Rachael Lastoff

Life Informed Therapy is a modern, secular counseling practice led by licensed clinical therapist Rachael Lastoff. The practice offers individual and relationship counseling for adults, using a collaborative, direct, and practical approach grounded in evidence-based methods. Its work integrates Dialectical Behavior Therapy and Cognitive Behavioral Therapy, with an emphasis on building useful tools for meaningful change.

Services address trauma and abuse, family conflict, boundaries, grief, career and relocation changes, divorce, identity questions, and self-trust. Relationship counseling supports people navigating polyamory, consensual non-monogamy, open relationships, breakups, and relationship restructuring. The practice also provides sex-positive, kink-affirming therapy, support for sex workers, and LGBTQIA+-affirming care, including gender-affirming support for clients, partners, and parents.

Life Informed Therapy serves residents of Georgia, Massachusetts, North Carolina, Kentucky, and Ohio through online counseling. In-person sessions are available every other week in Asheville, North Carolina, and Newport, Kentucky, near Cincinnati. The practice welcomes diverse identities and relationship structures and aims to help clients move forward with clarity, resilience, and a stronger sense of self.