Appointment Hours :
- Monday - Friday : 9am-4pm
- Saturday/Sunday: Closed
You've survived more than anyone can see — but surviving shouldn't feel this hard.
My name is Micah Fleitman, LPC. I am a Trauma Focused CBT therapist in Virginia. I can help you heal overwhelming emotions, poor self-esteem, and painful relationships by fusing TF-CBT with EMDR and other trauma therapies.
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.
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.
Imagine waking up with the day ahead feeling manageable, even hopeful. When hard emotions hit, you know how to ground yourself instead of feeling overwhelmed.
You speak to yourself with compassion and confidence. You set boundaries without guilt and trust that your needs matter.
Relationships feel safer, more real. You show up as yourself, without fear of being too much or not enough.
Healing doesn’t erase the past, but it changes how you carry it. With Trauma-Focused CBT, you can start living from a place of strength — not survival.
What You Can Expect With Trauma-Focused CBT
TF-CBT helps 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.
I know how heavy it can feel to live with shame, fear, and the constant pressure to hold it all together.
I felt 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.
Hi, I’m Micah Fleitman, LPC.
Trauma touches every part of you — mind, body, emotions, and relationships. That’s why I integrate Trauma-Focused CBT with other powerful trauma therapies that care for the whole you.
Eye Movement Desensitization and Reprocessing (EMDR): Releasing the Weight of the Past
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.
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.
When you feel ready, we gently begin to explore how past experiences are showing up in your present life.
Healing is about more than surviving — it’s about living with trust, purpose, and connection.
How TF-CBT Heals Emotions, Self-Esteem, and Relationships
When your mind and body start to feel safe, healing can truly begin. Through TF-CBT,
Here’s how TF-CBT helps with each of these areas.
Stay Grounded: Manage Overwhelming Emotions with Confidence
When you’ve lived through trauma, emotions can feel like they control.
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.
Rebuild Self-Esteem: Quiet the Voice of Self-Doubt
Trauma often leaves behind painful, false lessons about your worth.
With Trauma-Focused CBT, you’ll:
That old voice telling you “I’m not enough” 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.
With Trauma-Focused CBT, you’ll:
You don’t have to choose between protecting yourself and connecting with others. You can feel safe, loved, and fully yourself.
Book a free 30-minute consultation
Begin therapy
Understand you as a whole person and tailor treatment to your needs.
Ongoing support
Work together to build safety and trust as you heal and grow.
Safety
Build a meaningful connection with your therapist. Feeling validated, heard, and respected will improve the therapeutic relationship.
Honesty
Being honest with yourself is not always easy, so it can be hard to share with your therapist too. When trust and comfort exist, honesty can surface.
Connection
Once we are honest with ourselves,
we make room for learning and growth. Growth may look like breaking old patterns, creating new habits, and establishing a plan to meet goals.
Appointment Hours :
Online Therapy in Virginia
For your convenience, my teletherapy services are available across the state of Virginia, including Alexandria, Arlington, Chesapeake, Hampton, Harrisonburg, Leesburg, Lynchburg, Manassas, Newport News, Norfolk, Portsmouth, Reston, Richmond, Roanoke, Suffolk, and Virginia Beach.
If you need to send me mail, you can do so at this address:
1550 Wilson Blvd Ste. 700 #226, Arlington, VA 22209
Book a complimentary 30-Minute Consult