- Addictions and recovery
- Relationship patterns
- Guilt and shame work
About B.
B. Misty Wycoff is a Nevada LMFT with 40 years of clinical experience. She works with adults on addictions, relationship and intimacy concerns, self-esteem, and coping with life changes. She also addresses issues like guilt and shame that come from past choices or family patterns.
She has decades of private practice work and experience supporting health professionals in recovery. Misty listens to what led someone to seek help, and she focuses on practical steps that reduce daily strain. Sessions are conversational and goal-focused rather than scripted, with space to talk about what matters most right now.
Her approach draws on several therapeutic traditions, including cognitive behavioral methods to spot unhelpful thoughts, and acceptance and commitment ideas to clarify values and small, manageable actions. Attachment-based thinking shows up when relationship patterns and early family dynamics are relevant. She tailors the mix based on the person’s concerns and what works in session.
Misty often helps people untangle guilt and shame tied to abandonment, infidelity, codependency, or substance use. She also supports clients through divorce, blended family adjustments, aging concerns, and loneliness. Conversations include problem-solving, skills practice, and facing difficult feelings in manageable steps.
To begin, Misty asks about the situation that brought someone in and what they hope to change. From there she and the client set clear, realistic goals and track progress over time.
How her approaches fit with online sessions
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters and taking small, values-based steps even when feelings are difficult. It is often used for issues like shame, avoidance, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and teaches practical skills to shift unhelpful thinking patterns. That approach can help with addiction triggers, guilt-driven thoughts, and relationship concerns. Attachment-Based Therapy examines relationship patterns and early bonds to understand current intimacy and trust issues, which can be useful when working through abandonment and codependency.Finding the right approach is part of the work. The therapist will collaborate with each person to select methods that match their goals and preferences. Sessions can mix elements from ACT, CBT, and attachment ideas depending on what helps most in session.
Confirm the available session formats before booking since the biography does not list specific options. Online work can make it easier to fit appointments into a busy week, reduce travel time, or choose sessions that require less time away from work. Therapists and licensed professionals commonly use different formats to accommodate quiet surroundings, shorter check-ins, or longer conversational sessions, so check the booking details to see which options are offered.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
40+ years
Listed in
Nevada
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with addictions, relationship and intimacy issues, self-esteem, and coping with life changes. Additional focus areas include guilt and shame, codependency, infidelity, and family problems.
How would she approach feelings of guilt or shame?
She uses conversational sessions that combine cognitive behavioral techniques and acceptance-based ideas. The work focuses on identifying unhelpful thoughts and finding values-based actions to reduce the burden of those feelings.
What experience does she bring to this work?
She has 40 years of experience, including decades in private practice and work supporting physicians and nurses in recovery. That background informs her approach to addiction and recovery issues.
What credential does she hold and where does she practice?
She is a licensed marriage and family therapist, NV LMFT, practicing in Nevada.
Are sessions available in other languages or for international clients?
Sessions are offered in English. She is not accepting international clients at this time.
What session formats are offered?
Please confirm current session options before booking as formats are not specified in the biography. The booking flow will show the available ways to meet.
How does cost work for sessions?
Cost varies with location; sessions use a subscription that can be canceled at any time. Exact pricing is provided during the sign-up and booking process.
How do I get started with her practice?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That process begins the intake and appointment steps.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.