Rachael Smith, smiling, seated

Hi! I’m Rachael!

I am so glad that you are here! I am a wife, a mama of two and a licensed professional counselor based in Cincinnati, OH with a passion for all things maternal mental health. I am certified in perinatal mental health, providing therapy virtually in Ohio and Kentucky.

It wasn’t until my own experiences with postpartum anxiety and depression, as well as postpartum preeclampsia, that I felt driven in my career to focus on providing support and validation to other mothers.

I’ll never forget the overwhelmingly painful feeling of “this isn’t how this is supposed to be” after having my first. I knew that it would be hard but THAT HARD?? I couldn’t comprehend it.

The anxiety, isolation and grief that I experienced is something I never want other mothers to to feel ashamed for or to suffer with alone in silence.

I am here to support you.

Working with me feels like exhaling after holding your breath for too long. I offer a space where you don’t have to pretend or perform—where the messy parts of motherhood, womanhood, and life are welcome. Whether you're showing up in pajamas after a sleepless night or holding back tears between sentences, you’ll be met with compassion, curiosity, and zero judgment.

I’ll gently challenge you when needed, cheer you on as you grow, and walk beside you when things feel heavy. You’ll feel seen, heard, and supported as we untangle the overwhelm, the “shoulds,” and the invisible pressures you’ve been carrying.

We’ll laugh sometimes. We’ll sit in the hard stuff too. Most of all, we’ll do the work at your pace, together.

In The Media

As a guest on podcast Lex Go Girls, Rachael dives deep into the critical topic of maternal mental health, shedding light on the complexities of pregnancy, postpartum and motherhood. Rachael and hosts Brooke Otis and Maxine Reyburn discuss Rachael’s own journey, her training in perinatal mental health and the importance of seeking support, listening to your body and finding community to support mental health.

Find Me on Instagram!