About Cynthia
Cynthia Mickel is a licensed professional counselor (LPC) based in Texas with 20 years of experience. She focuses on helping people manage anxiety, stress, addiction, trauma, grief, depression, and relationship and intimacy concerns. Cynthia works remotely and uses a relaxed, conversational style that many people find easy to talk with.
She aims to meet clients where they are and helps them take practical steps forward. Cynthia builds sessions around what each person needs in the moment.
Background and approach
Some people come wanting a sympathetic ear and guidance. Others want to dig into what led to their struggles. Both approaches are welcomed and shaped to fit individual goals.
She often assigns small experiments between sessions so clients can try new skills in daily life. These tasks are simple and focused on testing what was discussed, not on perfection. The goal is steady progress people can notice week to week.
Cynthia draws from several evidence-based methods such as acceptance and commitment work, client-centered conversation, cognitive behavior strategies, dialectical skills, and emotionally focused techniques. She blends these approaches to suit each person rather than following a single script. Her background includes long-term work in substance use settings and leadership roles in clinical programs.
That history shapes a practical, problem-focused approach to issues like addiction, self-harm, and grief. Cynthia encourages clients to rely on their own strengths while she provides guidance and structure. Remote work allows her to be flexible with scheduling and to support people across state lines.
She emphasizes collaboration and aims to help clients learn skills they can use outside of sessions.
Approaches that guide online sessions
Acceptance and Commitment Therapy (ACT) focuses on helping people notice what matters to them and take valued actions even when difficult thoughts or feelings show up. It is often helpful for anxiety, stress, and coping with life changes. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors connect and teaches practical skills to change unhelpful patterns; it is commonly used for anxiety, depression, and certain mood concerns. Emotionally-Focused Therapy (EFT) centers on identifying and shifting emotional responses in relationships and within oneself, which can help with intimacy issues and self-esteem.Choosing an approach is a collaborative process. Cynthia will explore a client's goals, preferences, and what has or hasn’t worked before. Together they decide which methods to try and adjust the plan as progress is made so the work fits the person's life and needs.
Online therapy offers flexible ways to meet. Video calls let people use visual cues during deeper work. Phone sessions can be simpler when bandwidth or camera use is limited. Live chat and text-based messaging support brief check-ins, skill practice, and ongoing encouragement between longer sessions. These options make it easier to fit therapy into a busy schedule and to practice new skills in everyday settings.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Texas, Oregon, Washington, Arizona
- Languages
- English
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