- Direct supportive style
- CBT and motivational methods
- 25 years experience
About Michael
Michael Miano is a licensed mental health counselor with 25 years of experience. He helps people who are feeling overwhelmed by stress, anxiety, mood shifts, relationship strain, and sleeping problems. He talks plainly and offers steady support while people figure out practical next steps for daily life.
Michael uses a direct but respectful style. He combines conversation with clear tools so people can try small changes between sessions. He focuses on what the client wants to accomplish and tailors each session to those goals.
In practice he draws from cognitive behavioral methods to identify unhelpful thinking and build better habits. He also uses motivational interviewing to help people find their own reasons to change. Sessions are collaborative and goal oriented, with time spent on skills that can make a difference in day-to-day routines.
His background includes counseling, crisis intervention, and community mental health work in New York. That experience has shaped a practical approach to problems like addiction, grief, anger, and family strain. He aims to create a working relationship that is both supportive and appropriately challenging so clients can make steady progress.
People who reach out can expect straightforward conversation, respect, and a focus on actionable steps for sleep, mood, parenting, career, or life transitions. The work emphasizes small, achievable changes that add up over time.
How these approaches fit into online work
Michael uses client-centered ways of working that emphasize listening, respect, and the client’s own goals. This approach helps people feel heard and decide what changes matter most to them.He also uses Cognitive Behavioral Therapy, a practical method that looks at thoughts, feelings, and behaviors. CBT offers clear exercises and small experiments to test new habits, which can be helpful for sleep issues, anxiety, and mood regulation.
Finding the right approach is part of the work. Michael will talk with each person about goals and preferences, and then choose or combine methods that best fit those aims. Decisions about approach are collaborative and revisited as progress is made.
If you are considering online sessions, confirm the available session formats before booking since options are not listed here. Online therapy can make it easier to fit appointments into busy days, reduce travel time, and allow shorter check-ins when schedules are tight. It can also let people use different tools between sessions, like worksheets or brief practice exercises, to support steady improvement.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Credentials
New York
Languages
English
Frequently asked questions
What concerns does Michael commonly help with?
He works with stress, anxiety, mood disorders including bipolar and depression, addictions, grief, relationship and intimacy issues, parenting and family concerns, anger, and sleeping problems.
What is his general therapy approach?
He uses a direct, supportive approach focused on practical steps. Sessions mix conversation with techniques to change thinking and develop new habits.
How much experience does he have?
He has 25 years of experience in counseling, crisis intervention, and community mental health work in New York.
What are his credentials and where is he located?
He is a Licensed Mental Health Counselor, NY LMHC, practicing in New York.
Which languages are sessions offered in?
Sessions are offered in English.
Does he take international clients?
He is not currently accepting international clients.
How does billing or cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.