About Michael
Michael Miano is a licensed mental health counselor (LMHC) based in New York with 25 years of experience. He works with adults facing stress, anxiety, depression, mood challenges, addictions, and relationship or intimacy concerns. He also helps people coping with grief, parenting strains, sleep problems, and career or life-purpose questions.
Michael uses straightforward, supportive methods in sessions. He emphasizes respect and compassion while offering clear, practical steps to address problems.
How Michael works
People can expect direct feedback, goal-focused conversations, and an emphasis on what will help day to day. His approach draws on client-centered work and cognitive behavioral techniques. That means he listens first, then helps identify patterns of thought and behavior that keep problems going.
He also uses motivational interviewing and solution-focused strategies to build momentum toward change. Over his career Michael has worked in counseling, crisis intervention, and community mental health. That background gives him experience with a wide range of concerns, from panic and bipolar issues to anger, ADHD, and personality-related difficulties.
He aims to tailor each plan to a person’s needs rather than using one fixed method. Sessions focus on practical problem solving and strengthening coping skills. Michael seeks to create a caring but challenging space where people can try new ways of managing stress and relationships.
He supports clients as they take steps toward a more manageable, satisfying life.
Michael lists 4 ways of working on the entry:
What Michael works with
The areas below are the ones Michael selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Family conflicts
- Anger management
Also listed
- Addictions
- ADHD
- Antisocial personality
- Bipolar disorder
- Career difficulties
- Communication problems
- Coping with life changes
- Depression
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Relationship issues
- Self esteem
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 25 |
| 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
Approaches that translate to online care
Michael often uses client-centered techniques that begin by listening and reflecting back what matters most to the person. This approach helps build trust and clarifies goals before moving into specific strategies.He also uses cognitive behavioral therapy, which focuses on spotting unhelpful thoughts and testing new behaviors. CBT is useful for anxiety, depression, sleep problems, panic, and many daily stressors because it gives concrete tools to practice between sessions.
Choosing the right approach is part of the work together. He will collaborate with each person to decide which methods fit their goals and preferences, and he adjusts the plan as progress is made.
Online formats make regular contact easier. Video calls allow face-to-face conversation and visual cues. Phone sessions can be a simpler option when bandwidth is limited or when someone needs a shorter check-in. Live chat and text messaging let people send updates, ask brief questions, and maintain momentum between scheduled sessions. These options provide flexibility so therapy can fit into work, parenting, or travel routines rather than getting in the way.
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Common questions
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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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