- 25 years experience
- CBT and MI approaches
- New York based
About Michael
Michael Miano is a licensed mental health counselor in New York with 25 years of experience. He helps people who are feeling anxious, overwhelmed by stress, or struggling with panic symptoms. He also works with those facing depression, bipolar challenges, addiction, and relationship or family tensions.
Michael uses a straightforward, supportive style in sessions. He focuses on what matters to the individual and tailors the work to their goals. He aims to create a respectful and nurturing environment where people can talk openly about difficult topics.
His clinical base includes Cognitive Behavioral Therapy and Motivational Interviewing, and he also draws on Client-Centered and Solution-Focused approaches. That means sessions often involve practical techniques to change unhelpful thoughts and behaviors, clear goal-setting, and conversations that build motivation for change.
Over his career Michael has worked in counseling, crisis intervention, and community mental health settings. That background informs a calm, experienced presence in the room and a readiness to address immediate worries alongside longer-term concerns. He emphasizes empathy and direct support while encouraging realistic steps toward progress.
People who come to Michael can expect a partnership focused on their needs. He supports exploration of issues like panic disorder and panic attacks, grief, parenting strain, or problems with sleep and self-esteem. The work is collaborative, practical, and paced to the individual.
How Michael’s approaches translate to online therapy
Client-Centered Therapy focuses on listening and understanding the person’s experience. In practice this means the therapist follows the client’s lead, reflects concerns back, and helps the person feel heard while they work toward their goals.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions interact. Sessions often include identifying unhelpful thinking patterns, trying small behavioral experiments, and practicing skills that reduce anxiety and panic symptoms.
Motivational Interviewing helps when someone feels unsure about change. The therapist uses open questions and reflective listening to build motivation and clarify personal reasons for making changes.
Choosing the right approach is a collaborative process. The therapist will discuss options, try methods that match your goals, and adjust the plan based on what helps in early sessions. This makes it easier to find a working style that fits your needs and preferences.
Confirm the session formats offered before booking so you know what options are available. Online work can make it easier to fit therapy into a busy life - shorter check-ins, sessions during a lunch break, or avoiding travel to appointments. These practical benefits help many people keep therapy consistent while they manage daily responsibilities.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
New York
Languages
English
Frequently asked questions
What concerns does Michael commonly help with?
He helps people with anxiety, panic symptoms, stress, depression, bipolar challenges, addictions, relationship and family issues, grief, sleep problems, parenting strain, self-esteem, and career or life changes.
What is his general therapy style?
He uses a direct but supportive style that emphasizes practical steps and clear goals. Sessions combine listening with concrete techniques to address immediate problems and longer-term patterns.
How much experience does he have?
He has 25 years of experience in counseling, crisis intervention, and community mental health work.
What credentials and location are listed?
He holds the LMHC credential and practices in New York.
In which languages are sessions offered?
Sessions are offered in English.
Can people outside the U.S. work with him?
International clients are not currently accepted.
How are sessions scheduled and what about cost?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin if I want to connect?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.