01 · Who Cynthia works with

Cynthia works with stress, Anxiety, relationship issues and self esteem

Cynthia lists 14 specialisms and 17 further focus areas. Specialisms are the subjects Cynthia chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Cynthia's own words

What Cynthia says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am passionate about helping others with the challenges that life brings. Sometimes these challenges can be overwhelming or seem never ending. Do you often feel like you're going at it alone, living day to day, just surviving enough to get by? You don’t have to do it alone, come learn to enjoy your life again and overcome life’s challenges. People often get stuck in this mindset and struggle to get out. Let me help give you the tools you need and work together to get you out of the darkness and enjoying your life again. What if you woke up in the morning feeling like you could conquer your world instead of dreading it? Wouldn’t that be a great feeling? Your mental health is as important as your physical health. To be healthy in one area we must be healthy in all areas of functioning. Treating the whole person is an important part of treatment. Your physical, mental, spiritual and social health is important for our overall well-being. Your well-being and health are my upmost priority and we will work together to find a balance that you can work with. I have worked with individuals ages 6-65 that come in for a variety of issues including but not limited to depression, anxiety, social skills, trauma, mood disorders and everyday common problems. I use an integrated style of therapy that is tailored to meet your unique needs. I work with individuals, families, and provide group therapy options. Some of the therapy styles include talk therapy, cognitive behavioral therapy, and dialectical behavioral therapy.

Cynthia Sewell, on the BetterHelp listing · read 7 Oct 2026

03 · How Cynthia works

The 6 approaches Cynthia lists, in plain English

These are the clinical methods Cynthia lists. The descriptions are Maker Therapy's, not Cynthia's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Cynthia runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Cynthia practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Cynthia's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Cynthia at this point.

2. Naming Cynthia specifically

   BetterHelp matches algorithmically by default, so asking for Cynthia is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Cynthia.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Cynthia

Built from what Cynthia actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Cynthia's - Cynthia has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LPC

Licensed in

Arkansas

Licence

AR LPC P2009077

Licence number

P2009077

Licence expires

31 May 2028

NPI

1568937597

Years in practice

7

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Cynthia's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Cynthia. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.