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LCSW

Rochelle Nakoa, LCSW

  • Experience13 years
  • LocationMissouri
  • Focus areasAddictions, Family, and Trauma and abuse
  • Therapy approachesInternal Family Systems and Attachment-Based Therapy
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About Rochelle

Rochelle Nakoa is an LCSW with 13 years of clinical experience who supports people facing a wide range of concerns, including addictions, trauma and abuse, relationship challenges, depression, anxiety, grief, parenting difficulties, ADHD, and issues around intimacy and self-esteem.

Background and approach

She has also worked with populations affected by chronic illness, caregiver stress, codependency, and life transitions, bringing a broad lens to complex emotional and relational problems. Rochelle draws on a mix of therapeutic tools to help clients explore patterns, process painful experiences, and build practical coping strategies.

Her style centers on collaboration and respect for each person’s internal experience, combining Internal Family Systems work with attachment-focused and client-centered methods as appropriate. She aims to create a space where individuals can sort through thoughts and feelings, reduce shame, and begin shifting toward goals that feel meaningful.

Rochelle’s practice in Missouri and her varied background inform an approach that attends to both interpersonal dynamics and individual resilience while tailoring care to each client’s needs.

Approaches that guide online healing and connection



Internal Family Systems (IFS) views difficult feelings as parts of an internal system and invites gentle dialogue with those parts to reduce internal conflict and promote integration. This work can help people struggling with trauma reactions, self-criticism, addiction, and patterns that feel out of control. Attachment-Based Therapy focuses on how early and current relationship experiences shape emotional needs and relational patterns, offering a pathway to strengthen bonds, improve communication, and address anxiety around closeness and trust.

Finding the right approach is part of the therapeutic process, and the therapist collaborates with each person to determine which methods fit best based on needs, goals, and preferences. Sessions may blend IFS, attachment-focused work, and client-centered techniques so interventions align with what the client finds most helpful rather than following a rigid protocol.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing people to access consistent care from varied locations and schedules. These formats make it possible to maintain continuity of work, check in between sessions when useful, and adapt communication style to what feels most supportive while pursuing meaningful therapeutic goals.

Frequently asked questions

What kinds of concerns does Rochelle address?
She works with a broad range of issues including addictions, trauma and abuse, relationship and intimacy problems, depression, anxiety, grief, stress, parenting challenges, ADHD, and related areas such as caregiver stress and chronic illness.
How would you describe her therapeutic style?
The approach is collaborative and person-centered, emphasizing respect for an individual's internal experience while integrating attachment and mindfulness-informed strategies to process emotions and improve relationships.
What is Rochelle's professional background?
Rochelle brings 13 years of experience working in settings that have included hospice, military readjustment counseling, correctional mental health leadership, and clinical care focused on sexual trauma and intimate partner violence.
Where is she licensed to practice?
She holds the LCSW credential and is licensed in Missouri with licence number MO LCSW 2012013818.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English, and she does accept international clients as part of her practice.
Which session formats are available for remote work?
Rochelle provides video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences and schedules.
How are sessions priced and billed?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

AddictionsFamily conflictsTrauma and abuseCareer difficultiesDepression

Also works with

Stress, AnxietyLGBTRelationship issuesGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFertility issuesFirst responder issuesForgivenessGuilt and shameHearing impairedHIV / AIDSHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismPanic disorder and panic attacksParanoiaPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyGottman MethodMindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

13+ years

Licensed

Missouri

Languages

English