About Cynthia
Cynthia Mickel is a Licensed Professional Counselor with 20 years of experience. She practices from Texas and offers remote sessions. Cynthia describes herself as laid-back and easy to talk with, and she begins where each person is in the moment.
She centers sessions on what the client needs that day. Some people come wanting guidance and a listening ear. Others want to dig into the reasons they feel stuck.
She gives practical exercises to try between sessions so learning carries into daily life.
Background and approach
Cynthia has long experience supporting people after trauma and with substance use concerns. She has also worked with depression, bipolar mood issues, anxiety, self-harm behaviors, and grief. Her background includes leadership roles in residential substance use treatment and adolescent programs, which shaped her approach to crisis and recovery.
Her work draws from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and a client-centered stance. In practice she uses mindfulness, skills training, and emotion-focused conversations tailored to what a person needs right now. Sessions are delivered remotely by video, phone, live chat, or text messaging.
Cynthia encourages collaboration on treatment goals and gives clear, manageable tasks to practice between sessions. She aims to guide people toward greater confidence and more effective coping in everyday life.
Online approaches that focus on skills and values
Acceptance and Commitment Therapy (ACT) helps people name what matters most and take small action steps toward those values while learning to live with difficult thoughts and feelings. It can be useful for anxiety, stress, and life changes.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions connect and teaches practical strategies to change patterns that create more distress. It is often used for anxiety, depression, and coping with difficult situations.
Dialectical Behavior Therapy (DBT) offers concrete skills for managing strong emotions, improving interpersonal effectiveness, and tolerating distress. It can be helpful for impulsive behavior, mood swings, and self-harm tendencies.
Cynthia treats finding the right approach as a team effort. She will talk with each client about goals, preferences, and which methods feel like the best fit. Together they decide what to try and adjust the plan as needed based on what helps.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy fit into a busy life. Video works well for deeper conversations and skills practice, phone can be easier when bandwidth is limited, and messaging options allow shorter check-ins or ongoing support between sessions. This flexibility helps people keep therapy consistent around work, school, or caregiving demands.
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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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