About Mark
Mark S. Macko is a Licensed Mental Health Counselor with decades of experience helping people manage stress and anxiety. He focuses on practical, understandable steps that make day-to-day life easier.
He works in English and practices in Florida. He aims to help people handle grief and loss, bipolar mood challenges, depression, and major life changes. He listens for what matters most and encourages clear communication and emotional expression.
Hope for change is a regular part of his work.
Background and approach
Mr. Macko brings 36 years of professional experience across many settings. That includes time in inpatient and outpatient care, residential programs, partial hospital programs, and online services.
He spent 19 years working with the U.S. Department of Veterans Affairs. His academic background is in psychology and mental health, and he holds the LMHC credential.
While he does not limit himself to a single theory, he aligns closely with cognitive behavioral and solution-focused methods and also integrates a Christian perspective when it fits a client’s needs. Sessions are practical and goal oriented. Conversations focus on communication skills, managing emotions, and building small changes that add up.
He also addresses topics such as addiction, chronic illness, isolation, life purpose, men’s issues, and aging concerns. People who choose him often want straightforward strategies and long-term experience behind their care. He emphasizes collaboration and steady progress rather than quick fixes.
How cognitive and solution-focused work online
CBT, or cognitive behavioral therapy, helps people notice unhelpful thinking and test out different behaviors. It breaks problems into manageable steps and is often used for anxiety, depression, and stress. Solution-Focused Therapy zeroes in on small, concrete changes and practical goals. It helps clients build on what already works and move toward specific outcomes.Finding the right approach is a collaborative process. The therapist will listen to a client’s goals and preferences and suggest methods that fit. Together they try an approach, check progress, and adjust the plan as needed to match real-life demands.
Online sessions offer flexibility that can make therapy easier to fit into life. Video calls let people connect face to face, phone sessions work when bandwidth is limited, and live chat or text-based messaging can be useful for brief check-ins or ongoing support. These options help people access consistent care around work, caregiving, or mobility challenges, and allow sessions to be scheduled in ways that suit individual routines.
Questions people ask
What kinds of concerns does he help with?
What is his therapy style like?
How long has he practiced?
What credentials and location are listed?
Can I work with him if I live outside the U.S.?
Which session formats are available?
How does payment and cost work?
How do I get started with therapy?
What this therapist works with
Most often
- Stress, Anxiety
- Grief
- Bipolar disorder
Also listed
- Abandonment
- Aging and geriatric issues
- Chronic pain, illness, and disability
- Commitment issues
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Drug and alcohol addiction
- Emptiness
- Forgiveness
- Guilt and shame
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Social anxiety and phobia
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Workplace issues
Therapeutic approaches
- Experience
- 36 years
- Licensed
- Florida
- Languages
- English
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