Dr. Rachel Marsh (she/her)

Acceptance and Commitment Therapy (ACT)

My training in ACT is extensive and deeply rooted. I was trained by Kelly Wilson, Ph.D., one of the founding authors of the framework, whose work shaped ACT from the ground up. ACT is not about positive thinking or eliminating difficult emotions. It is about building psychological flexibility, getting clear on what matters most to you, and learning to move toward your values even when your inner world feels like it is working against you.

Exposure and Response Prevention Therapy

ERP is the gold-standard treatment for OCD and also one of the most feared. Done well, it is not about forcing yourself to face fears for the sake of it. It is about building a new relationship with uncertainty. I integrate ERP with ACT, grounding every exposure in what matters most to you rather than just what frightens you, so the work feels meaningful rather than mechanical.

Psychological Testing and Evaluation 

I offer formal, comprehensive psychological assessment including structured intelligence and achievement testing, with the capacity to diagnose ADHD and specific learning disabilities. This level of evaluation is not widely available in private practice settings. People pursue assessment for diagnostic clarity, medication management, and accommodations that require formal documentation. A diagnosis is not just a label. It is a framework, and for many people, a profound relief.

Mindfulness-based

Mindfulness, in its most basic form, is about learning to be present with your experience, including the difficult parts, without being swept away by it. My approach weaves mindfulness throughout our work together, with particular attention to self-compassion as a foundation for change. Learning to meet yourself with kindness, especially the parts you have long been in conflict with, is not a soft skill. It is the ground everything else grows from.

Existential

Purpose in life is a psychological anchor. My doctoral research demonstrated what I see every day in the room: people with a clear, connected sense of purpose hold more positive expectations for the future and actively move toward it, engage in healthier coping, and function better when life is hard. That research happened during COVID-19, alongside real young adults navigating a collective crisis. Understanding what matters most to you and building toward it is at the heart of how I practice.

ADHD

ADHD is not a deficit of attention. It is a different relationship with attention, one that can feel like a superpower in the right conditions and an invisible wall in the wrong ones. I specialize in working with those who were missed by a diagnostic system not built to see them: late-diagnosed women, high-achievers who masked their way through school, people who were told they were too smart or too sensitive. I offer both comprehensive assessment and specialized therapy.

Anxiety

Anxiety is not the enemy. It is information, often very loud, frequently misdirected, and almost always rooted in something that matters deeply to you. My approach, grounded in ACT, is not about silencing the alarm. It is about understanding what it is telling you, responding differently, and moving toward the life you want even when anxiety is present. I work with generalized anxiety, social anxiety, and the particular anxiety that lives inside perfectionism and burnout.

OCD

OCD is one of the most misunderstood and most treatable conditions in mental health. It is a mind that generates doubt and demands certainty, often around what you care about most. I work with patients to understand the OCD cycle, reduce the grip of compulsions, and build a life no longer organized around avoiding fear, utilizing ACT and ERP together, grounded in your values. I hold deep respect for how exhausting this condition is to live with, and remain actively involved with the IOCDF.

Women's Issues

Women are navigating a world that has historically pathologized their sensitivity, dismissed their pain, and demanded they shrink themselves to fit. I work with women who are exhausted from performing competence, invisibly carrying the weight of everything, and quietly wondering if something is wrong with them. I have particular expertise working with late-diagnosed neurodivergent women, who find that so much of their experience finally makes sense when the right lens is applied.

Relationship / Marriage Issues

The way we show up in our relationships is often where our deepest patterns become most visible. I work with individuals navigating relationship difficulties, not couples, as the relational work we do in individual therapy can be some of the most transformative. Whether it is conflict, communication, attachment, or the particular toll that ADHD takes on partnerships, I help patients understand their patterns and move toward the connections they actually want.