Trauma Focused-CBT Therapist in Virginia

Rebuild Safety, Strength,
and Trust

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You've survived more than anyone can see — but surviving shouldn't have to feel this hard.

Every day, you keep moving forward, even when the past feels heavy. That strength is real. But survival often comes with scars. As an online trauma focused cognitive behavioral therapist in Virginia, I can help you:

Trauma takes a toll on your body, mind, and heart

You might wake up already tense, your chest tight with anxiety before your feet even hit the floor. Small moments — a missed text, a sharp tone, a simple mistake — can spiral into waves of shame, self-doubt, or fear. Sometimes you feel everything all at once; other times, you shut down just to get through.

Even moments of calm can feel suspicious, like they’re too good to last.

Inside, that critical voice keeps pushing the message that you’re not enough, that you have to work harder just to be accepted or loved. Relationships can feel exhausting, like you’re constantly walking on eggshells, afraid that being fully yourself will push people away.

If this feels familiar, it’s not because you’re broken — it’s because you’ve had to survive more than most. Trauma-Focused Cognitive Behavioral Therapy can help you learn to feel safer in your own mind and body, connect more deeply with others, and trust that you are already enough — just as you are.

Person sitting on a rock in a peaceful autumn forest, symbolizing self-reflection and explaining how does therapy work for trauma.
Serene waterfall with turquoise water surrounded by rocks, symbolizing healing and peace, reflecting how trauma therapy works.

There’s a way forward where you feel in control, at peace, and at home within yourself.

Imagine waking up without that tight knot of anxiety in your chest. The day ahead doesn’t feel like something you have to survive — it feels like something you can move through, with moments of calm, even hope. When hard emotions hit, you don’t feel trapped or overwhelmed. Instead, you know how to ground yourself.

You find yourself speaking to yourself differently — less like an enemy, more like a trusted friend. That constant self-doubt and criticism that once filled your mind starts to lose its power.

You catch yourself making choices with confidence, setting boundaries without guilt, and trusting that your needs matter too.

In your relationships, you notice you’re not walking on eggshells anymore. You feel more at ease being yourself, not shrinking to fit someone else’s expectations. When connection happens, it feels real and safe — not something you have to earn or fear losing.

Healing doesn’t erase the past, but it changes the way you carry it. Through Trauma-Focused Cognitive Behavioral Therapy, you can start living from a place of strength, not survival — a place where you are enough, just as you are.

What You Can Expect With Trauma-Focused CBT

Healing from trauma can feel overwhelming — but it doesn’t have to be. TF-CBT breaks the process down into manageable steps. It’s designed to help you make sense of what you’ve been through, untangle the patterns that keep you stuck, and give you real tools to feel safer, stronger, and more connected in your everyday life.

In our work together, you’ll learn how to

TF-CBT is about more than coping — it’s about helping you feel truly grounded, empowered, and connected again.
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Let's Get Started
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Hello. I’m Micah Fleitman, LPC.

I know how heavy it can feel to live with shame, fear, and the constant pressure to hold it all together. For a long time, I woke up already on edge, questioning my worth, feeling like I had to work twice as hard just to be okay.

Things started to change when I stopped fighting myself and started listening. I learned to trust my feelings instead of fearing them — and to trust myself, too. This helped me let others in—fully, safely, and without shame.

Now I help others do the same. You’re not broken. You’re carrying pain that deserves care. Healing is possible—and you don’t have to do it alone.

I’ve devoted my career to helping people heal trauma and dissociation.

Serene waterfall with turquoise water surrounded by rocks, symbolizing healing and peace, reflecting how trauma therapy works.

My credentials include:

I offer better results than traditional TF-CBT by integrating several evidence-based trauma therapies to provide holistic care.

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EMDR Therapy in Virginia

What Trauma-Focused CBT Sessions Look Like

Starting therapy after trauma can feel overwhelming — but you don’t have to face everything all at once. Our work will move at your pace, always grounded in safety, trust, and steady growth.

Here’s what the process typically looks like:

In the beginning, we focus on creating a foundation where you feel safe, steady, and supported.

  • Learn grounding techniques to calm your body and manage overwhelming emotions
  • Build trust in the therapy relationship at a pace that feels right for you
  • Strengthen your ability to stay connected to yourself during hard moments
  • Establish a stronger sense of safety both inside and outside of sessions

When you feel ready, we gently begin to explore how past experiences are showing up in your present life.

  • Understand and make sense of the experiences you’ve carried
  • Loosen the grip of old survival patterns like self-criticism and fear
  • Practice emotional regulation skills to stay steady during tough moments
  • Shift from shame and self-blame toward deeper compassion for yourself

Healing is about more than surviving — it’s about living with trust, purpose, and connection.

  • Strengthen your confidence and sense of self-worth
  • Practice setting healthy boundaries without guilt or fear
  • Build relationships that feel safe, secure, and real
  • Live more fully from a place of resilience, not survival

One Step at a Time, Toward Lasting Change

You’re in charge of the pace and the process. Healing is possible — and it starts with one small, steady step forward.
Person sitting on a rock in a peaceful autumn forest, symbolizing self-reflection and explaining how does therapy work for trauma.
Serene waterfall with turquoise water surrounded by rocks, symbolizing healing and peace, reflecting how trauma therapy works.

