Last edited 10/11/2025

Identifies As
they/he/elle/élgenderqueer/transgender nonbinaryAsian (South), Eastern European, Jewish, Latinx, Middle Eastern/North African, RomaniQueerJudaismBIPOC, LGBTQIA+Neurodivergent, Living with Autism, Living with ADHD, Living with Depression, Living with Anxiety, Living with a disability, Living with a chronic disease
Get To Know Me
What was your path to becoming a therapist? What inspired you to choose this profession?
I wrote a little short bit about this process right before starting graduate school. I think it sums up my journey quite well.
When I was a little kid, like as young as 9 years old, I kept a notebook. In this notebook were the names of my made up patients, their issues, and the advice that I gave them. I also noted if their situations improved or not.
Occasionally, I would record these details for real people like my friends, when they would talk to me about their problems. I would either simply hold space for them to feel their feels and talk themselves into what they needed to do, or I would offer what seemed like common sense suggestions.
I kept a notebook like this in some form or another until I was around 16 years old.
But the names were eventually all real people from real conversations that I had with them.
Conversation about their worries, fights with friends and lovers, lies they had told, drugs they had tried, and how their feelings about their “inside gender” and “outside gender” not being the same.
I had never been to a therapist until I was 16 years old. I am not even sure how or why I got the idea to start keeping a notebook with made up patients when I was 9. But that’s what I did.
It’s as though I just instinctually knew. When people asked me what I wanted to be when I grew up, I would tell them that I was going to be a parent and a psychologist.
(When I was little, I assumed everyone who was a counsellor or therapist type person was a psychologist.)
I eventually found my way into being a peer counsellor for those who were survivors of sexual assault and those in recovery.
I continued to be that person, the one that everyone comes to when they need a sounding board, someone to hold space, someone to provide a “voice of reason”, and someone to just be a witness to their process.
Even as a midwife, some of my biggest strengths are my abilities to listen, to empathise, to see the bigger picture while holding space for the details, to walk a client back from the edge of their feelings of defeat or failure, to craft plans to get clients out of abusive relationships, to crowdsource necessities for clients, to find them other sympathetic providers who will also value autonomy, to love them like all life-bringers deserve to be loved, and to help a client reframe obstacles as opportunities.
Then there is my chaplaincy and spiritual/life coaching. Usually focused around supporting someone at some point in their abortion journey. Holding space for grief and loss and second chances at life. Creating beautiful rituals and memorials to mark powerful transformations. Unpacking religious shame to make way for spiritual growth. A literal tightrope walk between what I have always done and what the “professionals” do.
And now, here I am, an LSW. Accruing hours for my LCSW. Doing the professional hoop-jumping. Performing my competence. In order to start a new notebook.
What would be important for someone to know about working with you?
I am unapologetically queer and transgender; I am unapologetically affirming of queer, transgender, and other people of a similar lived experience; and I would not be a good fit for clients who view these identities and expressions as “lifestyle choices” or “mental illnesses”. However, I would be more than happy to work with parents of queer/trans children or other people who are striving to overcome their biases/prejudices toward queer/trans people and others who challenge their beliefs and knowledge regarding sexuality, gender, and relationships. I am unapologetically affirming of people who engage in sex work, kink, BDSM, consensual/ethical nonmonogamy, relationship anarchy, or other alternative relationship or family structures. I do not believe that these choices automatically stem from a person experiencing trauma, nor do I believe that engaging in these choices requires a person to be pathologised. I honour, support, and encourage harm reduction for all people engaging in any kind of behaviour or thought process that may be causing them harm or may have the potential to cause them harm. I also understand firsthand how the journey of recovery is not linear, but is lifelong and personal, and is sprinkled with a million small steps and choices, made every day, along the way. I am not afraid of including or bringing religion and spirituality into the therapeutic space, should a client want or need to do so. These aspects are just as important to a person's journey and wellbeing as any other aspect of their life. I am of the opinion that exploring these aspects within a safe, supportive, and therapeutic space allows for authentic contemplation and expression without the pressure to perform, perfect, adhere, or commit to any specific religious or spiritual pathway. Finally, aspects of Internal Family Systems (IFS) Therapy (“Parts Work”) are things that I organically and innately understood and expressed in general and casual, every day conversations with people starting when I was as young as 10 or 11. I have always viewed our internal lives in ways aligned with IFS principles and ideas. It is near impossible for me to not talk about different parts wanting different things, especially when clients present with internal conflicts about situations or decisions in their lives. If IFS is something you are uncomfortable with, unless you are prepared to be challenged in this area, I am likely not an appropriate therapist for you.
Location
Loading...
