About Mariana
Mariana Mackinnon helps people who feel stuck between where they are and where they want to be. She speaks English and Spanish and draws on eight years of clinical experience as a Licensed Clinical Social Worker (LCSW). Her style is down-to-earth and focused on practical steps that make daily life easier.
She works with stress, anxiety, depression, grief, relationship and intimacy concerns, and struggles with identity and career direction. She also supports people coping with trauma and abuse, compassion fatigue, addiction, and ADHD.
How Mariana works
Mariana pays attention to how life transitions and culture shape feeling overwhelmed or uncertain. In sessions she blends evidence-informed methods with a client-centered stance. That means she listens first, helps set clear goals, and chooses tools that fit each person's needs.
She uses approaches like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and EMDR when those tools match the goals. Mariana draws on her bilingual background and time living abroad to understand cultural and identity questions. She aims to make the work feel relatable and doable rather than abstract.
Practical skills, small experiments, and clearer communication patterns are common parts of the process. People come for help with burnout, relationship ruptures, feelings of emptiness, body image, and caregiver stress. Sessions focus on what is most urgent to the individual and on steps to reduce distress and build more meaningful routines and connections.
Mariana lists 11 ways of working on the entry:
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Mindfulness Therapy
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
What Mariana works with
The areas below are the ones Mariana selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Depression
Also listed
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Dissociation
- Divorce and separation
- Emptiness
- Family problems
- Grief
- Guilt and shame
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 8 |
| Languages | English, Spanish |
| Session format | Online: video, phone, live chat or messaging |
| Country | Florida |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online care
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values-guided action. It helps people tolerate uncomfortable feelings while moving toward what matters to them. Cognitive Behavioral Therapy (CBT) teaches practical skills to change unhelpful thought and behavior patterns and is useful for anxiety, depression, and stress. Eye Movement Desensitization and Reprocessing (EMDR) is a trauma-focused method that helps process distressing memories and reduce their emotional impact. These approaches can be adapted for remote sessions and combined when appropriate.Choosing the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what has or hasn't helped before. Together they decide which methods to try and adjust the plan as progress is made, keeping the process collaborative and goal-focused.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation when visual cues matter. Phone sessions can be easier when bandwidth is limited or a shorter check-in fits a break at work. Live chat and text-based messaging let people share updates or get support between longer sessions. These options help people fit therapy into busy lives while using methods like ACT, CBT, and EMDR in ways that match each person's needs.
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Common questions
What kinds of concerns does she address?
What is her approach in sessions?
How much clinical experience does she have?
Where does she practice and what are her credentials?
Can sessions be held in languages other than English?
Are international clients supported?
What session formats are available?
How does payment and scheduling work?
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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