How Trauma-Focused CBT Heals Emotions, Self-Esteem, and Relationships

When your mind and body start to feel safe, healing can truly begin. Through TF-CBT,

Stay Grounded: Manage Overwhelming Emotions with Confidence

When you’ve lived through trauma, emotions can feel like they control you — not the other way around. Small frustrations can feel unbearable. A minor change of plans can bring a rush of fear or anger. You might notice:

These aren’t flaws. They’re survival strategies your mind and body learned when life didn’t feel safe. TF-CBT helps you work with these patterns, not against them.

With Trauma-Focused CBT, you’ll:

You’ll still have emotions — but they’ll feel like waves you can ride, not storms that knock you over.

Person sitting on a rock in a peaceful autumn forest, symbolizing self-reflection and explaining how does therapy work for trauma.
Serene waterfall with turquoise water surrounded by rocks, symbolizing healing and peace, reflecting how trauma therapy works.

Rebuild Self-Esteem: Quiet the Voice of Self-Doubt

Trauma often leaves behind painful, false lessons about your worth. You might find yourself:

TF-CBT helps you interrupt these old cycles and create a new relationship with yourself.

With Trauma-Focused CBT, you’ll:

Over time, that old voice telling you “I’m not enough” can shift into something quieter, kinder, and truer: “I’m doing enough. I am enough.”

Heal Relationships: Feel Safe Letting People In

When you’ve been hurt before, trusting others can feel terrifying. You might:

TF-CBT helps you see these patterns with compassion and begin to build something new.

With Trauma-Focused CBT, you’ll:

You don’t have to choose between protecting yourself and connecting with others.
You can have both. You can feel safe, loved, and fully yourself.

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Integrating Trauma-Focused CBT with Other Trauma Therapies

A Holistic Approach to Healing

Trauma touches every part of you — your mind, body, emotions, and relationships. That’s why I integrate Trauma-Focused CBT with other powerful trauma therapies that help care for the whole you.

When these approaches come together, healing becomes more than coping — it becomes transformation.

Some wounds stay stuck no matter how much time passes. TF-CBT helps you build the emotional tools you need, and EMDR gently helps those stuck places release old pain — so you can move forward with more clarity, freedom, and hope.
Trauma isn’t just in your mind — it lives in your body, too. Somatic Therapy helps you notice and release the survival responses your body still holds onto. It teaches your nervous system that it’s finally safe to breathe, to rest, and to connect again.
After trauma, it can feel like different parts of you are stuck in survival mode — one part wanting connection, another pulling away in fear. IFS helps you recognize, care for, and bring compassion to these different parts.
Many patterns of self-doubt and fear in relationships started long before you even knew they were there. Psychodynamic therapy helps us trace those patterns back to their roots, so you can untangle old pain and build stronger, healthier relationships now — both with yourself and others.
Some pain lives beyond words. Clinical Hypnosis offers a gentle way to access deeper layers of your experience — not by forcing anything, but by working with your mind’s natural ability to heal. Together with TF-CBT, it can open the door to deeper calm, insight, and resilience.

By weaving together these evidence-based approaches, healing becomes a full, compassionate process — not just surviving your past, but thriving in your present and future.

Try These At-Home Practices to Support Your Healing

These simple practices are designed to help you gently reconnect with yourself — building emotional steadiness, self-trust, and a deeper sense of safety inside your own skin.

Serene waterfall with turquoise water surrounded by rocks, symbolizing healing and peace, reflecting how trauma therapy works.

Choosing the Right Practice for You

Grounding and Self-Soothing Practice (For Managing Overwhelming Emotions)

This practice helps you stay connected to yourself when emotions feel intense — without shutting down or getting swept away.

Here’s how:

  • Find a Safe, Quiet Space: Sit comfortably with your feet on the floor or lie down in a way that feels supportive.
  • Focus on the Senses:
  1. Feel your feet pressing into the ground.
  2. Notice what you see, hear, and smell around you.
  3. Gently name five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste.
  • Add a Soothing Touch: Place a hand on your heart or your belly and notice the warmth. You can also gently tap your hands on your thighs or rub your hands together.
  • Anchor Yourself with Your Breath: Take slow, deep breaths, feeling the air move in and out. Imagine each breath bringing a little more steadiness into your body.
  • Remind Yourself:
    “I am safe right now. I can handle this moment.”

Even a few minutes of grounding can help you stay present and feel more in control when emotions run high.

Self-Compassion Reframe Exercise (For Strengthening Self-Worth)

This practice helps shift the voice of self-doubt into something kinder, more truthful, and more supportive.

Here’s how:

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Cozy outdoor seating by a firepit, symbolizing warmth and connection, illustrating how talk therapy works with trauma.

A Few Minutes a Day Can Make a Difference

Practicing these exercises regularly — even for just a few minutes — helps your body and mind learn something powerful:
Healing isn’t about forcing big changes overnight. It’s about taking steady, compassionate steps, one moment at a time.

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