- client-centered therapy
- cognitive behavioral therapy
- mindfulness practice
About Mary
Mary Catherine "Katie" Miller is a New York Licensed Mental Health Counselor (LMHC) with 20 years of experience. She works with people dealing with trauma, grief, depression, anxiety, relationship and intimacy concerns, parenting stress, ADHD, and related struggles including guilt and shame. Katie's style is straightforward and nonjudgmental, and she aims to help clients talk through thoughts and feelings in clear terms.
She draws on client-centered therapy to follow each person's lead while using practical tools from cognitive behavioral therapy to change unhelpful thought patterns. Mindfulness techniques are used to help people notice difficult feelings without getting overwhelmed. Katie also uses narrative and motivational approaches to help people make sense of their stories and find forward steps.
Sessions are conversational and focused on problem-solving. Katie helps clients break big issues into smaller, manageable parts. She listens for patterns that keep people stuck and introduces simple exercises to try between meetings.
Her background includes counseling, training, teaching, and coaching across community and clinical settings in Western New York. Over two decades she has worked with a wide range of life stages and situations, including end-of-life and caregiver stress, abandonment issues, and isolation.
People looking for a pragmatic, person-focused way to work through shame, guilt, loss, or ongoing anxiety may find her approach useful. To begin, she asks clients to complete a short matching questionnaire and schedule an initial session to identify priorities and next steps.
How Katie uses approaches in remote sessions
Client-centered therapy emphasizes listening and tailoring each conversation to what the client brings. In practice this means sessions start with the client's concerns and priorities, and the therapist follows the client's pace while reflecting back what she hears. Cognitive behavioral therapy (CBT) focuses on identifying and testing the thoughts and behaviors that maintain distress. Katie may introduce short, structured exercises to try between meetings to test new thinking and habits.Finding the right approach is part of the work. Katie treats the choice of methods as a collaborative decision. Together the client and therapist review what helps, adjust techniques, and pick practical next steps that match the client's goals and preferences.
Confirm the current session options before booking so you know which formats are offered. Online sessions can make it easier to fit therapy into a busy week, avoid travel time, and keep check-ins brief when needed. Different formats also let people choose less time on camera, shorter check-ins during a work break, or a longer session for deeper work. Ask about scheduling, subscription billing, and any format details when you complete the matching questionnaire.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with trauma, grief, depression, anxiety, relationship and intimacy issues, parenting stress, ADHD, and related concerns including guilt and shame.
How would she approach shame or guilt?
She uses a mix of client-centered listening and cognitive behavioral techniques to notice unhelpful thoughts and try new, practical responses.
What is her background and experience?
She has 20 years of experience providing counseling, training, teaching, and coaching in the Western New York region and beyond.
What credentials and location are listed?
She is a New York Licensed Mental Health Counselor (LMHC) based in New York.
Does she offer sessions in other languages?
Sessions are offered in English.
Can people outside the US work with her?
She accepts international clients; confirm time zone and scheduling details when arranging sessions.
How does payment and cost work?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What are the steps to get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.