About Michelle
Michelle Hoff is a Licensed Marriage and Family Therapist (LMFT) who brings a practical, relational approach to therapy. She focuses on helping people with stress, anxiety, relationship strain, trauma, addiction, grief, parenting pressures, and mood concerns like depression and bipolar disorder. Michelle practices from Nebraska and speaks English.
With ten years in the mental health field, Michelle has built experience in clinical work since 2017. She draws on Attachment-Based Therapy to look at relational patterns, and uses Cognitive Behavioral Therapy to address unhelpful thoughts and behaviors.
How Michelle works
Emotionally-Focused Therapy and mindfulness practices are part of her toolkit for strengthening emotional connection and present-moment coping. Sessions are framed around the person in front of her. Michelle takes a warm, nonjudgmental tone and avoids labels that shame.
She aims to tailor conversation and plans to each person's needs, blending practical strategies with attention to feelings and relationship dynamics. Her additional focuses include abandonment, adoption and foster care issues, blended family concerns, codependency, communication problems, divorce and separation, domestic violence, substance use, forgiveness, guilt and shame, isolation, veteran and armed forces issues, panic, and parenting challenges.
These areas often overlap and are addressed together as needed. Michelle works with a mix of modalities depending on goals and preferences. She encourages people to take small steps toward change and offers support while they practice new ways of coping and relating.
Michelle lists 10 ways of working on the entry:
What Michelle works with
The areas below are the ones Michelle selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Codependency
- Communication problems
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Panic disorder and panic attacks
- Parenting issues
- Self esteem
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Nebraska |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How attachment work and CBT translate to online therapy
Attachment-Based Therapy focuses on how early and current relationships shape feelings and reactions. Online sessions can be used to identify patterns in how people connect, respond to conflict, and seek closeness so they can practice new interaction choices. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions. In telehealth sessions CBT tools like thought records, behavioral experiments, and skill practice can be introduced and reviewed between meetings. Finding the right approach is part of the work together. Michelle will collaborate with each person to choose or combine methods based on goals, preferences, and what feels most helpful. That process often starts with listening, trying a few strategies, and adjusting over time. Online formats include video calls, phone sessions, live chat, or text-based messaging. Video allows face-to-face conversation and visual cues, phone calls can fit a commute or a quieter check-in, and messaging or chat is useful for short updates, immediate coping reminders, or when typing is easier than speaking. These options make it simpler to fit consistent sessions into a busy life and to practice skills between conversations.Start online instead of waiting
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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