Are you ready to live a more conscious life? Do you feel stuck and need a little nudge (or sometimes a big push!) in a different direction? Are you longing for a deeper sense of Self? Do you wonder if you’ve found your calling?
Gender Wellness Program
Individual Psychotherapy
Couples/Family Psychotherapy
Vedic Astrology Consultation (Jyotisha)
Relationship Compatibility Astrology Chart Consultation
Relationship Coaching
Ayurvedic Consultation
Tarot Consultation
Other Services
Gift Certificates
Please note: Ms. Catrelle honors a 24-hour cancellation policy. Clients are fully charged for their sessions if they do not call to reschedule or change their appointment at least 24 hours prior to their session (except in the event of a serious illness or injury). By “booking” your appointment, you agree to this policy. Thank you.
Also, if I am not in your insurance network, out-of-network and sliding scale options may be available.
I am currently in-network with:
Aetna, Beacon Health, BCBS, Cigna, Crescent, Humana, Magellan, MedCost, Medicare, Tricare, and United Healthcare.
If I am not in your insurance company’s network, I may be considered an out-of-network provider on your insurance policy. So your initial payments will be due at the time of service and will be out-of-pocket, however, I will provide you with a super-bill so that you can seek reimbursement directly from your insurance provider. Regardless of whether or not you utilize in-network or out-of-network benefits, here are some questions you should ask your insurance company prior to scheduling your first session with me:
- Is Kara Catrelle in-network with my health plan? If not, do I have out-of-network mental health benefits?
- Is there a deductible? How much is it and has it been met?
- How many sessions per calendar year does my plan cover?
- What is the covered amount per therapy session with a licensed mental health therapist?
- What is my copay, if applicable?
- Is approval required by my primary doctor?
Please let me know if you require assistance with this process.
Click here for a printable version of my Privacy Practices:
Notice of Privacy Practice (HIPAA)
Parking Downtown Asheville
Convenient parking located next door to the office and metered street parking across the street.
Download the Passport Parking App here: https://passportinc.com/consumers/
To see real-time open parking spaces in Downtown Asheville, click here: http://www.ashevillenc.gov/departments/parking/find_parking.htm
Weekend Immersion Sessions (Discounted packages)
We go “full-tilt” and spend Friday, Saturday, and Sunday together. It’s like getting 16 weeks of therapy in one weekend! This package option is customizable and available for couples, families, and individuals. You don’t mess around, and I respect that. Don’t worry, you’ll have plenty of time to enjoy one of the coolest cities in the country. Lonely Planet rated Asheville, NC as the #1 Best in the U.S. Places to See in 2017. Please contact me directly to book at kara@karacatrelle.com. (Payment plans available.)

Gender Wellness Program:
Ms. Catrelle offers a full-service holistic Gender Variance Wellness program that assists individuals and loved ones through the transition and gender acceptance process. She has over 20 years of experience in working with the full spectrum of gender variance ranging in ages as young as three years old on up to the sagely later years in life. She sees clients one on one in her psychotherapy practice, and is also available to answer questions and provide consultation both in person and over the phone. Her primary goal in working with families of gender variant children is assisting the family in providing a safe, supportive, and unconditionally loving home, school and community for their beautiful children. It is important for parents, children, and adults to be able to connect to supportive resources that can further enhance not only the transition of their loved ones, but the transition of the entire family.
“It is an individual’s birthright to journey into the depths of self-discovery. Along the way, we receive the individuation gifts of truth, love, strength, and wisdom that carry us through the stormy weather — ultimately guiding us to our destination of liberation, freedom, and inner peace. Our own intuition, along with a few good teachers, can be our greatest guideposts along the way.” ~ Kara Catrelle
Read what’s in the historic January 2017 Special Issue of National Geographic on the “Gender Revolution”:
http://www.nationalgeographic.com/magazine/2017/01/
Individual Psychotherapy & Coaching
“There is a secret love hiding in each problem.”
~ James Hillman
What is the meaning of your life? Have your dreams been trying to tell you something? Do you feel stuck? Do you have repetitive negative behaviors and thoughts? Is there room for inner reflection in your day-to-day life? Do you recognize the calling of your soul? Has life lost its purpose and creative spark? Are you suffering from chronic pain, sexual dysfunction, anxiety, or depression?
Psychoanalytic psychotherapy is a unique opportunity to make time for yourself to do the inner work that often gets overlooked in today’s fast-paced society. It seems now more than ever our souls are calling for our attention. Oftentimes symptoms associated with depression and anxiety are a sign that something in our life is out of balance or we are disconnected from something that needs connection. We refer to this imbalance or loss as a “neurosis or pathology” in psychoanalytic terms. Psychoanalysis offers us the opportunity for transformation.
