Nora Mickowski (she/her or they/them)

I offer Cognitive Processing Therapy, an evidence-based treatment for PTSD that can be completed in under 12 weeks. Unlike exposure-based therapies, CPT allows clients to work through their trauma without having to give a repeated/detailed account of the trauma, making it more approachable for many clients. I also offer Written Exposure Therapy (WET) for PTSD, which typically takes only 5 sessions. I find WET is often a good fit for folks who express themselves better in writing than verbally.

My favorite treatment modality for depression and anxiety is Acceptance and Commitment Therapy (ACT). In ACT, clients shift away from fighting with their thoughts and emotions and instead learn to accept them without being controlled by them. ACT utilizes mindfulness techniques (meditation not required!) and client-centered values-exploration to help you build the life you actually want to live. Instead of changing your thoughts, we focus on changing your life. How cool is that?

I offer Cognitive Processing Therapy, an evidence-based treatment for PTSD that can be completed in under 12 weeks. Unlike exposure-based therapies, CPT allows clients to work through their trauma without having to give a repeated/detailed account of the trauma, making it more approachable for many clients. I also offer Written Exposure Therapy (WET) for PTSD, which typically takes only 5 sessions. I find WET is often a good fit for folks who express themselves better in writing than verbally.

You feel like crap all the time, and you’re not sure how much longer you can keep this up. Maybe your doctor brushed it off, or told you to lose weight. Maybe they labeled it as “anxiety” just because you have both a vagina and more than one medical problem. You’re starting to lose hope. I get it. I spent decades without diagnosis or treatment, surviving medical neglect, misdiagnosis, and gaslighting by medical professionals. I felt lost and alone, but you don’t have to. I BELIEVE YOU.

It's like your brain has stopped working. You have so much to do, but sometimes it just switches off and you realize you’ve been staring at your computer screen for 20 minutes. You’re constantly exhausted, and can’t understand how everyone else is keeping all these balls in the air! What’s wrong with me? Is it ADHD? Burnout? Maybe just existential dread? You’re not alone; Capitalism is a harsh mistress. I can’t fix the world, but I can help you learn how to cope, and how to recharge your brain!

In addition to ACT (which is actually a type of CBT) I’m also trained in the more traditional and widely-used form of CBT, and I use CBT techniques with almost every client, often in combination with Motivational Interviewing techniques. I also offer CBTi (CBT for insomnia) which is a standardized treatment that helps insomniacs to both reset their sleep and learn healthier sleep habits to keep insomnia from returning.

Unlike some trauma therapies (e.g. EMDR, PE), the modalities I offer don’t require you to repeatedly describe your trauma out loud, which can be too overwhelming for some. In WET (~5 weeks), you write about your trauma instead, and I’m basically your editor. In CPT (~12 weeks), we talk *around* your trauma, focusing on how it’s impacted your beliefs about the world. In ACT, you go at your own pace, dipping your toes into your memories while learning how to be less yanked around by your symptoms.