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- CBT methods
- Solution-focused work
- Christian-informed option
About Mark
LMHC in Florida with 36 years of experience, Mark S. Macko helps people manage stress, anxiety, grief and major mood concerns such as bipolar disorder and depression. He also supports those facing life changes and related problems like isolation, chronic illness, commitment or communication issues. Mark uses cognitive behavioral and solution-focused techniques alongside Christian-informed perspectives when clients prefer that context.
He has experience across inpatient, outpatient, residential, and partial hospital settings, including 19 years working with the U.S. Department of Veterans Affairs. His academic background is in psychology and mental health, and he practices as a Florida Licensed Mental Health Counselor, LMHC.
In sessions he prioritizes clear communication and helping clients express emotions. He aims to identify manageable steps and practical skills clients can use between meetings. Sessions often focus on changing unhelpful thinking patterns, setting small goals, and testing new behaviors in daily life.
Mark describes therapy as collaborative. He listens for what a person hopes to change and works on realistic, short-term plans to get there. When faith is important to a client, he brings a Christian-informed perspective alongside cognitive behavioral and solution-driven work.
People who want straightforward, skills-based help for anxiety, depression, grief, or major life transitions may find his style a fit. He combines long-term clinical experience with methods designed to produce concrete coping strategies and clearer communication.
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How his approaches translate to online work
Mark uses Cognitive Behavioral Therapy to identify and change unhelpful thoughts and behaviors; this approach breaks concerns into concrete patterns and teaches skills people can practice between sessions. Solution-Focused Therapy concentrates on small, achievable goals and on what is already working; it helps people make step-by-step changes and track progress.Choosing the right approach is collaborative. He will discuss goals, preferences, and what has helped in the past, then try methods that fit the client's needs. Sessions may be adjusted over time based on what proves most useful.
The practical benefits of online therapy include fitting sessions into a busy week and making it easier to attend from different locations. Confirm current session options before booking, since formats are not specified here. Online work can allow shorter check-ins, more frequent brief contacts, or regular weekly sessions depending on what the therapist and client agree will work best.
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Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
36+ years
Listed in
Florida
Languages
English
Sheet 4
Frequently asked questions
What concerns does he address?
He works with stress, anxiety, grief, bipolar disorder, depression, and coping with life changes. Additional focuses include issues such as chronic pain, addiction, isolation, and men's concerns.
What approaches does he use in therapy?
He uses Cognitive Behavioral Therapy and Solution-Focused Therapy and can include Christian-informed perspectives when clients prefer that context. Sessions emphasize communication, emotion expression, and practical steps.
How much clinical experience does he have?
He has 36 years of professional work experience across inpatient, outpatient, residential, and partial hospital settings. His background includes 19 years working with the U.S. Department of Veterans Affairs.
What are his credentials and location?
He is a Licensed Mental Health Counselor, LMHC, practicing in Florida. His degrees are in psychology and mental health.
Which languages are supported?
Sessions are offered in English.
Can people outside the U.S. work with him?
He does not accept international clients at this time.
How are fees and payment handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time. Specific pricing is provided during the intake process.
What do I do to get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That process connects you to the intake steps and initial booking.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.