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LMHC

Michael Miano, LMHC

  • Experience25 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and Family
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Michael

Michael Miano is a licensed mental health counselor in New York who brings 25 years of clinical experience to people seeking support for stress, anxiety, mood challenges, relationship friction, and ADHD. He frames therapy around each person’s goals, offering direct yet supportive care that adapts to individual needs.

Background and approach

His practice emphasizes respect, sensitivity, and a collaborative stance that helps clients take practical steps toward change. Miano draws on cognitive behavioral techniques and motivational interviewing as foundational tools while tailoring interventions to the presenting concerns.

He has worked extensively with issues ranging from depression, bipolar disorder, and addictions to grief, parenting struggles, and intimacy-related matters. Clients can expect an approach that aims to be nurturing while also challenging unhelpful patterns, with attention to building skills for coping with life transitions and restoring a sense of purpose.

Therapeutic approaches for online care

Michael Miano commonly uses cognitive behavioral therapy and motivational interviewing in online sessions. CBT focuses on identifying and changing unhelpful thoughts and behaviors through practical exercises, which can help with anxiety, depression, sleep problems, and mood regulation. Motivational interviewing emphasizes exploring a client's own motivations and ambivalence about change, making it useful for addiction, behavior change, and building commitment to new goals.

Choosing the right approach is a collaborative process. He works with clients to understand their needs, preferences, and goals, and then adjusts methods over time to find what works best. This collaborative planning helps clients feel involved in treatment decisions and ensures that techniques align with their values and day-to-day life.

Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care during busy periods or life transitions, allowing clients to access sessions from where they are while working on practical skills and symptom management with a licensed professional.

Frequently asked questions

What kinds of problems does he help with?
He works with a wide range of concerns including stress, anxiety, depression, bipolar disorder, addictions, relationship and family problems, trauma and grief, sleep difficulties, and ADHD.
What is his therapeutic style like?
The approach is direct and supportive, combining practical skill-building with a collaborative, respectful stance to help clients explore goals and make changes.
How much clinical experience does he have?
He has 25 years of experience in counseling, crisis intervention, and community mental health work.
What are his credentials and where is he based?
He is a licensed mental health counselor (LMHC) practicing in New York with license number NY LMHC 001053.
Can I work with him if I live outside the United States?
He does not accept international clients at this time; sessions are offered to clients located where his licensure permits practice.
In what formats are sessions offered?
Sessions are available by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and preferences.
How are sessions paid for and what does it cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to the therapist's availability.

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