Deaf Allied
Gay Allied
HIV / AIDS Allied
Immuno-disorders
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Transgender Allied

Religion

Buddhist

Treatment Approach

Types of Therapy

  • Acceptance and Commitment (ACT)
  • Animal-Assisted Therapy (Coming Soon)
  • EMDR
  • Existential
  • Exposure Response Prevention (ERP)
  • Feminist
  • Humanistic
  • Integrative
  • Internal Family Systems (IFS)
  • Mindfulness-Based (MBCT)
  • Person-Centered
  • Somatic
  • Trauma Focused
  • Walk & Talk Therapy
"
I use an integrative, evidence-based approach, drawing primarily from ACT, ERP, EMDR, IFS, somatics, and mindfulness. I have a solid grounding in these methods and am open to collaborating on the approach we take. If you're curious about any of the therapies I use—or already connect with certain ones—I'm happy to talk more and adjust as needed. Your therapy should feel like a good fit for you.
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call or for a free 15 minute consultation now - (509) 236-8396
"
I use an integrative, evidence-based approach, drawing primarily from ACT, ERP, EMDR, IFS, somatics, and mindfulness. I have a solid grounding in these methods and am open to collaborating on the approach we take. If you're curious about any of the therapies I use—or already connect with certain ones—I'm happy to talk more and adjust as needed. Your therapy should feel like a good fit for you.
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call or for a free 15 minute consultation now - (509) 236-8396

Location

Primary Location

Cinder & Fern Counseling

Spokane, WA 99201

(509) 236-8396
"
I offer therapy in-person, in Spokane, and via telehealth throughout WA state. I am in office M-Th with flexible appointment times.
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call for a free consultation now - (509) 236-8396
"
I offer therapy in-person, in Spokane, and via telehealth throughout WA state. I am in office M-Th with flexible appointment times.
Photo of Rachel Howell, Pre-Licensed Professional, MSW
Rachel Howell
Pre-Licensed Professional, MSW
Call for a free consultation now - (509) 236-8396