Specialties
Specializes in
LGBTQIA related issuesLife coachingPregnancy, perinatal, & postpartum issuesTraumaNeurodiversity
General Expertise
DepressionAnxietyRelationship IssuesLoss/GriefSocial AnxietyAddictionAutism spectrum disorderGender identity & transgender healthLife transitionsParenting issuesPost-traumatic Stress Disorder (PTSD)Postpartum depressionSexual health & dysfunctionSpirituality & religion based issuesStressTransition to new parenthoodBurnoutTrans+
Treatment Approaches
Strength Based TherapyMindfulness PracticesEclectic TherapyInternal Family Systems TherapyNarrative TherapyMotivational InterviewingNeurodiversity-AffirmingCoachingPsychodynamic TherapyPastoral & Faith Based Counseling
Clientele
Types of Therapy
Family TherapyIndividual TherapyGroup Therapy
Serves Ages
ParentsYoung Adults (18-24)Adults (25-65)Adolescents (13-17)
Languages
English
Professional Background
Licensure
Under Supervision: Mx. Michele "Misha" James-Parham, Licensed Social Worker, SW143531 is practicing under the supervision of Laura McCarthy (Pennsylvania, LCSW, CW19029) at Iya Pittsburgh Project.
Please, note: A clinician listed as being “clinically supervised” is completing clinical hours toward their licensure. They have one or more fully licensed clinical supervisors that often have special training. They consult with their supervisor(s) on all of their cases.
Training/CertificationsInternal Family Systems (IFS) Therapy for C/PTSDAffirming Care: LGBTQ+ Health Equity in Sexual & Reproductive Services
Education
Pennsylvania Western University, Master of Social Work, Reproductive and Perinatal Social Work, 2025
Pennsylvania Western University, Bachelor of Science, Social Work, 2024
Community College of Allegheny County, Associate of Science, Social Work Foundations & Pre-Med Prerequisites, 2022
Work HistoryI have been a self-employed, traditional community midwife since 1998, which has provided me with immense experience in the areas of family planning, fertility, perinatal care, postpartum recovery, transitioning to parenthood, as well as sexual health, family functioning, and relationship issues. My midwifery practice has always prioritised clients who are BIPOC, LGBTQ+, and low-income. Over the years as a midwife, I have increasingly provided care to survivors of sexual abuse and assault, learning how to provide sensitive and trauma-informed midwifery care. By the nature of being a community midwife, I am much more involved in the lives of my client's, often acting in the capacity of a social worker and counsellor, as well as perinatal care provider.
I also serve my community as an inclusive sex educator, abortion chaplain, reproductive & perinatal social worker, and therapist. As a sex educator since 2015, I provide age appropriate education around human development, healthy relationships, sex, gender identity, and sexuality to youth and adults aged 6+ individually and in groups. In my capacity as an abortion chaplain since 2015, I have primarily worked with people providing support and spiritual counselling before/after their abortion or termination of pregnancy, as well as providing spiritual/life coaching and counselling for Jewish, secular, and “spiritually homeless” people. I began serving as a board member and reproductive & perinatal social worker in early 2024 at a local nonprofit, providing case management and counselling for predominantly BIPOC and LGBTQ+ clients planning to give birth at home with a community midwife. In this role, I contribute to better perinatal outcomes by providing psychoeducation to both pregnant clients and their providers, as well as ensuring that clients have access to food and both material and social essentials for pregnancy, postpartum recovery, and early parenthood.
As a therapist, I have taken the time to specialise in modalities such as Internal Family Systems (IFS) Therapy, to compliment the reflective inquiry of the client-led psychodynamic therapy model. My general philosophy toward therapy and mental health is that no one is broken and in need of fixing, there are no absolutes and rarely easy answers, we all contain evolving multitudes, and our Selves are our greatest allies (to read an expanded version of this, go here https://www.iyapittsburgh.org/therapy )
Frequently Asked Questions
It’s not uncommon to have questions before starting therapy.
Mx. Michele "Misha" James-Parham, LSW, has answered a few of the questions they receive most often from new clients.
Is Michele "Misha" James-Parham accepting new clients?
Yes, Michele "Misha" James-Parham is accepting new clients for online therapy in Pennsylvania.
Does Michele "Misha" James-Parham accept insurance?
No, Michele "Misha" James-Parham does not accept insurance.
What types of therapy does Michele "Misha" James-Parham offer?
Michele "Misha" James-Parham offers therapy for families, groups and individuals.
Does Michele "Misha" James-Parham offer in-person appointments?
No, but people in Pennsylvania can book Michele "Misha" James-Parham for virtual appointments (teletherapy).
Does Michele "Misha" James-Parham offer online therapy?
Yes, Michele "Misha" James-Parham offers online therapy via video sessions to people in Pennsylvania.
How quickly can I see Michele "Misha" James-Parham?
Michele "Misha" James-Parham typically can speak with new clients within 48 hours. You can see their current general office hours and request an appointment on their profile page.
What languages does Michele "Misha" James-Parham speak?
Michele "Misha" James-Parham conducts therapy sessions in English.
Can I book an appointment with Michele "Misha" James-Parham online?
Yes, you can easily book an appointment with Michele "Misha" James-Parham online using ChoosingTherapy.com’s directory.