Therapist profile
Michael Miano, LMHC
Licensed Mental Health Counselor - Family and parenting concerns
Continue with MichaelAbout
- CBT methods
- Motivational interviewing
- Goal focused work
About Michael
Michael Miano is a Licensed Mental Health Counselor (LMHC) in New York with 25 years of clinical experience. He focuses on problems adults bring from home such as stress, anxiety, family issues, anger, bipolar mood problems, addictions, depression, grief, intimacy concerns, sleep trouble, parenting strain, and self-esteem struggles.
He uses straightforward, person-focused work in sessions. That means listening without judgment and responding with practical strategies. He commonly draws on Cognitive Behavioral Therapy and Motivational Interviewing to help people notice patterns, shift unhelpful thoughts, and find motivation for change.
Sessions often include clear goals and step-by-step skills practice. People can expect to talk through specific problems, try small behavior changes, and review what helps between sessions. Michael describes his manner as direct and supportive, and he adapts the work to each person's situation.
Over two-and-a-half decades he has worked in counseling, crisis intervention, and community mental health settings across New York. That background informs a pragmatic approach to common life strains like parenting stress, career transitions, relationship tension, and coping with loss.
He pays attention to communication problems, fatherhood issues, guilt and shame, isolation, and men’s midlife concerns when those topics come up. People who want clear feedback, practical tools, and steady guidance often look for this kind of approach.
Sessions are conducted in English. International clients are not accepted at this time. Cost varies with location and sessions use a subscription that can be canceled at any time.
How sessions work
How his approaches translate to online work
Client-Centered Therapy focuses on listening and understanding a person's experience. In practice this means a therapist reflects concerns back, asks clarifying questions, and helps the person feel heard while they sort through what matters most. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. It uses brief exercises and practical tools to change unhelpful thinking and reduce symptoms like anxiety and sleep problems.Finding the right mix of methods is part of the work. Michael will collaborate with each person to decide which approaches fit their goals and preferences. That can mean starting with practical CBT exercises, adding motivational interviewing to increase commitment, or emphasizing supportive listening when someone needs to process loss or family strain.
Confirm the therapist's current session options before booking, as specific formats are not listed here. Online work can make it easier to fit appointments into a busy home life, allow shorter check-ins when schedules demand, and reduce travel time. It can also make certain interventions like homework review and brief skills practice simple to maintain between sessions. Licensed professionals are available to adapt the format to daily routines and practical constraints.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
New York
Languages
English
Questions
Frequently asked questions
What kinds of concerns does he help with?
He works with adults on stress, anxiety, family problems, anger, mood disorders including bipolar, addictions, grief, intimacy issues, sleep problems, parenting strain, self-esteem, and related concerns.
What is his therapeutic style?
He takes a direct and supportive approach that combines listening with practical strategies. Sessions often set clear goals and focus on skills people can use between meetings.
How much clinical experience does he have?
He has 25 years of experience in counseling, crisis intervention, and community mental health in New York.
What are his credentials and where is he based?
He is a Licensed Mental Health Counselor (LMHC) in the State of New York and practices from New York.
Which languages are sessions offered in?
Sessions are offered in English.
Does he work with international clients?
He does not accept international clients at this time.
How are sessions paid for and what does it cost?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I get started with him?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.