Rima Mickus

Rima Mickus is a licensed counselor who works with adults dealing with stress, anxiety, relationship concerns, sleep problems, and the effects of trauma and loss. She addresses practical issues like parenting stress, career strain, low self-esteem, and life transitions. Rima presents a direct, collaborative style aimed at helping people find clearer next steps.

With 17 years of clinical experience and credentials as an LCPC (Licensed Clinical Professional Counselor) and an LPC (Licensed Professional Counselor), she has been in private practice since 2013. She uses several evidence-informed approaches, including Trauma-Focused Therapy, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Client-Centered Therapy, and EMDR, adapting techniques to each person’s needs.

Rima places special emphasis on sleep and waking functioning. She learned Cognitive Behavioral Therapy for Insomnia (CBT-I) from a recognized trainer and uses a structured 5-6 week program that includes sleep logs and behavioral steps to improve sleep duration and quality. When medication changes are involved, she notes that coordination with a prescribing doctor is necessary and timelines may vary.

She also incorporates wellness and health coaching strategies to support mood and behavior change, such as small habit shifts around exercise and nutrition. Communication patterns, family of origin factors, and boundaries are often explored when relationship difficulties present.

Rima aims for active collaboration and regular communication between sessions. She checks messages at least twice daily and encourages people to participate between sessions to get the most from therapy.

How therapy approaches translate to online care

Trauma-Focused Therapy in this practice focuses on helping people process distressing experiences in manageable steps, using grounding and tracking to reduce overwhelming symptoms and improve daily functioning. Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings while clarifying values and taking committed action toward a meaningful life. Cognitive Behavioral Therapy (CBT) targets the links between thoughts, behaviors, and mood by teaching practical skills like thought records, behavior experiments, and sleep habit changes.

Figuring out the best approach is part of the work together. The therapist will discuss goals, preferences, and what feels most useful, then try techniques collaboratively and adjust as needed based on progress and comfort.

Session formats are not specified here, so confirm current options before booking. Many people find online sessions easier to fit into a workday or to follow a structured program like CBT-I without travel. Online work can make it simpler to keep consistent check-ins, share sleep logs or worksheets between meetings, and build new routines that fit daily life. Licensed professionals tailor pacing and homework to match each person’s schedule and needs.