Vancouver, WA Micah utilizes a specialized holistic approach combining the knowledge and understanding of the anatomy and the autonomic nervous system to treat and educate our patients through their struggles/impairments on their journey through various pelvic impairments/conditions…for all genders and ages. Micah performs a comprehensive evaluation, including biological, psychological, and social history. Micah combines pain neuroscience education, relaxation/self-coping skills, mindfulness and meditation, abdominal diaphragmatic breathing, pelvic floor training, manual therapy, and various types of therapeutic exercise, which we design as patient-specific, to improve therapeutic alliance and engagement with exercises both at the clinic and at home. We apply a trauma-informed therapy approach, and the degree of manual therapy depends on the patient’s preferences. Our goal is to calm any sympathetic nervous system response and empower the patient to do so as well in their own maintenance of their symptoms. Developing patience and compassion toward symptoms can help reduce pain, symptoms, and duration. Doctor of Physical therapy, sexual counselor, and sex educator. Pelvic PT. Specific interest in gender-affirming care in both fields of physical therapy, pelvic physical therapy, and sexual counseling.