About Miguel
Dr. Miguel Koschil helps people who are feeling overwhelmed by stress, anxiety, depression, grief, or problems with intimacy and relationships. He is a Florida-licensed clinical social worker with 35 years of experience and speaks English, Spanish, and Ukrainian.
He brings a direct but warm style to sessions and aims to build trust from the first meeting. He focuses on practical steps that reduce distress and improve daily functioning. That can mean learning tools to manage strong emotions, working through trauma and substance use concerns, or addressing sleep, anger, and self-esteem struggles.
How Miguel works
He also supports people facing parenting challenges, career transitions, and the life changes that knock routines off balance. In the room he combines mindful awareness, body-centered work, and conversations about meaning and life choices. He uses techniques drawn from Dialectical Behavior Therapy, existential thinking, psychodynamic ideas, and somatic approaches to tailor care to each person.
Sessions are interactive and aimed at clarifying goals and building useful skills. Dr. Koschil has developed programs addressing substance abuse, domestic violence, and work with sex offenders earlier in his career.
That background informs a grounded, practical approach when safety and behavior change are central concerns. People who choose to start therapy with him can expect straightforward feedback, collaborative planning, and support toward tangible changes. He frames therapy as an investment in a better life and offers encouragement while holding firm focus on progress.
Miguel lists 5 ways of working on the entry:
What Miguel works with
The areas below are the ones Miguel selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- ADHD
- Anger management
- Career difficulties
- Coaching
- Coping with life changes
- Depression
- Family conflicts
- Grief
- Intimacy-related issues
- Parenting issues
- Self esteem
- Sleeping disorders
- Trauma and abuse
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 35 |
| Languages | English, Spanish, Ukrainian |
| 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 for Online Therapy and What They Do
Dialectical Behavior Therapy, or DBT, teaches specific skills for managing intense emotions and improving relationships. It is useful when strong feelings, impulsive behavior, or repeated conflicts get in the way of daily life.Existential Therapy focuses on questions of meaning, choice, and responsibility. It helps people who feel stuck or confused about life direction to clarify values and make intentional changes.
Mindfulness Therapy brings attention to the present moment and bodily experience. It can reduce stress, improve sleep, and help with staying regulated when anxiety or cravings arise.
Choosing an approach is a collaborative process. The therapist will discuss goals, preferences, and what has or hasn’t helped before. Together they will try methods that fit the person’s needs and adjust the plan as progress is made.
Online sessions offer practical flexibility. Video calls allow face-to-face connection when deeper interaction is needed. Phone sessions work well for quicker check-ins or when bandwidth is low. Live chat and text messaging let someone share thoughts between sessions or keep a short, focused conversation without being on camera. These options make it easier to fit therapy into a busy life while trying different approaches.
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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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