Rachel Moxham
Rachel Moxham
She/Her
Registered Clinical Counsellor
⬤ Vancouver, BC & Online
⬤ Accepting New Clients
My Practice as a Therapist
My work is trauma-informed, non-judgemental, and pleasure-positive. I enjoy working with folks of all genders, sexualities, desires, and relationship structures. I integrate relational, feminist, and attachment-based approaches, while I draw on my interdisciplinary background to better understand you in the context of your life.
My Areas of Support:
BDSM, Kink & Fetishes
Female Sexuality
Non-Monogamy & Polyamory
Queer Issues
Sexual Trauma
My Approaches in Therapy:
Emotionally Focused Therapy
Person-Centered
Trauma-Informed
Feminist
Attachment-Based
Psychodynamic
Relational
Narrative
Anti-Oppressive
Eye Movement Desensitization & Reprocessing Therapy (EMDR)
My Therapy Style:
Curious & Explorative
Playful & Lighthearted
Grounded & Calming
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A Psychoanalysis Begins: From Preliminary Interviews to Orienting the Treatment, Corpo Freudiano Vancouver (2025)
EMDR- Eye Movement Desensitization and Reprocessing, EMDRIA Approved (2024)
The Exceptional Therapist: Theory & Methods of Holistic Sex Therapy, ISEE (2024)
Sex Beyond Binaries: Re-envisioning Sex Therapy for Every Body, Lucie Fielding (2024)
What Makes a Psychoanalyst?, Lacan Salon (2023)
Families, Family Breakdown, and the Law, BCACC (2022)
Kinky Mind and Body: Psychobiology of Kink, TASHRA (2021)
San’yas Indigenous Cultural Safety Training, BC Provincial Health Services Authority (2019)
Nonviolent Communication Level 1, Centre for Non-Violent Communication (2015)
Applied Suicide Intervention Skills Training (ASIST), The Crisis Intervention and Suicide Prevention Centre of BC (2014)
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In the first session or two, you can expect to tell me about yourself, your life, and you’re struggles. From there, I often start sessions asking you where you want to begin. This is not meant to overwhelm you, but to put you in the driver’s seat of where we go together as I help navigate us. This means that we won’t go any faster than the pace for which you’re ready. I do not expect you to trust me immediately but rather, I strive to earn your trust so that we can go where we need to go.
As you share with me, you might notice that I listen closely to the words you use and how you use them. My approach does not seek to pathologize or categorize you, but to listen closely to the idiosyncratic ways that you experience pleasure, pain, desire, safety, and freedom. Since words and language are the main tools of therapy, this is my focus. Counterintuitively, this approach still involves the body-- the ways we speak and are spoken to impact our embodied experiences. You’ll likely notice that I like to highlight and ask questions about what you share. I often hear that folks appreciate my questions. You might also notice that I’m comfortable with moments of silence as I find they can reveal important signposts that can be missed if we rush past.
Finally, I do not always give homework, but there are times when it can be helpful. If this is something you would like, let’s talk about it. This might be different exercises (either alone or with a partner), reading, or journalling.
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We are all constituted by our particular histories, cultures, narratives, and relationships with other people. But it can be easy to forget, or perhaps never notice, how much these constitutive elements inform even the most intimate and personal aspects of our lives—sex, love, and desire. Moreover, sex these days is a paradox. It’s ubiquitous in the forms of pornography and pop culture, yet most people struggle to talk about it openly and honestly. This leaves many of us confused, lost, lonely, and insecure. I aim to provide a space where we can talk about it truthfully. Afterall, eroticism is not only about sex, but about how we feel fully alive as desiring beings. Including playfulness, creativity, joy, awe, and connection, eroticism can be the antidote to trauma.
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Non-judgemental and patient
Articulate, but not verbose
Asks insightful questions
Gently Challenging
Unassuming, but hard to faze
Low-key and comfortable with silence
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“To be free is not to have the power to do anything you like; it is to be able to surpass the given toward an open future."
— Simone de Beauvoir
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When I’m not in the office, I might be attending a dance class, in one of my favourite cafés reading a book, or strolling along the seawall.
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Registered Clinical Counsellor (RCC)
Session Fees
Individual Counselling Session
50 Minutes
$175
Relationship Counselling Session
50 Minutes
$190
Relationship Counselling Session
80 Minutes
$285
Session fees may be paid by Credit Card, E-transfer, Cash (exact change only), or Cheque (Cash & Cheque available for in-person sessions only).
Click here to see information on cancellation policies, insurance coverage, and more.
Book Your Session Today
Whether you’re new to the clinic or a returning client, our team is here to support you every step of the way.
