Cynthia Mickel is a Licensed Professional Counselor with two decades of experience in behavioral health.
01About Cynthia
Cynthia Mickel is a Licensed Professional Counselor with two decades of experience in behavioral health. She works from a client-centered stance and values a relaxed, down-to-earth rapport. Many people find her easy to talk to, and she balances listening with clear guidance.
Her approach aims to help clients notice strengths they already have and build on them. She has substantial experience supporting people after trauma and with substance use concerns.
Background and approach
Her background includes leadership roles in residential substance abuse care and clinical direction at an agency. That experience shapes a practical focus on safety, stabilization, and steps people can try between sessions. In sessions she may offer short, manageable exercises to try at home.
These experiments help clients practice new responses and see what works in real life. Some people want space to vent; others want to get straight to causes and patterns. Cynthia adapts to both needs and sets collaborative goals.
Her work draws on therapies that emphasize values, skills, and emotional connection. She often blends behavior-focused strategies with mindful awareness and attention to relationship patterns. Many clients come for anxiety, depression, grief, trauma, or struggles with substance use.
She provides virtual care from Texas and offers a flexible schedule that fits different routines. Sessions can include longer weekly meetings or brief check-ins and follow-up tasks. Cynthia encourages a steady pace and shared effort so clients can relearn how capable they are.
02Credentials
- LPC (Texas)
- License 77725 · expires August 2026
- LPC (Oregon)
- License C6786 · expires August 2026
- LMHC (Washington)
- License LH61259668 · expires August 2026
- LPC (Arizona)
- License LPC-22323 · expires June 2027
- NPI
- 1093046344 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Cynthia lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Grief
- Self esteem
- LGBT
- Intimacy-related issues
- Parenting issues
- Anger management
- Bipolar disorder
- Depression
- Coping with life changes
- Abandonment
- Attachment issues
- Blended family issues
- Body image
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Women's issues
- Young adult issues
Methods Cynthia names
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
These are the methods Cynthia names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
How therapeutic approaches shape online work
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions aligned with those values. It is useful for anxiety, depression, and coping with life changes because it focuses on meaningful behavior rather than only changing feelings.Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors influence mood. It uses practical exercises and experiments to test different responses, which can reduce anxiety, manage depression, and change unhelpful patterns.
Finding the right approach is part of the therapy process. The therapist and client decide together which methods fit best based on the person's goals, needs, and preferences. Sessions may blend ACT and CBT techniques or shift focus over time as progress is tracked.
Online therapy offers flexible ways to work on these approaches. Video calls allow full conversation and visual cues for deeper emotional work. Phone sessions can be a good option when bandwidth or camera use is difficult. Live chat and text-based messaging let people check in, get brief coaching, or try short exercises between longer sessions. These formats make it easier to practice skills in the moments they matter and to keep momentum during life’s busy stretches.
05Questions people ask
What kinds of concerns can be addressed in therapy?
She works with stress, anxiety, depression, trauma and abuse, grief, addictions, self-esteem, LGBT issues, intimacy concerns, parenting strain, anger, bipolar disorder, and coping with life changes.
How would you describe her therapeutic style?
Her style is client-centered and adaptable. She listens first, then offers practical exercises and guidance tailored to each person.
What is her professional background?
She has 20 years of experience in behavioral health and has held clinical supervisory and director roles in substance abuse residential settings.
Where is she licensed and based?
She is an LPC and practices from Texas.
Are sessions available in languages other than English?
Sessions are offered in English and international clients are accepted.
What session formats are offered?
She provides video calls, phone sessions, live chat, and text-based messaging as options for therapy.
How does pricing work?
Costs vary with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Choose the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.
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