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MM Portrait of Michael Miano

Michael Miano

Guiding practical change with experience and care

LMHC New York

Experience
25 years in practice
Focus areas
Stress, Anxiety, Family, Anger
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Michael

About Michael

Michael Miano is a licensed mental health counselor based in New York who brings 25 years of experience to his practice. He works with adults facing stress, anxiety, mood disorders, relationship difficulties, grief, substance-related concerns, and a range of life transitions.

Background and approach

Michael combines direct support with individualized care to help clients identify realistic goals and practical steps forward. His clinical toolkit includes Cognitive Behavioral Therapy (CBT) alongside motivational interviewing and client-centered techniques, which he blends to match each person’s needs.

He emphasizes a collaborative relationship that is both nurturing and challenging, inviting clients to explore thoughts, behaviors, and patterns that interfere with well-being. Michael frames therapy as a process of empowerment, offering guidance while respecting each person’s values and pace.

Throughout his career he has worked in counseling, crisis intervention, and community mental health settings, which informs a pragmatic approach to problem solving. He aims to help people build coping skills, improve communication, and regain a sense of purpose and stability as they navigate change.

Evidence-Informed Approaches and Online Care

Michael integrates Cognitive Behavioral Therapy and Motivational Interviewing into his online work. CBT focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms like anxiety, depression, panic, and sleep problems, and it often includes practical exercises and skill building. Motivational Interviewing helps clients explore ambivalence and strengthen internal motivation for change, which can be useful for addictions, lifestyle shifts, and engagement in treatment.

Choosing the right approach is part of the therapeutic process, and Michael treats that selection as collaborative. He works with each client to assess needs, goals, and preferences, adapting techniques over time so the plan reflects what is most helpful for the individual rather than applying a single method rigidly.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options allow sessions to fit into busy lives, make follow-up easier, and support ongoing work between appointments through messaging when appropriate. Licensed professionals can tailor pace and format so therapy remains practical and accessible while focusing on concrete progress.

Frequently asked questions

What kinds of concerns does Michael address?
He works with stress, anxiety, depression, bipolar disorder, addictions, relationship and family problems, trauma and grief, sleep and parenting issues, ADHD, anger, and related concerns listed in his profile.
What is his therapeutic style like?
He uses a direct yet supportive approach that blends client-centered listening with practical, skills-based methods to tailor treatment to each person’s needs.
How much experience does he bring?
He has 25 years of experience in counseling, crisis intervention, and community mental health settings, which shapes a pragmatic and informed practice.
What credentials and location are listed?
He is an LMHC licensed in New York with license number NY LMHC 001053 and practices from New York.
Does he work in other languages or with international clients?
Sessions are offered in English and he is not currently accepting international clients.
What session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging as ways to meet with clients.
How are sessions priced?
Cost varies with location and therapist availability; sessions use a subscription model 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 according to therapist availability to get matched and begin.

Areas of expertise

Primary focus

Stress, AnxietyFamily conflictsAnger managementBipolar disorderDepression

Also works with

AddictionsRelationship issuesTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesSelf esteemCareer difficultiesCoping with life changesADHD

Additional focus areas

Antisocial personalityCommunication problemsFamily problemsFatherhood issuesForgivenessGuilt and shameIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMood disordersPanic disorder and panic attacksParanoiaPersonality disordersSocial anxiety and phobiaWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingSolution-Focused Therapy

Experience

25+ years

Licensed

New York

Languages

English