About Mary
Mary Catherine "Katie" Miller uses a client-centered approach to guide people through difficult life moments. She combines practical tools with listening and empathy to help people find clearer ways forward. Katie is a licensed mental health counselor with two decades of experience in New York.
She supports people facing stress, anxiety, depression, grief, trauma, and identity questions. Her sessions focus on collaboration and clear goals. She draws on cognitive behavioral techniques to help spot unhelpful thoughts and change patterns that keep problems going.
How Mary works
Mindfulness practices are introduced to calm worrying and build present-moment coping skills. Motivational interviewing can help when someone wants to find energy for change. Katie has worked in many settings across the Western New York region.
That background means she is comfortable with a wide range of concerns, from relationship and intimacy issues to parenting stress and caregiver fatigue. She also addresses concerns such as abandonment, attachment difficulties, dissociation, and issues related to gender dysphoria. People often come to her for help with life transitions, hospice and end-of-life counseling, or to untangle feelings of guilt, shame, and isolation.
She aims to create a respectful space where a person’s experience matters and practical steps are offered. Sessions are offered in English and are available to clients in New York and internationally. Katie uses talk, reflective questions, and practical homework to help people make steady progress toward their goals.
Mary lists 7 ways of working on the entry:
What Mary works with
The areas below are the ones Mary selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- LGBT
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Family problems
- Gender dysphoria
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Postpartum depression
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Using Client-Centered Care and CBT Online
Mary Catherine "Katie" Miller often uses client-centered therapy, which means sessions start with listening and understanding each person’s priorities. This approach helps people shape goals that feel meaningful to them and sets the pace for other work.She also uses cognitive behavioral therapy to identify patterns of thinking and behavior that keep problems going. CBT gives clear, step-by-step tools that help with anxiety, depression, stress, and relationship patterns. Mindfulness techniques are added to help reduce reactivity and improve focus when worries feel overwhelming.
Choosing the right approach is a team decision. Katie works with each person to figure out which methods fit their needs, goals, and preferences. That collaborative process can include trying a technique for a few weeks and adjusting it based on how helpful it feels.
Online sessions are offered by video call, phone, live chat, or text-based messaging to suit different needs. Video calls are useful for most therapy conversations, phone sessions can fit a break during a busy day, and text or chat can be helpful for shorter check-ins or when typing feels easier. These options provide flexibility for scheduling and let people continue work from different locations while using the therapeutic approaches above.
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Common questions
What kinds of concerns can Katie help with?
What is her therapeutic style like?
How much experience does she have?
What are her credentials and where is she based?
Which languages are supported and are international clients accepted?
What session formats are offered?
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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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