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MM Portrait of Mark S. Macko

Mark S. Macko

Practical, experienced counseling for life transitions

LMHC Florida

Experience
36 years in practice
Focus areas
Stress, Anxiety, Grief, Bipolar
Approaches
Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy
Languages
English
Continue with Mark

About Mark

Mark S. Macko is a Florida-licensed mental health counselor who welcomes people seeking practical, goal-oriented help for stress, anxiety, grief, bipolar disorder, depression, and life transitions.

Background and approach

He emphasizes clear communication, emotional expression, and fostering hope as foundations for change while tailoring work to each person's situation. Mark brings a steady, experienced presence to sessions and focuses on actionable strategies that clients can use between meetings.

With 36 years of professional experience in a variety of clinical settings, he has provided care in inpatient, outpatient, residential, partial hospital programs, and online environments. Much of his background includes nearly two decades of service with the VA, and his academic preparation is in psychology and mental health.

Mark describes his practice as aligned with Christian-influenced values while drawing primarily on cognitive behavioral techniques and solution-focused methods to help clients identify patterns, set realistic goals, and build skills for coping and recovery.

Practical approaches for online change and coping

Mark uses cognitive behavioral techniques to help clients identify unhelpful thoughts and behaviors and to practice concrete skills for managing anxiety, depression, and mood instability. This approach focuses on learning tools that can reduce distress and improve daily functioning.

He also uses solution-focused therapy to help clients set clear, achievable goals and to build on existing strengths. This method emphasizes small, forward-moving steps and practical strategies that can produce noticeable progress in a relatively short time.

Finding the right mix of approaches is a collaborative process. The therapist works with each person to clarify goals, assess what feels most useful, and adjust methods as progress unfolds so the work aligns with the client's needs and preferences.

Online formats offered include video calls, phone sessions, live chat, and text-based messaging, which support scheduling flexibility and accessibility across different routines and locations. These options allow clients to engage in structured therapeutic work from where they are while using the same cognitive and solution-focused techniques that guide in-person care.

Frequently asked questions

What kinds of concerns does this therapist address?
He works with stress, anxiety, grief, bipolar disorder, depression, and coping with life changes, along with related areas such as addiction, chronic illness, communication problems, and issues of isolation or life purpose.
What is his therapeutic style and approach?
The practice emphasizes practical, goal-directed work using cognitive behavioral techniques and solution-focused strategies, combined with attention to communication and emotional expression.
How much clinical experience does he have?
He has 36 years of professional experience and has worked across inpatient, outpatient, residential, partial hospital, and online settings.
Where is he licensed and what are his credentials?
He is a licensed mental health counselor in Florida with the credential FL LMHC MH4013.
Does he offer services in other languages or to international clients?
Sessions are offered in English only and he is not currently accepting international clients.
What session formats are available for remote care?
He offers video calls, phone sessions, live chat, and text-based messaging to provide flexible access to care.
How is cost handled for therapy with this counselor?
Cost varies by location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What steps are involved in starting therapy?
Begin by selecting the Start Therapy button, complete a brief matching questionnaire, and schedule sessions based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyGriefBipolar disorderDepressionCoping with life changes

Additional focus areas

AbandonmentAging and geriatric issuesChronic pain, illness, and disabilityCommitment issuesCommunication problemsCoping with natural or human-caused disasterDrug and alcohol addictionEmptinessForgivenessGuilt and shameIntellectual disabilityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMood disordersPanic disorder and panic attacksPost-traumatic stressSocial anxiety and phobiaTraumatic brain injuryWorkplace issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Solution-Focused Therapy

Experience

36+ years

Licensed

Florida

Languages

English