- CBT methods
- Solution-focused work
- Faith-aware counseling
About Mark
Mark S. Macko is a Florida Licensed Mental Health Counselor (LMHC) with 36 years of professional experience. He works with people dealing with stress, anxiety, grief, bipolar disorder, depression, and life transitions. Mark also lists areas like guilt and shame among the topics he addresses.
He has experience in inpatient, outpatient, residential, and partial hospital settings. He spent 19 years working with the U.S. Department of Veterans Affairs. His academic background is in psychology and mental health.
Mark describes his approach as practical and faith-aware. He says he is most closely aligned with Christian-based counseling, cognitive behavioral work, and solution-focused techniques. In sessions he prioritizes clear communication and helping people express emotions.
Sessions focus on concrete steps and coping skills. He emphasizes problem-solving and building hope that change is possible. Conversations typically include looking at thought patterns, testing small changes, and tracking what helps.
People who want a clinician with long experience in various clinical settings may find his background relevant. He aims to combine practical methods with attention to personal beliefs and goals. Prospective clients should confirm current session options before booking.
Mark works in Florida and conducts sessions in English. He does not accept international clients.
How Mark blends CBT and solution-focused work online
Mark uses Cognitive Behavioral Therapy (CBT) to help people notice and test unhelpful thoughts. CBT looks at patterns of thinking and behavior and teaches specific skills for managing anxiety, depression, and stress.He also uses Solution-Focused Therapy, which concentrates on practical steps and small changes. This method narrows in on what works now and builds on strengths to move toward clear goals, useful for coping with life changes and practical problems.
Finding the right mix of approaches is part of the process. He works with clients to decide which techniques fit their needs and goals. That collaboration shapes session focus and homework between meetings.
The biography notes past online experience but does not list specific formats here, so confirm current session options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when time is limited, or reduce travel time. Discussing practical matters like session length and scheduling helps shape a plan that fits daily life.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
36+ years
Listed in
Florida
Languages
English
Frequently asked questions
What concerns does he address related to guilt or shame?
He lists guilt and shame among his focus areas and also works with stress, anxiety, grief, depression, and related concerns.
How does he approach difficult emotions like shame?
He combines cognitive behavioral techniques and solution-focused work, emphasizing communication and expressing emotions while testing practical steps forward.
What is his professional background?
He has 36 years of experience across inpatient, outpatient, residential, and partial hospital programs, including 19 years with the VA.
What credential and location apply to his practice?
He is a Florida LMHC and practices in Florida.
Does he offer sessions in other languages or to international clients?
Sessions are offered in English and he does not accept international clients.
What session formats are provided?
The original biography mentions online work but does not list current formats; confirm specific session options before booking.
How are costs handled for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the first steps to get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.