- Stress and anxiety
- Grief and loss
- CBT and solution-focused
About Mark
Mark S. Macko is a Florida Licensed Mental Health Counselor (LMHC) with 36 years of professional experience. He works with adults who are dealing with stress, anxiety, grief, bipolar disorder, depression, and major life changes. He also addresses concerns such as abandonment, aging and geriatric issues, chronic pain or illness, addiction, isolation, and questions about life purpose.
He has worked across inpatient, outpatient, residential, partial hospital programs, and online settings. His longest tenure was 19 years with the U.S. Department of Veterans Affairs. His degrees are in psychology and mental health, and he brings that background into practical conversations about problems people face.
Mark's approach draws on cognitive behavioral techniques and solution-focused methods. He describes himself as influenced by Christian-based perspectives while avoiding strict allegiance to any single theory. Sessions center on clear communication, expressing emotions, and keeping hopeful about the possibility of change.
In a typical meeting he helps people identify specific thoughts and behaviors that maintain distress, then works with them to try small, manageable changes. He also uses short-term goal work to help clients see immediate steps forward when life feels stuck after a job change, relationship shift, or health event.
People looking for help with midlife questions, men's issues, forgiveness, guilt, or rebuilding purpose may find his practical orientation useful. Prospective clients should confirm current session formats and scheduling details before booking.
How Mark uses CBT and solution-focused work online
Mark uses cognitive behavioral therapy to help people notice and change thoughts and behaviors that contribute to anxiety or depression. CBT sessions focus on practical exercises, testing beliefs, and skill practice that can be done between meetings.He also uses solution-focused therapy to identify immediate, achievable steps toward a client's goals. This approach narrows in on what is working now and builds small, measurable changes instead of long theoretical plans.
Choosing an approach is part of the work together. He will discuss goals, preferences, and what has or has not helped in the past to decide which methods to use. That collaboration makes it easier to adjust the plan as needs change.
Please confirm the current online session options before booking, because the biography does not list specific formats. Online sessions can make it simpler to fit meetings into a weekday, allow shorter check-ins when needed, and reduce travel time so therapy fits routine responsibilities.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
36+ years
Listed in
Florida
Languages
English
Frequently asked questions
What kinds of problems does he work with?
He works with stress, anxiety, grief, bipolar disorder, depression, and coping with life changes. He also addresses issues such as abandonment, chronic illness, addiction, isolation, and life purpose.
How does he approach someone who feels stuck?
He uses cognitive behavioral and solution-focused methods to identify unhelpful thoughts and try small, practical changes. Sessions focus on communication, expressing emotions, and setting short-term goals.
What is his professional background?
He has 36 years of professional experience across inpatient, outpatient, residential, partial hospital programs, and online care. He spent 19 years working with the U.S. Department of Veterans Affairs.
What credentials does he hold and where is he based?
He is a Florida LMHC (Licensed Mental Health Counselor) and practices in Florida.
Are sessions available in other languages or to international clients?
Sessions are offered in English. He is not currently accepting international clients.
What session formats are offered?
Please confirm current session options before booking, as the biography does not specify which formats are in use at this time.
How is cost handled for sessions?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin a first session?
Begin by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.