- Direct supportive style
- Skill building focus
- 25 years experience
About Michael
Michael Miano is a licensed mental health counselor with 25 years of experience helping people manage stress, anxiety, depression, and life transitions. He often works with concerns linked to relationships, parenting, sleep problems, substance use, and issues that commonly affect men’s wellbeing. Michael aims to create a straightforward, respectful space where clients can be heard and begin to make practical changes.
He uses approaches like Motivational Interviewing and Cognitive Behavioral Therapy to guide conversations and build skills. Sessions tend to be direct and supportive, with an emphasis on concrete steps clients can try between meetings. Michael adapts his work to each person’s goals rather than following a single script.
His practice also addresses more complex mood and personality concerns, trauma and grief, anger, and difficulties with intimacy or communication. He brings long experience in crisis intervention and community mental health to those challenges. That background informs how he balances encouragement with clear feedback when needed.
Michael describes his role as a collaborator who helps people identify realistic goals and the next actions to reach them. He stresses respect, sensitivity, and compassion in sessions. For many clients, those qualities make it easier to talk honestly and take the first steps toward change.
People considering therapy are invited to reflect on what they want to change and to start with one small goal. Michael supports clients who want to improve daily routines, cope with setbacks, rebuild relationships, or find clearer purpose in work and life.
How Michael uses therapy approaches online
Client-Centered Therapy focuses on listening closely and following the client's lead, which helps people clarify goals and feel understood. It is useful when someone needs a respectful space to talk through life choices or emotional pain.Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors interact and teaches practical skills to change unhelpful patterns. It often helps with anxiety, mood problems, sleep issues, and managing stress.
Motivational Interviewing supports people who are unsure about change by exploring values and building motivation. It can be especially useful for addictive behaviors or when someone is stuck deciding what to do next.
Finding the right approach is part of the work. The therapist will collaborate with the client to choose or combine methods based on needs, goals, and personal preferences. That shared process helps keep therapy focused and relevant to day-to-day life.
For practical matters, confirm which session formats are available before booking, as options are set by the therapist. Online work can make it easier to fit appointments into a busy week, reduce travel time, allow shorter check-ins when needed, and let people connect from different locations. These conveniences can help therapy become a regular, manageable part of life without promising any single outcome.
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 address?
He works with stress, anxiety, depression, bipolar concerns, addictions, trauma and abuse, relationship and intimacy issues, grief, sleep problems, parenting challenges, ADHD, and other mood or personality concerns.
What is his therapeutic style?
He uses a direct and supportive approach, emphasizing practical steps and clear feedback while tailoring work to each person's goals.
What experience does he bring to sessions?
He has 25 years of experience in counseling, crisis intervention, and community mental health, which shapes how he handles both everyday problems and more complex issues.
Where is he based and what credential does he hold?
He practices in New York and holds the LMHC credential, listed as NY LMHC in his profile.
Which languages are supported?
Sessions are offered in English.
Can international clients work with him?
He is not currently accepting international clients.
How are costs and billing handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin the process?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule appointments according to the therapist's availability.