I am a licensed Mental Health Counselor in the State of New York with 25 years of experience in counseling, crisis intervention, and community mental health. I have experience in helping clients with stress and anxiety, family conflicts, anger management, & bipolar disorder. I utilize Motivational Interviewing and Cognitive Behavioral Therapy as my clinical base. I take a direct supportive approach to working with clients and customizing treatment to their specific needs. It is my experience that creating a safe, nurturing, but challenging working relationship is essential to helping people open up and explore their goal. I believe in treating everyone with respect, sensitivity, and compassion. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
Professional experience
25 yrs in practice
Stress and anxiety Family conflicts Anger management Bipolar disorder Depression
Additional areas of focus:Coping with addictions, Relationship issues, Trauma and abuse, Coping with grief and loss, Intimacy related issues, Sleeping disorders, Parenting issues, Motivation, self esteem, and confidence, Career difficulties, Coping with life changes, Concentration, memory and focus (ADHD), Antisocial personality, Communication problems, Family problems, Fatherhood issues, Forgiveness, Guilt and shame, Isolation / loneliness, Life purpose, Men's issues, Midlife crisis, Veteran and Armed Forces Issues, Mood disorders, Panic disorder and panic attacks, Paranoia, Personality disorders, Social anxiety and phobia, Workplace issues, Young adult issues
These quotes represent just a few of the many positive reviews that we have received for Michael Miano. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Mike has been helping me navigate one of the most difficult chapters of my life. Offering support and strategy. I don’t know how I would have handled this without him!
Written on Jun 22, 2026 after therapy with Michael for 2 months on issues concerning relationship issues, and family conflicts
Solid therapy experience. Very helpful and insightful.
Written on Jun 15, 2026 after therapy with Michael for 2 years and 8 months on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, intimacy-related issues, and anger management
very helpful and responsive
Written on Jun 10, 2026 after therapy with Michael for 1 year and 9 months on issues concerning relationship issues, family conflicts, intimacy-related issues, self esteem, and adhd
Mikes the best therapist I’ve ever had. Very solid guy. I feel lucky to have his help.
Written on Jun 04, 2026 after therapy with Michael for 2 years and 1 month on issues concerning depression, stress, anxiety, addictions, relationship issues, trauma and abuse, sleeping disorders, self esteem, anger management, career difficulties, and bipolar disorder
He is a great person to talk to.
Written on Dec 22, 2025 after therapy with Michael for 4 weeks on issues concerning depression, stress, anxiety, self esteem, and anger management
First time sticking with therapy. Finding a therapist always was the hard part. BetterHelp paired me with Michael and I couldn’t have asked for a better match. He is friendly, understanding, validating, supportive, and has the tools I need to grow.
Written on Dec 16, 2025 after therapy with Michael for 4 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, and anger management
Mike is fantastic and extremely knowledgeable and helpful. Would highly recommend.
Written on Jul 03, 2025 after therapy with Michael for 2 years and 6 months on issues concerning relationship issues, intimacy-related issues, parenting issues, anger management, and coping with life changes
Excellent therapist
Written on Sep 13, 2024 after therapy with Michael for 2 weeks on issues concerning depression, stress, anxiety, addictions, parenting issues, and career difficulties
Mike has helped me deal with anxiety and offers valuable insights over the time we spend together
Written on May 16, 2024 after therapy with Michael for 1 year and 5 months on issues concerning depression, sleeping disorders, and self esteem
Mike has been great in helping me cope with and gradually come out of my depression. He has been supportive but also directive when he needs to be. I recommend him without reservation.
Written on Mar 13, 2024 after therapy with Michael for 8 months on issues concerning depression, stress, anxiety, relationship issues, intimacy-related issues, sleeping disorders, self esteem, coping with life changes, and adhd
Mike is a professional providing valuable insight and a down to earth, no nonsense approach that's just right for me. The intensity is just right and can't recall ever a shallow discussion. I originally thought "digital therapy" would not work for me based on my first experiences with it. I want to add, for those out there in similar situations, I'm a father of two children, operate a growing business, and am in process of divorce. In late 2022, BetterHelp's filtering presented Mike. Mike's level of support and appreciated what he's provided over the past year is invaluable. I highly recommend Mike, especially in the areas of divorce/relationships and family.
