- Stress and anxiety
- Grief and loss
- Solution focused
About Mark
Mark S. Macko is a Licensed Mental Health Counselor (LMHC) practicing in Florida with more than 36 years of experience. He helps people who are dealing with stress, anxiety, grief, bipolar disorder, depression, and major life changes. Mark speaks plainly and aims to make the first steps feel manageable for someone who is worried or overwhelmed.
Mark's background includes work in inpatient, outpatient, residential, and partial hospital settings, and he spent 19 years working with the U.S. Department of Veterans Affairs. His degrees are in psychology and mental health, and he has also provided care online.
In sessions he leans on cognitive behavioral ideas and solution-focused strategies, while also integrating a Christian perspective when clients prefer that. He emphasizes clear communication, helping people name their feelings, and keeping hope alive while making change.
Typical sessions focus on practical steps people can take between meetings. That might mean spotting unhelpful thoughts, testing a new behavior, or setting a small goal to break a stuck pattern. He also addresses issues such as abandonment, aging concerns, chronic pain or illness, addiction, and isolation.
Mark aims to meet people where they are and work together on realistic steps forward. He encourages openness about goals and adjusts the pace to what each person needs.
How his approaches translate to online care
Mark uses cognitive behavioral therapy to help people notice and change unhelpful thoughts and behaviors, often by trying small experiments between sessions to test new ways of coping. Solution-focused therapy is goal-oriented and short-term, emphasizing concrete steps and strengths a person can build on right away.Finding the right approach is part of the work. He will discuss goals, preferences, and what has or hasn’t helped in the past, then collaborate on a plan that feels practical and achievable. The process is a conversation about what to try next rather than a fixed prescription.
The practical benefits of remote work can make fitting therapy into daily life easier. Online sessions can reduce travel time, allow for shorter check-ins when needed, and make it simpler to attend while balancing work or caregiving. Session formats are not listed here, so confirm current options before booking to ensure they fit your schedule and needs.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
36+ years
Credentials
Florida
Languages
English
Frequently asked questions
What concerns does he commonly address?
He works with stress, anxiety, grief, bipolar disorder, depression, and life transitions, plus related areas like chronic illness, addiction, and isolation.
What is his therapeutic style like?
He uses cognitive behavioral techniques and solution-focused work, combined with clear communication and emotional expression to help clients set goals and try practical changes.
How much experience does he bring?
He has 36 years of professional experience, including long-term work in inpatient, outpatient, residential, partial hospital programs, and 19 years with the VA.
What are his credentials and where is he based?
He is a Licensed Mental Health Counselor (LMHC) licensed in Florida and practices in that state.
In which language are sessions held?
Sessions are offered in English.
Can international clients work with him?
International clients are not currently accepted.
How are session costs handled?
Costs vary with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin therapy with him?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.