Michael Miano, LMHC

Michael Miano is a Licensed Mental Health Counselor (LMHC) practicing in New York with 25 years of experience in counseling, crisis intervention, and community mental health. He draws on a foundation of Motivational Interviewing and Cognitive Behavioral Therapy while taking a direct, supportive approach that is tailored to each person he works with. His practice focuses on helping people manage stress and anxiety, navigate family conflicts, address anger and bipolar symptoms, and move toward more satisfying relationships and better emotional balance.

He emphasizes building a working relationship that is nurturing yet appropriately challenging, believing that this combination helps people feel able to open up and explore meaningful goals. Michael treats people with respect, sensitivity, and compassion, and he aims to empower clients as they take the courageous steps needed to pursue a more fulfilling and happier life. Whether the presenting concerns involve coping with loss, improving sleep and parenting, addressing addictions, or managing mood and trauma-related difficulties, he customizes treatment to fit the client s needs and priorities.

Across sessions he focuses on practical strategies and collaborative problem solving, helping clients set clear goals and develop skills that support lasting change and improved daily functioning.

Therapeutic Approaches and Online Care

Michael Miano works from evidence-informed approaches that he adapts to each person's situation. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and developing practical skills to change them; it is often used for anxiety, depression, sleep issues, and mood management. Motivational Interviewing is a collaborative, goal-oriented style that helps people resolve mixed feelings about change and strengthen their own motivation - it can be especially useful for addictions, ambivalence, and behavior change. Client-Centered Therapy places the client s experience at the center of treatment, emphasizing empathy, respect, and a supportive relationship to help people explore values, goals, and self-understanding.

Choosing the right approach is part of the therapeutic process. Michael collaborates with each client to determine which methods best fit their needs, goals, and personal preferences, and he adjusts strategies as progress unfolds. That collaborative stance helps ensure treatment feels relevant and manageable.

Online therapy offers practical flexibility - sessions can happen by video call, phone, live chat, or text-based messaging to accommodate different schedules and comfort levels. These options make it easier to access consistent support, continue work between sessions, and integrate therapeutic work into busy lives while working with licensed professionals and therapists who tailor care to individual needs.