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KM Portrait of Kari Mackneer

Kari Mackneer

Experienced LMHC offering tailored CBT-informed care

LMHC Florida

Experience
25 years in practice
Focus areas
Stress, Anxiety, Addictions, Self esteem
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English

About Kari

Kari Mackneer is a Florida-licensed mental health counselor (LMHC) with 25 years of clinical experience supporting people facing stress, anxiety, mood disorders, addictions, trauma, relationship and family concerns, grief, and a wide range of life changes.

Background and approach

She works with issues that include sleep and eating problems, ADHD, compassion fatigue, and challenges around self-esteem and body image, and she has additional focus on topics such as codependency, caregiver stress, domestic violence, and communication or control issues. Kari approaches therapy with a respectful, nonjudgmental stance and adapts methods to fit each person's goals and circumstances.

Her practice emphasizes cognitive behavioral techniques alongside client-centered and mindfulness-informed strategies, and she also draws on dialectical behavior and existential approaches when helpful. Clients collaborate with her to develop a personalized plan that addresses symptoms and practical coping skills while exploring deeper patterns that affect daily functioning.

She offers services in English and accepts international clients, providing a flexible range of session formats to match different needs and schedules. Kari frames reaching out for help as an important step and aims to support sustained change through tailored guidance and skill-building.

Evidence-Informed Approaches for Online Care

Kari often uses cognitive behavioral techniques to help clients identify and change unhelpful thoughts and behaviors, teaching practical skills for managing anxiety, depression, sleep disturbances, and addictive patterns. She also draws on client-centered methods that emphasize empathy, listening, and collaboration to help people feel understood and to guide goal-setting in therapy. When appropriate, elements of dialectical behavior therapy are incorporated to build emotion regulation, distress tolerance, and interpersonal effectiveness skills.

Choosing the right approach is a collaborative process. Kari works with each person to explore their concerns, preferences, and goals and will adjust methods as progress is tracked to find the combination of strategies that fits best for the individual's needs.

Online sessions are offered by video call, phone, live chat, or text-based messaging, which can make scheduling more flexible for people balancing work, caregiving, or travel. These formats allow for regular practice of skills between meetings and make it easier to maintain continuity of care when life circumstances change.

Frequently asked questions

What concerns does Kari commonly address?
She works with stress, anxiety, depression, bipolar disorder, addictions, trauma and abuse, relationship and family issues, grief, eating and sleeping problems, ADHD, and related areas such as compassion fatigue and codependency.
What is her therapeutic style and approach?
Kari combines a respectful, nonjudgmental stance with practical, skill-based work. Her practice is grounded in cognitive behavioral concepts and also uses client-centered, mindfulness, DBT, and existential ideas as appropriate.
How much experience does she have?
She has 25 years of experience working in mental health settings and with a wide range of clinical concerns.
What are her credentials and location?
She is a licensed mental health counselor in Florida, FL LMHC MH9437, and maintains a practice serving clients from that state.
Does she work with nonlocal or international clients?
Yes, she accepts international clients and conducts sessions in English for people located outside the United States.
Which session formats are available?
Sessions can be conducted via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What steps are involved in beginning therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule based on therapist availability.

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsTrauma and abuseGriefEating disordersSleeping disordersAnger managementCareer difficultiesCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesBody imageCaregiver issues and stressCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily problemsForgivenessGuilt and shameHIV / AIDSHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessLife purposeMoney and financial issuesMood disordersMulticultural concernsPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyMindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Licensed

Florida

Languages

English