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Clinical Supervision & Therapy in Colorado

Synapse & Sage provides trauma-informed therapy and clinical supervision rooted in curiosity, collaboration, and whole-person care. Our work supports individuals navigating anxiety, trauma, chronic stress, and challenges with emotional regulation and self-worth.Our approach integrates evidence-based psychotherapy with somatic and nervous-system-informed modalities, including EMDR, Internal Family Systems (IFS), polyvagal-informed therapy, and cognitive-behavioral strategies. We also recognize the connection between mental and physical health and may incorporate integrative perspectives on nutrition, herbal supports, and lifestyle patterns as part of a holistic approach to healing.Synapse & Sage also offers collaborative clinical supervision for LPCCs in Colorado.
You can expect curiosity, care, and a space where you don’t have to rush or force change before you’re ready. Our work is trauma-informed and attentive to the ways your mind and nervous system have adapted to past experiences.Together, we explore patterns with compassion, build skills for regulation and resilience, and support meaningful change at a pace that feels sustainable. Synapse & Sage is a place for reflection, reconnection, and growth.
At Synapse and Sage, we are committed to making high-quality mental health care accessible, affirming, and transparent.
Individual Therapy: $150 per 50-minute sessionRelational & Family Therapy: $200 per 50-minute session
We believe that access to mental health care is a fundamental right, not a privilege. If our standard rates present a financial barrier, we offer a sliding scale to support your ability to receive care. Please don’t hesitate to inquire—we welcome these conversations with openness and respect.
We are not currently accepting insurance but plan to offer this option in the near future.
Coming Soon: Insurance Billing Options
If you would like to be notified when we begin accepting insurance, please let us know when you reach out.
Rachel Smith, MA, LPC, NCC

Hi — I’m Rachel (she/they), a Licensed Professional Counselor based in Colorado who focuses on providing clinical supervision for pre-licensed and early-career therapists. While my clinical background includes extensive work with LGBTQIA+ clients, 2+ relational systems, and folx exploring kink, non-monogamy, and other nontraditional relationship structures, my supervision practice is not limited to these areas. I regularly support clinicians working across a wide range of populations, presenting concerns, and treatment settings.My supervision style is warm, collaborative, and grounded in real-world clinical practice. I don’t position myself as the “expert” handing down answers — I work alongside you as a guide, helping you strengthen clinical judgment, deepen case conceptualization, and navigate the ethical, relational, and practical realities of being a therapist. Supervision is a space to think critically, ask hard questions, and build confidence in your clinical decision-making. Together, we focus on developing an ethical, sustainable professional identity that supports both client care and clinician wellbeing.
I'm a member of the American Counseling Association (ACA) and the Association for Assessment and Research in Counseling (AARC) — organizations that support ethical, evidence-informed practice.I'm also a proud member of SAIGE (Society for Sexual, Affectional, Intersex, and Gender Expansive Identities), a division of ACA that centers the needs and voices of LGBTQIA+ counselors and clients. This community keeps me connected to ongoing conversations around equity, inclusion, and liberation in our field — values that are at the core of how I practice.
Leslie Pinaire, MA, LPCC, RH(AGH), CCN
