About Mary
Mary Catherine "Katie" Miller is a Licensed Mental Health Counselor (LMHC) with two decades of clinical experience. She offers calm, direct support for people coping with anxiety, depression, grief, trauma, and major life changes. Katie speaks plainly and focuses on practical steps that fit daily life.
Katie centers sessions on the person in front of her. She listens without judgment and helps people name what feels most urgent. Sessions often include short exercises, problem-solving, and ways to reduce stress in the moment.
Background and approach
Her background includes counseling, training, teaching, and coaching across community and clinical settings in New York. Over twenty years she has worked with people facing long-term mental health struggles as well as sudden losses and transitions. Katie uses tools drawn from client-centered work, cognitive behavioral methods, mindfulness, motivational interviewing, and narrative approaches.
She tailors techniques to what each person needs, focusing on clear goals and small, achievable changes. Common topics she helps people with include relationship and intimacy concerns, parenting stress, self-esteem, ADHD-related challenges, compassion fatigue, and issues tied to identity such as gender dysphoria and LGBT concerns. She also supports those dealing with bereavement, caregiving strain, and isolation.
People who value a straightforward, empathetic guide will find Katie practical and steady. Her aim is to help people untangle thoughts and build routines that feel manageable over time.
How Katie’s Approaches Work Online
Client-centered therapy focuses on listening and understanding the person's own goals. The therapist reflects what she hears, helps clarify values, and supports the client in finding their own solutions. This approach is useful for people who want a calm, accepting space to sort through feelings.Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors connect. Sessions include practical exercises and steps to test new ways of thinking and acting. CBT is often used for anxiety, depression, and stress because it emphasizes skills you can practice between sessions.
Finding the right mix of approaches is part of the work together. Katie will talk with each person about goals and preferences and then try methods that fit. That means the plan can shift as needs change, with the client helping to guide the process.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation over distance. Phone sessions can be a good choice when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging suit shorter updates, emotional support between sessions, or people who prefer writing to speaking. These options make it easier to fit therapy into a busy schedule and to keep momentum between appointments.
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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