Supporting LGBTQIA+ Individuals, 2+ Relational Systems, and New Therapists
A space built for you — your edges, your softness, your story. Welcome home.
Clinical Supervision & Therapy in Colorado
At Synapse and Sage, we offer therapy and supervision that affirms the complexity of who you are — your identity, your relationships, your work, your pleasure, your becoming.We specialize in working with LGBTQIA+ individuals and relational systems, including those exploring non-monogamy, kink, and sexuality. We also provide collaborative, identity-affirming clinical supervision for LPCCs in Colorado.This is a space rooted in care, curiosity, and connection — built for folx living, loving, and working outside the lines.
What It's Like to Work With Us
You can expect honesty, humor, and a space that doesn’t require you to shrink, explain, or censor who you are. We are kink-affirming, sex and sex-work positive, and identity-affirming in all the ways that matter. Whether you’re untangling something hard or stepping into something new, we’ll move at your pace, together.
Payment Options
At Synapse and Sage, we are committed to making high-quality mental health care accessible, affirming, and transparent.
Current Rates
Individual Therapy: $150 per 50-minute sessionRelational & Family Therapy: $200 per 50-minute session
Sliding Scale
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.
Insurance
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.
The Team
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.
Staying Connected to the Work
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
