
Therapists in Downingtown, PA for Teens, Adults and Couples
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Feeling anxious, low, stuck or overwhelmed? You don't have to sort it out alone.
Counseling Downingtown is a small, down-to-earth practice at 287 W Uwchlan Ave, a few minutes from Exton, Lionville and Thorndale, with free parking. Our two licensed therapists help teens (13 and up) and adults with anxiety, depression, grief, trauma, relationships, pregnancy and postpartum concerns, substance use and life changes. Couples and marriage counseling and telehealth are available with Angela.
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How we help
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Individual therapy for teens and adults: anxiety, depression, grief and loss, self-esteem and life transitions
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Trauma and PTSD: somatic and trauma-focused therapy, plus EMDR with Tracy
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Relationships: individual counseling for intimacy and relationship patterns with Tracy; couples and marriage counseling with Angela
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Pregnancy and postpartum support, and outpatient substance use counseling
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An in-person therapy group for adults on Tuesday mornings
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Telehealth with Angela
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Eating disorder treatment
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Internal Family Systems (IFS) with Tracy and Angela
Also offered: Life coaching, a separate, goal-focused service that is not therapy.
Meet your therapists
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Tracy Rappold, MS, LPC: Licensed Professional Counselor in private practice since 2015; Certified Clinical Anxiety Treatment Professional; Certified Compassionate Bereavement Care Provider; EMDR; sees clients in person
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Angela Sylvina, LCSW, CADC: Licensed Clinical Social Worker and Certified Alcohol and Drug Counselor, with trauma-focused CBT and Cognitive Processing Therapy certifications; sees teens, adults and couples in person or by telehealth
Ready to talk?
Start with a free 15-minute phone consultation. Tell us a little about what's going on and ask any questions, and we'll help you decide whether we're a good fit. If we are, we'll set up your first 60-minute session. Sessions are $115, self-pay, with a detailed invoice you can submit for out-of-network benefits. Office hours: Mon 9 AM-7:30 PM, Tue 9 AM-5 PM, Wed 9 AM-7 PM, Thu-Fri 9 AM-5 PM.
If you are in crisis, call or text 988, or call 911. We are not an emergency service.
OUR APPROACH
Counseling Downingtown is a Downingtown-based mental health practice that provides simple, action-oriented therapy with a focus on immediate solutions and lasting positive change.
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Our approach helps people identify unhealthy thoughts and behaviors, most commonly associated with feelings of depression, anxiety, and interpersonal conflict, and provides people with tangible skills that enable you to think and behave in ways that promote inner confidence, strength, and achievement of goals.
Individual Counseling
Personalized support to help you manage mood and emotional regulation, trauma and PTSD, sexuality and identity, as well as a wide variety of personal and emotional issues.
Teen Counseling
Compassionate support for adolescents facing stress, anxiety, or life transitions, helping them build confidence and healthy coping skills.
Somatic & Mind-Body Therapy
A holistic approach that connects body and mind, fostering deeper awareness, healing, and resilience.

