About Mary
Mary Catherine "Katie" Miller is a licensed mental health counselor (LMHC) based in New York who blends practical methods with a warm, nonjudgmental stance. She draws on two decades of experience to help people facing anxiety, depression, grief, trauma, relationship and intimacy concerns, parenting stress, and ADHD. Katie speaks plainly and meets people where they are in their lives.
Katie uses simple, clear techniques in sessions. She listens first, then helps clients sort through unhelpful thoughts and patterns using cognitive behavioral tools.
Background and approach
She also encourages clients to notice the present moment with mindfulness and to tell their stories in ways that can change how they make meaning of hard experiences. Her background includes counseling, training, teaching, and coaching across many settings in the Western New York region.
That variety means she has worked with people managing long-term mental health diagnoses, major life transitions, grief, and the effects of trauma. She draws on practical strategies that clients can use between sessions. Katie emphasizes empathy and a steady, respectful approach.
Sessions focus on clear goals and small steps that build confidence. She often blends narrative and motivational techniques to help people clarify values and move toward changes they actually want. People who come to Katie typically want straightforward support for coping, communication, self-esteem, caregiving strain, and relationship challenges.
Her style is direct but compassionate, aiming to help clients create manageable routines and clearer thinking as they move forward.
Working with CBT, Mindfulness, and Client-Centered Care Online
Client-centered therapy begins with listening. The therapist creates space to hear each person’s experience and priorities, then shapes sessions around what matters most to them. This approach helps people feel understood and guides goal-setting. Cognitive behavioral therapy, or CBT, focuses on the links between thoughts, feelings, and actions. It provides concrete tools to challenge unhelpful thoughts and build new habits, which can be useful for anxiety, depression, and ADHD-related struggles. Mindfulness therapy teaches simple attention exercises to reduce reactivity and improve focus in daily life. Finding the right approach is a collaborative process. The therapist will talk with the client about their goals, try different techniques, and adjust based on what helps most. Clients and the therapist decide together on pacing, homework, and which methods to emphasize. Online therapy offers practical benefits for people with busy lives. Video calls make it possible to have face-to-face conversations without travel. Phone sessions work well when video isn't possible or bandwidth is limited. Live chat and text messaging allow shorter check-ins, quick problem-solving, and flexible communication between scheduled meetings. These formats help fit therapy into work, caregiving, or other routines while keeping focus on progress and usable skills.Questions people ask
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What this therapist works with
Most often
- 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
Therapeutic approaches
- Experience
- 20 years
- Licensed
- New York
- Languages
- English
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