Dr. Michelle Coble, LCSW

Dr. Michelle Coble helps people who are feeling overwhelmed, stuck, or unsure how to move forward. She writes and speaks plainly and aims to make the first steps feel manageable. She is a Licensed Clinical Social Worker with 16 years of experience and holds a doctorate in health sciences.

Clients often reach out for help with stress and anxiety, problems with addictions, struggles around parenting, and low self-esteem. She also addresses concerns such as attachment and abandonment, blended family issues, caregiver stress, and challenges tied to family of origin. Sessions focus on practical changes and clearer choices day to day.

Her style blends straightforward skills training with listening that centers each person’s priorities. She uses Cognitive Behavioral Therapy alongside approaches like Acceptance and Commitment Therapy and Client-Centered methods to build tools people can use between sessions. Other techniques she draws on include Dialectical Behavior Therapy and Emotionally-Focused Therapy when those fit the issue.

In sessions she emphasizes small, achievable steps and clearer thinking about problems that feel urgent. People work on specific behaviors, experiment with different ways of responding, and practice new patterns in real life. She also supports work on motivation, communication problems, forgiveness, and coping with guilt or shame.

Her background includes leadership in behavioral health at a community health agency, which informs a practical, results-oriented approach. She encourages those who are nervous about starting to notice and celebrate the courage it takes to begin.

How therapy approaches translate to online care

CBT, or Cognitive Behavioral Therapy, focuses on the link between thoughts, feelings, and actions. Online CBT sessions typically help people identify unhelpful thinking patterns and practice specific skills to reduce anxiety, manage stress, or change behaviors related to addictions or low motivation.

Acceptance and Commitment Therapy emphasizes values and willingness to accept difficult feelings while taking action toward what matters. In teletherapy this can mean learning short mindfulness exercises, building clarity about priorities, and trying small steps that reflect personal values.

Client-Centered Therapy centers the person’s experience and pacing. The therapist listens, reflects, and helps people find their own solutions rather than imposing a fixed plan. That approach works well online when someone needs space to talk things through and build confidence at their own pace.

Finding the right approach is part of the process. The therapist will work collaboratively to choose methods that match each person’s goals, needs, and preferences. That may mean combining elements from different approaches and adapting them for remote sessions.

Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different routines. Video can approximate an in-person conversation, phone can be helpful when lower bandwidth is needed, and messaging offers brief check-ins or ongoing support between appointments. These options make it easier to maintain consistent work on skills and to fit therapy into a busy life.