About
Rachael Marble Leary, a Licensed Professional Counselor (LPC) and Certified Alcohol & Drug Counselor (CADC II), specializes in helping individuals navigate anxiety, trauma, emotional dysregulation, self-worth, identity development, and recovery support. Her approach honors the complexity of each person’s lived experience and supports movement toward greater emotional flexibility, resilience, and values-aligned living. Therapy is collaborative, individualized, and grounded in compassion, nervous system awareness, and insight—with space for curiosity, honesty, and even the occasional laugh when it helps lighten the emotional load. Sessions can be held in person, via secure telehealth, or outdoors when clinically appropriate.
Insurance & payment
Marble Counseling & Consulting, LLC accepts Aetna, Blue Cross, Blue Shield, Medicaid, Optum, Oregon Health Plan (OHP), and Pacific Source Comm. Solutions.
- Aetna
- Blue Cross Blue Shield
- Medicaid
- Optum
- Oregon Health Plan (OHP)
- Pacific Source Comm. Solutions
- PacificSource
- Providence
- UnitedHealthcare
Listed fee: $195 per session, I accept insurance. Ask about sliding-scale fees if you're paying out of pocket.
Services & specialties
Cognitive Behavioral Therapy (CBT)
An evidence-based approach that helps individuals understand and change negative thought patterns and behaviors.
Acceptance and Commitment Therapy (ACT)
A type of psychotherapy that helps individuals develop psychological flexibility and acceptance of difficult emotions and thoughts.
Dialectical Behavior Therapy (DBT)
A therapy approach that combines CBT with mindfulness techniques to help individuals manage emotions and behaviors.
Motivational Interviewing (MI)
A goal-oriented approach that helps individuals resolve ambivalence and increase motivation for change.
Internal Family Systems (IFS)-informed parts work
A therapy approach that helps individuals understand and work with different parts of their personality.
Somatic and nervous system-based strategies
A type of therapy that focuses on the body's response to trauma and stress.