About Michael
Michael Miano is a licensed mental health counselor with 25 years of experience helping people manage stress and anxiety. He offers practical, down-to-earth support for common problems like depression, bipolar mood issues, addictions, and trouble sleeping. Michael focuses on clear, direct help so people can start making small changes right away.
He works with issues that often come up around relationships, parenting, and family conflict, and he also addresses anger, grief, and intimacy concerns.
Background and approach
His approach is collaborative - he listens first, then tailors steps that feel doable for each person. Sessions aim to be respectful and straightforward rather than vague or overwhelming. Michael draws on cognitive behavioral techniques to help people notice patterns of thinking and change unhelpful habits.
He also uses motivational interviewing to support commitment and movement toward goals. Solution-focused ideas guide shorter-term planning when immediate coping strategies are needed. Across 25 years in counseling, crisis intervention, and community mental health, he has worked with a wide range of mood and personality concerns.
He emphasizes a working relationship that is both supportive and challenging so people can address difficult topics. The tone in sessions is compassionate and matter-of-fact. People who choose Michael can expect straightforward language, practical exercises, and goal-oriented check-ins.
He helps clients map small, realistic steps for coping with life changes and building stronger day-to-day habits. The focus is on what people want to change and how to get there, one step at a time.
How Michael’s Approaches Work Online
Michael integrates cognitive behavioral techniques and motivational interviewing into online sessions to help clients identify unhelpful thoughts and build motivation for change. CBT focuses on noticing thought and behavior patterns and practicing new responses, which helps with anxiety, panic, and mood-related concerns. Motivational interviewing emphasizes exploring and strengthening a person’s own reasons for change and is useful for addictions, ambivalence, and goal setting.Choosing the right method is a shared process. Michael will discuss goals and preferences during early sessions and adapt techniques to fit what a person needs. The plan can shift over time as progress is made or priorities change, and the therapist works collaboratively to find the best mix of strategies.
Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexibility. Video works well for in-depth conversations and exercises that need visual cues. Phone sessions are a good option when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging can support brief check-ins, homework prompts, or ongoing encouragement between sessions. These options help people fit therapy into busy schedules and reach support when it’s most helpful.
Questions people ask
What concerns does Michael help with?
What is his general approach in therapy?
How much experience does he have?
What are his credentials and practice location?
Which languages are supported?
What session formats are available?
How are fees and billing handled?
How do I begin working with him?
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
We will earn a commission if you sign up through our link, at no cost to you.