Written on Mar 04, 2024 after therapy with Michael for 1 year and 4 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, sleeping disorders, and parenting issues
Very professional would highly recommend
Written on Feb 19, 2024 after therapy with Michael for 1 month on issues concerning depression, stress, anxiety, self esteem, and bipolar disorder
I recently had the privilege of working with Mike Miano, and I cannot express enough how transformative and positive my therapeutic experience has been. From the moment I walked into his office, I felt a sense of warmth and genuine compassion that set the tone for our sessions.
Mike possesses a remarkable ability to create a safe and non-judgmental space where one can explore their thoughts and emotions freely. His empathetic nature and active listening skills fostered an environment where I felt truly heard and understood. Throughout our sessions, I found Mike's insightful guidance to be both comforting and enlightening, allowing me to gain valuable insights into my own patterns of thinking and behavior.
One of Mike's standout qualities is his adaptability in tailoring his therapeutic approach to meet individual needs. Whether delving into deep-rooted issues or addressing more immediate concerns, he seamlessly navigated the complexities of my experiences, offering practical strategies and coping mechanisms that proved to be invaluable in my daily life.
Mike's expertise in various therapeutic modalities is evident, and he skillfully integrates them to create a personalized and holistic treatment plan. His genuine commitment to my well-being was evident in the thoughtful strategies he employed to help me navigate challenges and foster personal growth.
Beyond his professional competence, Mike exudes a rare combination of authenticity and kindness. His warm demeanor and unwavering support made each session a collaborative journey towards self-discovery and healing. I felt empowered to confront challenges head-on, armed with the tools and insights Mike provided.
In my time with Mike, I witnessed not only a skilled therapist but also a dedicated advocate for mental health. His passion for the well-being of his clients is palpable, and it undoubtedly contributes to the positive and transformative experiences that unfold within the therapeutic relationship.
Without reservation, I wholeheartedly recommend Mike Miano to anyone seeking a compassionate, insightful, and highly effective therapist. He is a true professional who possesses the unique ability to guide individuals on their journey to emotional well-being, making a profound and lasting impact on the lives of those fortunate enough to work with him.
Written on Feb 06, 2024 after therapy with Michael for 3 weeks on issues concerning stress, anxiety, relationship issues, and intimacy-related issues
He is the best therapist I’ve ever had in my entire life.
Written on Jun 07, 2023 after therapy with Michael for 7 months on issues concerning depression, addictions, relationship issues, intimacy-related issues, self esteem, and anger management
Mike has been helping me out tremendously, I took a break from our sessions due to work and life obligations and realized how important Mike is in getting me through day to day life, if I was a professor I’d give Mike a A+
Written on Jun 04, 2023 after therapy with Michael for 8 months on issues concerning stress, anxiety, addictions, relationship issues, family conflicts, intimacy-related issues, self esteem, career difficulties, coping with life changes, and adhd
Michael is incredible! Honest, intelligent and was really able to help me get to the root of an issue I was having. I learned a lot from our sessions and would highly recommend him!
Written on Mar 13, 2023 after therapy with Michael for 4 months on issues concerning depression, stress, anxiety, family conflicts, and self esteem
I appreciate Michael's professionalism, honesty, and understanding. He is a great therapist.
Written on Nov 18, 2022 after therapy with Michael for 1 month on issues concerning stress, anxiety, relationship issues, family conflicts, grief, parenting issues, and anger management
Michael M is excellent. he listens and hears, in between, the lines. I feel like we have made great progress in a short period. I completely recommend him.
Written on Nov 14, 2022 after therapy with Michael for 3 weeks on issues concerning intimacy-related issues, eating disorders, and anger management
Mike is really great. I am so lucky to have met him, especially never had therapy before and not sure I really even needed it. He is very personable, thoughtful and easy to talk to, and even after I drone on with a number of non sequiturs, it is amazing how he is able to pick up on even the slightest thing I say and put it in perfect context. After only a few sessions discussing a fairly multifaceted issue, I can tell that Mike is really, really good at his profession. Very highly recommend him, as long as it doesn't make it harder for me to schedule a session with him. ;)
Written on Oct 31, 2022 after therapy with Michael for 3 weeks on issues concerning stress, anxiety, relationship issues, family conflicts, sleeping disorders, anger management, career difficulties, and coping with life changes
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