Michele Marciano

I've spent ten years in mental health — nine of them in the intersection of addiction and trauma — and what I've learned is that clinical tools only work when they're explained in ways people can actually use outside the therapy room.

My approach is energetic and practical: I break things down in plain language, connect them to real-life situations, and help clients build skills they can apply immediately. I work with adults on anxiety, PTSD, trauma, substance use, eating disorders, OCD, BPD, infertility, family stress, and relationship challenges.

As a Native American therapist, I bring cultural awareness and lived understanding to my work — especially for clients navigating identity, systemic barriers, and experiences that don't always fit standard clinical frameworks.

My toolkit is broad because the people I work with rarely fit a single mold. For OCD and anxiety, I use Exposure Response Prevention (ERP) — one of the most effective evidence-based treatments available. For trauma and PTSD, Trauma-Focused CBT and Cognitive Behavioral Conjoint Therapy for PTSD address both individual and relational impacts. For eating disorders, Family-Based Treatment provides a structured, family-inclusive approach. For emotional regulation and relationship patterns, EFT and Psychodynamic work go deeper into what's underneath the surface.

I also offer Biofeedback — a technique that uses physiological feedback to help clients develop real-time awareness and control over their stress responses. It's particularly effective for anxiety, PTSD, and chronic stress.

CBT and ACT anchor most of my work, with Motivational Interviewing guiding how I approach ambivalence around change.

The first session is a conversation about what's brought you here, what you've already tried, and what you're hoping feels different. I'll ask enough to understand your full picture — not just the presenting concern.

My style is direct and warm: I won't make you decode clinical language, and I won't just nod along. By the end, we'll have a starting point and a plan that makes sense for your actual life.