“In order to make clear. . . what is meant by the somewhat peculiar term “transformation,” we must first consider what psychic need was not given a place in the earlier stages.” ~ C.G. Jung
Ms. Catrelle uses a unique combination of depth psychological tools such as art, symbol, dream tending, somatics, Tarot, intuition, astrology, fairy tales, and myth to assist her clients in exploring the unconscious. Why are dreams important? Dreams represent the more uninhibited Self. By paying attention to our dreams, we are shown repressed material such as emotions, unfulfilled desires, sexual issues, psychological obstacles, unconscious projections, intrapsychic conflicts, unique or unknown talents, fantasies, and complexes. For example, someone may be suffering from depression for many years and not understand why. By accessing the unconscious via Transference/Counter-transference, Free Association, Dreams, Tarot, and Astrology, we can see what is hidden “inside” which may provide us with insight into the causes and potential remedies for the dis-ease.
Clients are invited to join her for psychotherapy sessions in person or online.
Couples/Family Psychotherapy
“The meeting of two personalities is like the contact of two chemical substances: if there is any reaction both are transformed.”
~ C. G. Jung
Why are relationships so difficult? Relationships can be challenging due to problems with communication and intimacy. We also tend to bring unresolved ancestral trauma and personal baggage into our most intimate relationships! The key to navigating through difficult relationships and cultivating conscious relationships has to do with self-and-other-reflection. When we get in touch with our own needs and, thus, intimately know, accept, and love ourselves and those unmet needs, we are better equipped to love another, cultivate empathy, and meet another’s needs in the same manner.
“All violence is the result of people tricking themselves into believing that their pain derives from other people and that consequently those people deserve to be punished.”
~ Marshall B. Rosenberg
Ms. Catrelle utilizes many of the same depth psychological principles and tools with couples and families as she does with individuals. She utilizes transference/countertransference identification to assist couples in exploring the “truth underneath” what is happening consciously. She also educates couples and families about the dynamics of relationships, sex, empathy, nonviolent communication, and boundaries, teaching them practical and effective communication skills that can be used long after the psychotherapy relationship ends. For those couples who are open to looking at the Astrological/Alchemical Synastry of their union, Ms. Catrelle will cast their charts and provide Vedic Astrology consultation to shed light on the conscious and unconscious relationship dynamics. She also assists couples in navigating polyamorous, non-monogamous, and open relationships.
Vedic Astrology Consultation (Jyotisha):
Consultation includes Ayurveda and Vastu remedial recommendations upon request:
Investing in a Vedic Astrology Consultation can help you achieve greater psychological, emotional, spiritual and physical balance. You will gain deeper insight into your True Self, your strengths and weaknesses, and your life path by accessing the wisdom and consciousness of the cosmological influences in your birth chart. Ms. Catrelle describes it as “having a roadmap for your Soul on the journey of life.” We look into the 12 Bhavas (Houses) which provide us with in-depth information about your soul’s purpose, relationships, career, health, wealth, etc. Know yourself and you know the universe; know the universe and you know yourself.
“Jyotish is a science of the study of the heavenly lights and their effects on human life.”
~ Dr. Vasant Lad
Ms. Catrelle uses a unique and gifted combination of Jyotisha, natural intuitive abilities, and her analytical psychology background in working with clients. She consults on life purpose, health issues, finances, marriage/divorce, sexuality, success, relationship compatibility/synastry, major life decisions and events, self-realization & individuation and can also help provide guidance based on examination and explanation of the karmas that are ripening currently in someone’s life. She looks deeply into unconscious patterning and axis point complexes, projections and shadows that can provide profound insight into acute and chronic imbalances. She will use various Vedic Astrology tools including the Rashi (Natal), Chandra (Moon), Nakshatra (Lunar Mansions), Dasha (Planetary cycles) and Harmonic references. Ms. Catrelle prefers to offer practical psycho-spiritual guidance for clients during readings to enhance self-awareness and consciousness, however, she will occasionally recommend seva (service) and personalized herb, gem, color, mantra, and yantra remedies in addition if they can be useful.
Relationship Compatibility Astrology Chart Consultation
“Am I in the right relationship”? “How can my partner and I have a more loving and mutually understanding relationship”? “Why do I keep attracting the ‘wrong’ people into my life”? “What kind of partner would be a good fit for me”?
