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
Hi — I’m Rachel (she/they), a Licensed Professional Counselor based in Colorado. I work with LGBTQIA+ individuals, 2+ relational systems, folx exploring kink or non-monogamy, and offer supervision to pre-licensed therapists navigating the early stages of their careers.My approach is warm, collaborative, and down-to-earth. I don’t sit across from you as an “expert” — I sit with you as another human, bringing curiosity, care, and some hard-earned tools along the way. Therapy doesn’t have to be stiff or sterile. I believe healing happens through relationship, and I’m here to help you make sense of what’s coming up in yours — including the one you have with yourself.
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.
We're Hiring!
Interested in joining our team at Synapse and Sage? We’re always looking to connect with passionate, values-aligned clinicians.
Contact us to learn more about current opportunities.