Queer-affirming · Online · MA + CA
Therapy that meets you where you are — and doesn't leave you there.
Queer-affirming online therapy for anxiety, identity, and relationship growth. I'm Rio Bauce, LCSW — I help adults and couples build resilience, clarity, and connection, from the comfort of home.

You might be here because…
You may be feeling overwhelmed, stuck, or disconnected. I specialize in working with people who are ready to better understand themselves and create meaningful, sustainable change.
You're struggling with anxiety, stress, or burnout — even if things look “fine” on the outside.
You're navigating identity exploration or LGBTQ+ related concerns.
You feel stuck in relationship or communication patterns that keep repeating.
You're processing trauma or difficult past experiences.
You're moving through a major life transition — career, relationships, relocation.
Therapy with me is a space where you don't have to perform or have everything figured out — at least not all at once.
Rio Bauce · LCSW, LICSW
Warmth, with thoughtful challenge.
I work relationally and at a pace that respects your nervous system, your lived experience, and what feels manageable right now.
Sessions that balance warmth with thoughtful challenge
A collaborative pace — not rushed, not stagnant
Practical tools alongside deeper reflection
Attention to identity, context, and lived experience
Clear boundaries and a consistent structure
Evidence-based. Human-paced.
CBT
Cognitive Behavioral Therapy
Practical tools to understand and shift the thought patterns that keep you stuck — so change shows up in your everyday life.
MI
Motivational Interviewing
A collaborative approach that strengthens your own motivation for change — especially powerful for shifting substance use.
Psychodynamic
Depth & Insight Work
Insight-oriented exploration of patterns, relationships, and emotional experience — for deeper, lasting change.
Also drawing from DBT and ACT — always tailored to you.
A moment, before you go on
This is the pace we work at: one unhurried breath at a time.

Hi, I'm Rio.
I'm a Licensed Independent Clinical Social Worker providing telehealth therapy to adults and couples in Massachusetts and California. As a queer clinician, I bring an affirming, culturally responsive lens to all of my work — shaped by years in community mental health, HIV care, and LGBTQ+ health in San Francisco.
Clients describe my style as steady, attentive, and honest — in a way that feels human and relatable.
Consider this a first hello.
What it's like to work together, in Rio's own words.
Simple, transparent fees.
per session · weekly
Focused one-on-one work — steady momentum on anxiety, identity, substance use, and life transitions.
per session · weekly
Communication, conflict patterns, trust repair, and intimacy — affirming of all relationship structures.
Superbills provided for out-of-network reimbursement in California; many plans cover a portion of each session. Massachusetts clients: United Healthcare, Aetna, BCBS of MA, and Harvard Pilgrim accepted. Details in the FAQ.
No pressure. Just a conversation.
Begin with a free 15-minute consultation.
A short, no-pressure call to see whether we're a good fit. Tell me a little about yourself and I'll reply within two business days.