- Motivational approach
- CBT tools
- Direct supportive style
About Michael
Michael Miano is a licensed mental health counselor who helps people manage stress, anxiety, mood shifts, and relationship strain. He works with individuals navigating parenting pressures, career changes, addiction concerns, grief, and issues around intimacy and self-esteem. He practices from New York and brings 25 years of experience to sessions.
Michael uses straightforward, supportive methods to tailor each conversation to what a person needs right now. He leans on Motivational Interviewing to build motivation for change and on Cognitive Behavioral Therapy to spot and shift unhelpful thoughts and behaviors. Sessions are practical and focused on real-life problems rather than labels.
He describes his style as direct but compassionate, aiming to create a working relationship that feels nurturing and also encourages growth. Michael pays attention to communication patterns, fatherhood concerns, and common life transitions that can unsettle routines and goals. He also addresses complex difficulties such as mood disorders, trauma, and personality-related challenges.
Over his career he has done crisis intervention and community mental health work, which informs his approach to practical problem solving and coping strategies. He emphasizes respect, sensitivity, and clear goals during the work together.
People who want a pragmatic, goal-oriented counselor may find his approach useful. He supports clients who want to take steps toward a more satisfying and manageable life, and he works with each person to set achievable goals and track progress.
How his approaches translate to online work
Michael often draws from Motivational Interviewing and Cognitive Behavioral Therapy in sessions. Motivational Interviewing focuses on helping people find their own reasons for change and building confidence to take steps forward. Cognitive Behavioral Therapy looks at how thoughts and behaviors affect mood and provides practical exercises to try between sessions.Choosing the right approach is part of the process. He collaborates with each person to decide what methods fit their goals, needs, and preferences. That collaborative planning helps set clear, measurable steps and keeps the work focused on what matters most to the client.
If you are interested in online therapy, check the session options before you book so you know which formats are currently offered. Online work can make it easier to fit sessions into a busy schedule, reduce travel time, and allow brief check-ins during transition periods. It also supports consistent practice of CBT exercises between meetings, and motivational strategies can be used to keep momentum between sessions.
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 he help with?
He helps people with stress, anxiety, depression, bipolar mood issues, addictions, grief, parenting stress, relationship and intimacy-related concerns, sleep problems, and ADHD among other life challenges.
What is his therapeutic style?
He uses a direct but compassionate manner. Sessions focus on practical steps, motivation for change, and shifting thought patterns that get in the way of goals.
How much experience does he have?
He has 25 years of experience in counseling, crisis intervention, and community mental health work.
What are his credentials and location?
He is a New York LMHC, which stands for Licensed Mental Health Counselor, and practices from New York.
Which languages are supported?
Sessions are offered in English.
Can people outside the US work with him?
International clients are not currently accepted.
How are sessions scheduled and what do they cost?
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?
Click the Start Therapy button, complete a short matching questionnaire, and schedule based on therapist availability.