Cassandra Miasnikov (She/They)

Acceptance and Commitment Therapy (ACT)

Acceptance and commitment therapy helps clients explore who they want to be, build self-esteem, practice assertiveness, & improve emotional regulation. Not only is it highly effective, it’s a shame-free approach where we work with your strengths and values to help you live a life you're proud of. I tailor interventions to meet the unique needs of each client. My approach also draws from Dialectical Behavioral Therapy (DBT) & play therapy.

Exposure and Response Prevention Therapy

Exposure and Response Prevention (ERP) is a highly effective therapy for OCD that gently helps you face fears and resist compulsions in a safe, supportive environment. With guidance, we'll gradually confront triggers in a way that feels manageable, learning to reduce anxiety and break the cycle of obsessions and compulsions. ERP emphasizes your courage and resilience, fostering self-compassion as you gain freedom from OCD's grip and build a life guided by your values, not fear.

Attachment Theory

Attachment theory helps us understand how early relationships shape the way we connect with others and see ourselves. In therapy, we explore these patterns with curiosity and compassion, identifying how they influence your current relationships and well-being. By fostering secure connections with yourself and others, we work to heal past wounds, reduce shame, build trust, and develop healthier, more fulfilling relationships rooted in safety, understanding, and mutual support.

ADHD

Does your brain seem to oscillate between overstimulated and understimulated? Are you sick of getting brushed off by medical providers because you’re an adult, or because you’re not struggling ”enough” in school, or because they gave you medication (or didn’t) and kicked you out the door? Together, we’ll help you better understand your needs, collaboratively identify and advocate for supports, & develop emotional regulation strategies to help you thrive.

OCD

Do you wish your brain would pause for a minute so you could breathe? Are you sick of people telling you, “calm down,” and “don’t stress so much, it’s bad for you,” like that doesn’t make it worse? You’re not alone. We’ll work together to help you develop a healthier relationship with your OCD, gently retrain your brain, collaboratively identify and advocate for supports, & develop emotional regulation strategies to help you thrive.

Autism

Are you exhausted from getting brushed off by medical providers because you don’t look autistic? Have you been told there’s “nothing they can do” or you’re too “old” for help? But you’re still struggling with tasks like hygiene, going grocery shopping, needing to navigate the airport, or feeling lonely? We’ll work together to help you & your loved ones recognize the ”rumbling” stages of meltdowns and shutdowns and identify and advocate for the supports you deserve.