Cynthia Mickel, LPC
Client-centered counseling for trauma, recovery, and growth
- Trauma informed support
- Substance use counseling
- Adolescent and adult care
About Cynthia Mickel
Throughout her career, Cynthia has served in leadership roles in behavioral health, including supervising in a substance use residential setting and working as a Clinical Director. She is especially experienced in helping people who have lived through significant trauma and in guiding clients through grief, recognizing that loss can look and feel different from one person to the next. For the past several years, she has also led an adolescent program and is familiar with self-harming behaviors, approaching this work with patience and steady encouragement toward self-understanding and self-worth.
Her style is client-centered, starting where each person is and moving at a pace that fits their needs. Some clients come to therapy primarily for space to talk and receive guidance, while others want to explore deeper patterns and the experiences that brought them to counseling - both approaches are welcome. Cynthia often incorporates between-session “experiments” so clients can practice what they are learning in daily life and build momentum beyond the therapy hour. She works remotely and offers a flexible schedule for online care.
Areas of Expertise
Also Specializes In
Additional Focus Areas
Therapeutic Approach
Frequently Asked Questions
How much experience does Cynthia Mickel have?
Cynthia Mickel has 20 years of experience in the counseling field, working with a range of concerns including trauma, mood disorders, substance use, grief, and life transitions.
Is Cynthia Mickel a licensed therapist?
Yes. Cynthia Mickel is a Licensed Professional Counselor (LPC). She is licensed in Arizona (AZ LPC LPC-22323) and Texas (TX LPC 77725).
In which languages does Cynthia Mickel provide therapy?
Cynthia Mickel provides therapy in English.
Where is Cynthia Mickel located?
Cynthia Mickel is located in Texas.
How can I work with Cynthia Mickel as my therapist?
You can work with Cynthia Mickel through video calls, phone sessions, live chat, or text-based messaging, depending on what fits your needs and scheduling.
Does Cynthia Mickel work with international clients?
Yes. Cynthia Mickel works with international clients.
How much does therapy with Cynthia Mickel cost?
The cost of therapy can vary based on factors like your location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current pricing and details, click the “Start Therapy” button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the “Start Therapy” button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic Tools That Translate Well to Online Care
Cynthia Mickel draws from evidence-informed approaches that can be effective in a virtual setting while still feeling personal and grounded. Cognitive Behavioral Therapy (CBT) focuses on the connection between thoughts, emotions, and actions, helping clients notice unhelpful patterns and practice new ways of responding to stress, anxiety, depression, and life changes.Acceptance and Commitment Therapy (ACT) supports clients in building psychological flexibility - making room for difficult feelings while taking steps toward what matters most. It can be especially useful when clients feel stuck, overwhelmed, or caught in cycles of avoidance. Dialectical Behavior Therapy (DBT) adds practical skills for emotion regulation, distress tolerance, and relationship effectiveness, which can be helpful for intense emotions, impulsive reactions, or self-harming behaviors.
Finding the right approach is part of the process. Cynthia collaborates with each client to clarify goals, understand what has and has not helped before, and choose strategies that fit the client’s preferences, pace, and day-to-day reality.
Online therapy also makes it easier to stay consistent. Clients can meet with her through video calls or phone sessions, and they can use live chat or text-based messaging for additional flexibility between sessions, making support more accessible for busy schedules, travel, or limited local options.