Mark S. Macko, LMHC

Mark S. Macko is a Licensed Mental Health Counselor (LMHC) based in Florida with 36 years of experience. He helps people who are coping with stress, anxiety, grief, bipolar disorder, depression, and midlife change. He aims to make therapy straightforward and practical for people feeling stuck or overwhelmed.

He has worked across inpatient, outpatient, residential, and partial hospital settings, and spent 19 years working with the U.S. Department of Veterans Affairs. His academic background is in psychology and mental health. Mark values clear communication, naming and expressing emotions, and keeping hope for change in view.

Mark does not limit himself to a single theory. He most often uses Christian-informed perspectives alongside cognitive behavioral and solution-focused ideas. In sessions he helps clients identify patterns, test new behaviors, and set small achievable goals.

Therapy sessions typically focus on what is happening now and what practical steps can help. He pays attention to life changes such as aging, chronic illness, or midlife shifts and to issues like relationship communication, feelings of emptiness, and problems with substance use.

People who prefer direct conversation and concrete strategies often find his style useful. He aims to be respectful and hopeful while helping clients work through immediate problems and plan for the future.

How his approaches work in online therapy

Mark most often uses cognitive behavioral ideas and solution-focused methods in his work. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions link together and helps people try small behavior changes to reduce anxiety or depression. Solution-Focused Therapy centers on goals and what is already working, building on strengths to create practical next steps for problems like stress or midlife transitions.

Choosing the right approach is part of the process. He will work with each person to figure out what methods fit their goals and preferences. That decision is collaborative and can shift as needs change during therapy.

If you are considering online sessions, confirm the currently offered session options before booking. Online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time so therapy matches everyday life. Licensed professionals can adapt CBT and solution-focused techniques to virtual settings to keep work practical and goal-oriented.