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Rachael Keyser(She/Her/Hers)

(She/Her/Hers)
Doctor of Psychology, PsyD
OhioAlabamaArizonaArkansasColorado
Autism spectrum disorder- Couples counseling-Infertility counseling-Pregnancy, perinatal, postpartum mental health-Psychological evaluations & testing -

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AboutSpecialtiesLocationsInsurance & Fees

Professional statement

Dr. Rachael Keyser works with individuals and couples who feel overwhelmed, stuck, or misunderstood—especially those navigating neurodivergence, parenting stress, fertility struggles, or big life transitions. Her clients are often older teens and adults who’ve been told they’re “too much” or “too sensitive,” or who suspect their brain might just work differently (think ADHD, autism, or both). Many have tried therapy before and didn’t quite feel seen.

Her style is warm, straightforward, and collaborative. She’s the kind of therapist who swears sometimes, uses humor when it helps, and makes space for all the complicated stuff that doesn’t have easy answers. Rachael integrates parts work (like Internal Family Systems), compassion-focused therapy, trauma-informed care, and evidence-based tools to meet each client where they are. Sessions are grounded but flexible—whether you're talking through something heavy or just trying to make sense of the chaos in your head.

Dr. Keyser is a licensed clinical psychologist with advanced training in neurodevelopmental assessment, perinatal mental health, and couples counseling. She’s especially skilled in working with people who’ve been misdiagnosed, missed entirely, or never felt like traditional therapy really fit. Her approach to both therapy and psychological assessment is thoughtful, precise, and rooted in deep respect for the whole person.

Her practice, Meadow & Mind Psychology, is located in Paoli, Pennsylvania. She offers in-person sessions as well as virtual therapy and assessment services to clients across the state. Dr. Keyser is currently accepting new clients and welcomes individuals and couples looking for a space that feels real, human, and genuinely supportive.


Message to clients

Starting therapy (or coming back to it) can feel like a big deal—especially if you’re the one who usually keeps it together for everyone else. You don’t need to have the “right words” or a perfectly organized story before you start. Most of my clients show up feeling overwhelmed, burned out, or unsure how to move forward. I offer a space that’s grounded, collaborative, and human—where we can talk about hard things without making them harder.

I’m warm, direct, and not afraid to use dark humor (and yeah, some light sarcasm) to make the process feel more real and less like emotional dental work. Therapy with me isn’t about being “fixed”—it’s about making room for all your parts, even the ones you’ve learned to hide. Whether you’re untangling identity stuff, navigating neurodivergence, wrestling with relationship dynamics, or figuring out what parenthood actually means to you, I’ll bring curiosity, structure, and compassion to the work.

If you’re wondering whether this might be a good fit, reach out for a consult. We can chat, ask questions, and see if it clicks—with no pressure and maybe even a few laughs.


Work and Education

Years of Experience: 4 years

Meadow & Mind Psychological Services, Owner, 2025 - Present

Immaculata University, PsyD, 2022

Licensure

Pennsylvania: PS019854 - Alabama: 18289 - Arizona: 18289 - Arkansas: 18289 - Colorado: 18289 - Connecticut: 18289 - Delaware: 18289 - Washington DC: 18289 - Florida: 18289 - Georgia: 18289 - Idaho: 18289 - Illinois: 18289 - Indiana: 18289 - Kansas: 18289 - Kentucky: 18289 - Maine: 18289 - Maryland: 18289 - Michigan: 18289 - Minnesota: 18289 - Mississippi: 18289 - Missouri: 18289 - Nebraska: 18289 - Nevada: 18289 - New Hampshire: 18289 - New Jersey: 18289 - North Carolina: 18289 - North Dakota: 18289 - Ohio: 18289 - Northern Mariana Islands: 18289 - Oklahoma: 18289 - Rhode Island: 18289 - South Carolina: 18289 - South Dakota: 18289 - Tennessee: 18289 - Texas: 18289 - Utah: 18289 - Vermont: 18289 - Virginia: 18289 - Washington: 18289 - West Virginia: 18289 - Wisconsin: 18289 - Wyoming: 18289

Languages

English

Specialties

Autism spectrum disorder - Support understanding the diagnosis and related challenges and strengths; skill-building in areas of daily routine, transitions, coping with overwhelming sensory experiences, social skills, and emotion identification and regulation

Couples counseling - Addressing relationship challenges and life transitions; strengthening communication and feelings of security, desire, connection, and love

Infertility counseling - Understanding infertility interventions and solutions; support during decision-making processes; coping with fertility problems and pregnancy loss

Pregnancy, perinatal, postpartum mental health - Addressing issues specific to women and families during the pregnancy and postpartum period, including postpartum depression and anxiety

Psychological evaluations & testing - A broad range of tests and assessments that may be used to identify present strengths, provide diagnosis clarity, and inform treatment goals




Clientele

  • Adults (24+)
  • Couples
  • Parents
  • Teenagers (13-18)
  • Young adults (18-24)

Locations & Hours


Insurance

Rachael Keyser is not in-network with any insurances.

Read about the benefits of seeing an out-of-network provider here.


Out-of-pocket fees

  • Individual sessions:$175 (50min)
  • Sliding scale:$100 - $175
  • Couples sessions:$175 (50min)

Additional session information

Out-of-network billing options

This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide:

  • Super billing
  • Courtesy billing
Payment options
  • Check
  • Credit Card
  • Debit Card
Session frequency

Frequency of sessions this provider offers to see clients once you are an established client.

  • Weekly
  • Every other week
  • Multiple times a week

Reach out to Connect

Small steps make a big difference. Start by connecting with Rachael Keyser today.