About Sr.
Dr. Sr. Marian Mikhail is a licensed mental health counselor and professional counselor with seven years of clinical experience.
She practices in Pennsylvania and speaks English and Arabic. She helps people who are dealing with stress, anxiety, grief, low self-esteem, career concerns, and life changes. Her approach is practical and goal-oriented.
She uses methods from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Solution-Focused Therapy to help people notice thoughts, try small changes, and build habits that fit their life.
How Sr. works
Sessions focus on what clients want to be different and on steps they can take between meetings. She pays attention to everyday pressures that make coping harder. Conversations often include skills for managing worry, steps to rebuild confidence, and ways to handle loss.
She also supports people working through body image, communication problems, loneliness, and questions about purpose and self-love. Dr. Mikhail draws on prior coursework and clinical time to shape each plan to a person's needs.
She explains ideas plainly and offers short practical exercises clients can use at home. Progress is reviewed regularly and plans are adjusted when needed. Sessions may be through video, phone, live chat, or text messaging depending on the person's preference.
Her practice uses a subscription model that can be canceled at any time. People ready to begin complete a short matching questionnaire and then schedule appointments based on availability.
Sr. lists 3 ways of working on the entry:
What Sr. works with
The areas below are the ones Sr. selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
Training and background
| Registers | LMHC, LPC |
|---|---|
| Years in practice | 7 |
| Languages | English, Arabic |
| Session format | Online: video, phone, live chat or messaging |
| Country | Pennsylvania |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How her approaches work in online sessions
Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and clarify what matters to them. In practice she guides clients to take small actions that match their values, which can help with anxiety, low mood, and life transitions.Cognitive Behavioral Therapy, or CBT, focuses on the link between thoughts, feelings, and actions. Sessions teach simple tools to challenge upsetting thoughts and try different behaviors, which is useful for stress, worry, and low self-esteem.
Solution-Focused Therapy keeps attention on goals and next steps. It breaks big problems into small, achievable changes and helps people build momentum quickly.
Choosing the right approach is part of the work together. She will talk with each person about goals, preferences, and what has or hasn’t helped before, then recommend methods to try. That plan can change over time based on what works.
Online therapy offers practical flexibility. Video calls let people use face-to-face conversation when visual cues help. Phone sessions are a good option when bandwidth or camera use is limited. Live chat or text-based messaging can fit short check-ins, brief coaching, or times when typing feels easier than speaking. These formats make it simpler to fit sessions around work, school, and daily life.
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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