About Michael
Michael Miano is a Licensed Mental Health Counselor (LMHC) based in New York with 25 years of experience. He helps people facing stress, anxiety, depression, addiction, bipolar mood concerns, and ADHD by offering straightforward, practical support. He aims to create a respectful, compassionate space where people can talk about hard things and try new ways to cope.
He uses a direct but supportive style and adapts work to each person's needs.
Background and approach
Sessions focus on concrete steps people can use between meetings, such as small behavior changes and different ways of thinking about problems. Motivational Interviewing is used to help people find their own reasons to change when motivation is low. Cognitive Behavioral Therapy, or CBT, is a common tool he uses to identify unhelpful thinking and build alternative habits.
Solution-Focused Therapy helps people set short-term goals and notice progress early on. The overall aim is practical improvement at a pace that fits the person. Michael draws on decades of counseling and crisis intervention experience in community mental health.
He emphasizes respect, sensitivity, and a working relationship that is both nurturing and challenging. That balance is meant to help people open up and take steps toward the life they want. People who reach out can expect clear, direct feedback and help developing real-world strategies.
Michael supports work on relationship concerns, sleep problems, parenting stress, career transitions, grief, and issues such as anger, intimacy, and self-esteem.
Practical therapy methods for online care
Michael often uses Cognitive Behavioral Therapy (CBT) to help people identify unhelpful thoughts and test new behaviors. CBT is a hands-on approach that breaks problems into manageable parts and teaches skills people can practice between sessions.He also uses Motivational Interviewing to support people who feel stuck or unsure about change. This method focuses on listening, drawing out a person's own goals, and building motivation in small, achievable steps. Solution-Focused ideas may be used to set short-term goals and notice early progress, which can be especially helpful when facing specific life changes or parenting stress.
Choosing the right approach is part of the work. The therapist will talk with each person about their needs, goals, and preferences and then shape a plan together. That collaborative process helps find the mix of techniques that fits best.
Online sessions can fit into busy lives. Video calls let people use verbal and visual cues, phone sessions can be simpler when bandwidth is low, live chat works for quick check-ins, and text-based messaging supports ongoing reflection between appointments. These options make it easier to maintain continuity of care and practice skills in everyday situations.
Questions people ask
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What this therapist works with
Most often
- 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
Therapeutic approaches
- Experience
- 25 years
- Licensed
- New York
- Languages
- English
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