These are common questions for people who are looking to gain deeper insight into their own partnering strengths and weaknesses in order to have more fulfilling relationships. As a Depth Psychology & Jungian-focused psychotherapist, professional intuitive and Certified Vedic Astrologer, Ms. Catrelle will analyze the charts of you and your partner in order to determine the strengths that will hold you together as well as the unconscious pitfalls that could potentially lead to a break in the partnership. You will receive information relating to unconscious patterning through complexes, shadow, past life continuation, karmic influences, ancestral trauma, sexual compatibility, nodal axis reconciliation, and family-of-origin/ancestry influences. Ms. Catrelle will share what each person is bringing to the relationship and how greater harmony and satisfaction within the relationship can be obtained.
By means of self-awareness, we are able to recognize the defense mechanisms that cause us great suffering and frustration and that no longer serve us or our partners in relationships. By using a combination of astrology and psychology, one can become a master of one’s own life through the power of discernment, insight, consciousness, and choice.
Relationship Coaching
There are some key behaviors in relationships that science has identified as early precursors to divorce:
- Focusing on Negative Traits of your Partner
- Stonewalling
- Contempt
- Criticism
- Emotional Withdrawal
If you and your partner are caught up in any of the traits listed above, all is not lost. My coaching program will help you unwind the damage that has been done to make room for new and highly effective ways for you to feel heard in your relationship, resolve conflict, increase sexual desire, meet needs, and rekindle the connection that initially made you fall in love with each other when you first met. And here’s another bonus: Good relationships improve our physical and mental health! Studies show relationships can either make us healthy or sick depending on the quality of our relationships. Who doesn’t want to feel healthy and vibrant? Of course, we all want to feel good! Create the relationship you’ve always dreamed of with a 12 week, 6 month, 1 year or custom package.
Ayurvedic Consultation:
Ayurveda translated means “the science of life.” It is a holistic practice of medicine that has its roots in India – having been established well-over 5,000 years ago. Ayurveda sees “food as medicine” and the digestive system as being the most important vehicle in the body for overall health and vitality. It views the mind, body, soul and spirit as an integrated unit of intelligence/consciousness through the examination of the 5 elements of earth, water, air, fire, and ether and how they are functioning in the physiology.
What makes Ms. Catrelle’s Ayurvedic Assessments and Protocols unique is that she combines Vedic Astrology, Yoga, Vaastu, Meditation, and Herbology into her Assessments — she also takes great care in recommending protocols that “meet the client” where they are at in their day-to-day life and responsibilities. This additional awareness and guidance provides the client with recommendations that are set up for success in meeting treatment & lifestyle goals that are reasonable, practical and effective.
Rather than “treating the symptom,” Ayurveda seeks to correct the root elemental imbalance in the body by making changes in diet and incorporating herbal formulas and treatments. It is a proactive approach to establishing and sustaining perfect health by recognizing everyone’s unique elemental constitution, rather than a reactionary “all-for-one” approach to ill health.
Through the understanding of nature and our intimate relationship to it, Ayurveda teaches us the knowledge of connecting the outer nature in the form of seasons, temperature, elements, etc. to our inner world of personality, body type, and predisposition to imbalance.
To read the Vogue article entitled, “From CBD to Sex-Positivity, the 8 Biggest Wellness Trends of 2018,” where Ayurveda is featured, click the link below!
You can expect to receive the following in your Ayurvedic Consultation with Kara:
- Complete intake assessment that addresses medical history and current imbalances, Biopsychosocial Assessment; Digestion Assessment, Personal Vedic Astrology Analysis (including current Dasha Cycle and Planetary Transits), Vaastu Shastra Analysis, Sleep Assessment, daily routine, emotional/psychological stressors, and more;
- Pulse assessment and diagnosis;
- Customized herbal formulas and aromatherapy (additional costs may apply);
- Reference list that includes books, websites, and educational programs to further enhance your healing process after your consultation;
- Community practitioner referral for the recommended Ayurvedic treatments (such as Abhyanga, Shirodhara, Panchakarma, etc.); and
- A comprehensive written report that outlines all remedies including dietary, psychological, yoga, meditation, gem, mantra and yantra recommendations to remedy the imbalances for which you seek consultation.
Tarot Consultation: (via phone only)
Ms. Catrelle has been interpreting The Tarot since the age of 14. Her consultations are unique in that she is trained in Astrology, Depth Psychology, and Qabalah/Kabbalah and uses these modalities along with her intuitive abilities to bring forth detailed, accurate and deeply spiritual readings. She uses The Tarot to show the hidden unconscious truths that often cannot be accessed or observed in the wakeful state. She not only provides her clients with the answers to their questions, but she gives her clients psycho-spiritual guidance to live a more balanced, holistic and Spirit-centered life.
Other Services
For ALL OTHER SERVICES not listed above, which include Life Coaching & Consultation, General Readings, Spiritual Guidance, Dream Analysis, and Gift Certificates, please choose from one of the Time Options from the menu below: