About Mary
Mary Catherine "Katie" Miller uses a warm, client-centered approach to guide people through hard moments. She is a licensed mental health counselor (LMHC) who brings 20 years of experience from practice in New York. Katie focuses on listening first and helping people find practical steps forward.
Katie works with a wide range of concerns including trauma and abuse, grief, anxiety, depression, and stress. She also helps with relationship and intimacy-related issues, parenting challenges, self-esteem, and coping with life changes.
Background and approach
ADHD, compassion fatigue, and family-related problems are part of her practice too. Her sessions are grounded in Client-Centered Therapy, where the person in the room sets the pace and priorities. She integrates Cognitive Behavioral Therapy to identify unhelpful thinking patterns and Mindfulness Therapy to build calm and focus in daily life.
Narrative and motivational approaches are used when helpful to reframe stories and fuel change. Katie describes her role as a steady partner who listens without judging. She aims to make sense of feelings and to break problems into small, workable steps.
That practical focus helps people move from feeling stuck to feeling more able to cope. People who reach out can expect a straightforward, respectful approach. Conversations may include skill-building, reworking stories that get in the way, or short exercises to try between sessions.
Katie welcomes both practical questions and deeper emotional work.
How Katie’s Approaches Work Online
Client-Centered Therapy starts with the person’s concerns and priorities and focuses on listening and respect. Online sessions using this approach let people set the pace and bring what matters most to each meeting. Cognitive Behavioral Therapy, or CBT, helps identify and change thoughts and behaviors that keep problems going; online CBT often uses short exercises and homework that are easy to share and review between sessions.Finding the right approach is part of the work together. Katie will discuss goals and try methods that fit a person’s needs and preferences. She treats the process as collaborative, adjusting techniques based on what helps most over time.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full conversations and visual cues. Phone sessions can be a good choice when bandwidth is limited or when a quieter, audio-only check-in is needed. Chat and messaging work well for brief check-ins, quick coping strategies, or people who prefer written communication for reflection and tracking progress.
These options make scheduling more flexible and help people fit sessions into busy lives, whether during a work break or between caregiving tasks.
Frequently asked questions
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Specialties and expertise
Top specialties
- LGBT
- Family conflicts
- Trauma and abuse
Also works with
- Abandonment
- ADHD
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Family problems
- Gender dysphoria
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Postpartum depression
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- New York
- Languages
- English