Cynthia Mickel

Experienced LPC blending practical skills and compassion

LPC Texas

Experience: 20 years in practice
Focus areas: Stress, Anxiety, Addictions, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Cynthia

Cynthia Mickel is a licensed professional counselor (LPC) with 20 years of experience in mental health and substance use treatment.

Background and approach

She holds a master's degree in educational psychology with an emphasis on community counseling and has served in clinical leadership roles including clinical supervisor for a residential substance abuse program and current clinical director duties. Her background includes substantial work with trauma and substance use, and she has led adolescent programming for several years.

Her therapeutic stance emphasizes a client-centered beginning - meeting people where they are and tailoring work to individual needs. She describes herself as laid-back and personable, and combines listening with practical guidance.

Some clients use sessions for support and processing, while others pursue deeper exploration of the causes behind their concerns. Cynthia often offers brief practice exercises between sessions to help clients apply insights in daily life and build skills outside of scheduled meetings.

Her practice addresses a wide range of concerns including stress, anxiety, addictions, trauma and abuse, grief, self-esteem, LGBT issues, intimacy-related struggles, parenting challenges, anger, bipolar disorder, depression, and coping with life changes. She accepts international clients and provides services remotely from Texas.

Practical approaches for online therapy and skills work

Online sessions with Cynthia combine structured evidence-informed methods and client-centered support to address both symptoms and the situations that maintain them. Cognitive Behavioral Therapy (CBT) is used to identify unhelpful thinking and behavior patterns and to develop practical strategies for managing anxiety, depression, and stress. Acceptance and Commitment Therapy (ACT) helps people notice internal experiences while clarifying values and taking committed action toward a more meaningful life. Client-Centered Therapy emphasizes empathic listening and collaboration so clients feel heard and respected as they explore what matters most to them.

Choosing the right approach is collaborative; the therapist will work together with each person to determine which methods best fit their needs, goals, and preferences and may blend techniques over time. That process includes discussing what feels useful and adjusting the plan as progress unfolds.

Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and comfort levels. Remote work makes it easier to practice skills in daily life and to use short between-session exercises that reinforce learning. These options aim to increase accessibility and convenience while supporting steady therapeutic progress.

Frequently asked questions

What kinds of concerns does Cynthia work with?

Her practice covers stress, anxiety, addictions, trauma and abuse, grief, self-esteem, LGBT concerns, intimacy-related issues, parenting, anger, bipolar disorder, depression, and coping with life changes, along with a range of related focus areas.

What is her therapeutic style like?

She works from a client-centered stance that begins where each person is, combining empathic listening with practical guidance and brief between-session exercises to support real-life application.

How long has she practiced clinically?

She brings 20 years of professional experience working in mental health and substance use treatment, including supervisory and clinical director roles.

What are her credentials and where is she located?

She is an LPC with licenses listed as AZ LPC LPC-22323 and TX LPC 77725, and she practices remotely from Texas.

Does she offer services in other languages or to international clients?

Sessions are offered in English, and she accepts international clients for remote work.

What session formats are available with her?

She provides video calls, phone sessions, live chat, and text-based messaging as options for remote therapy.

How is cost handled for sessions?

Cost varies by location and therapist availability; sessions are provided through a subscription that can be canceled at any time.

How do I begin working together?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuse Grief Self esteem

Also works with

LGBTIntimacy-related issuesParenting issuesAnger managementBipolar disorderDepression Coping with life changes

Additional focus areas

AbandonmentAttachment issuesBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Domestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shame Impulsivity Isolation / lonelinessLife purposeMood disordersMulticultural concernsObsessions, compulsions, and OCD Panic disorder and panic attacksPersonality disordersPhobias Post-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSexual assault and abuseSocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

20+ years

Licensed

Texas, Oregon, Washington, Arizona

Languages

English