Michelle Hoff , LMFT

Michelle Hoff is a Licensed Marriage and Family Therapist (LMFT) with ten years of experience in the mental health field. She combines clinical training and a values-informed perspective to support individuals, couples, families, and groups facing a wide range of challenges, including stress, anxiety, depression, trauma and abuse, addictions, relationship and family concerns, grief, parenting difficulties, bipolar disorder, and coping with life changes.

Her professional background includes licensure as an LMFT in Iowa and Illinois, a Nebraska mental health practitioner credential with a marriage and family certification, national counselor certification, and specialized training in clinical anxiety treatment. She is also a member of professional associations for Christian counselors and for marriage and family therapists, and she has provided care in both private practice and part-time in online settings.

Michelle's therapeutic style is warm, respectful, and nonjudgmental. She draws on attachment-based, client-centered, cognitive-behavioral, emotionally-focused, and mindfulness approaches to tailor care to each person or family. Her work pays particular attention to relational patterns, attachment and adoption issues, blended family dynamics, codependency, communication problems, and experiences related to military service.

Michelle aims to meet each client where they are and to collaborate on practical, individualized plans for change. She is not currently accepting new clients.

Remote Approaches Rooted in Relationship and Skills

Michelle integrates Attachment-Based Therapy, Client-Centered Therapy, and Cognitive Behavioral Therapy (CBT) into her online practice. Attachment-Based Therapy explores how early relationships shape current patterns, helping people address issues like abandonment, adoption and foster care concerns, and attachment-related struggles. Client-Centered Therapy emphasizes a respectful, empathic stance where the therapist follows the client's lead and supports self-discovery and personal growth. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and learning practical strategies to reduce anxiety, depression, panic, and addictive patterns.

Choosing the right approach is part of the therapeutic process, and Michelle works collaboratively with each person to determine what fits best for their needs, goals, and preferences. Licensed professionals adapt techniques over time, combining relational and skills-based methods to match what is most helpful for the client.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. These options allow people to engage in regular care from home or another convenient location, making it easier to maintain consistency, manage scheduling, and continue therapy through life transitions.