- Client-centered approach
- Trauma and addiction experience
- Practical between-session work
About Cynthia
Cynthia Mickel is a Licensed Professional Counselor with 20 years of experience. She draws on a background in community counseling and long work in substance use and trauma settings. Cynthia describes herself as laid-back and easy to talk to, and she starts therapy where each person is in their life.
She uses a client-centered style that lets the person set the pace. Some clients want time to be heard and get guidance. Others want to dig into the events and patterns that led them here. Cynthia offers both kinds of work and adapts to what feels right for each person.
Her practice has included roles as a clinical supervisor in residential substance care and as a clinical director at an agency. That background informs her work with people facing addiction, trauma, and grief. She also has experience supporting people with depression, bipolar, anxiety, PTSD, and self-harming behaviors.
Cynthia often gives simple experiments or exercises to try between sessions. These are practical steps meant to test new ways of coping and bring learning into everyday life. She tells clients she will work alongside them but not do the work for them, so they can build confidence in their own abilities.
Clients may bring concerns such as stress, codependency, attachment or abandonment wound issues, parenting strain, body image, relationship and intimacy questions, or struggles with substance use. Cynthia uses several evidence-informed approaches and tailors sessions to each person’s goals and comfort.
Therapeutic approaches that fit daily life online
Cynthia draws from Acceptance and Commitment Therapy and Client-Centered Therapy when working remotely. ACT focuses on noticing difficult thoughts and feelings while committing to actions that match personal values; it can help with anxiety, avoidance, and codependency. Client-Centered Therapy centers on the person's own experience and aims to create an open, nonjudgmental space for talking through what matters most.She also uses elements of Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and behaviors connect and teaches practical skills to change unhelpful patterns. CBT techniques are often paired with simple experiments to try between sessions so new habits can be practiced in real life.
Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and what has or hasn’t worked before. Together they decide which methods to try and adjust the plan as needed.
Because her work is currently remote, sessions are designed to fit into ordinary schedules and daily demands. Confirm the available session formats before booking so you know what to expect. Many people find online sessions make it easier to keep regular appointments, fit therapy into a busy day, and apply between-session exercises directly into everyday routines.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Credentials
Texas, Oregon, Washington, Arizona
Languages
English
Frequently asked questions
What issues does Cynthia often help with?
She works with stress, anxiety, depression, trauma and abuse, addictions, grief, self esteem, and related concerns such as codependency and attachment issues.
How would you describe her therapy style?
Cynthia uses a client-centered, approachable style and starts where the client is. She balances listening and guidance with practical tasks to try between sessions.
What sort of background does she bring to sessions?
She has 20 years of experience, has supervised residential substance programs, and has served as a clinical director in an agency setting.
Where is she licensed and based?
She holds LPC credentials and practices from Texas, with licensure noted in AZ LPC and TX LPC.
Which languages are supported for therapy?
Sessions are offered in English and she also accepts international clients.
What session formats does she offer?
The biography indicates she currently works remotely from home. Confirm the current session options with the therapist before booking.
How is cost handled for sessions?
Cost varies with location and therapist arrangements; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, complete the short matching questionnaire, and schedule according to therapist availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.