Profile / United States
Mark S. Macko, LMHC
Florida
Licensed Mental Health Counselor - Mood and coping issues
See online therapy options- Stress and anxiety
- Depression and bipolar
- CBT and solution-focused
About Mark
Mark S. Macko is a Licensed Mental Health Counselor (LMHC) in Florida with 36 years of professional experience. He works with stress and anxiety, grief and loss, bipolar disorder and depression, and other life changes. He has practiced across inpatient, outpatient, residential, and partial hospital settings and has also offered online work.
He spent 19 years working with the U.S. Department of Veterans Affairs in a range of clinical roles. His academic background is in psychology and mental health, which underpins decades of direct clinical work. That experience includes crisis-focused care and longer-term treatment settings.
Mark describes his approach as aligned with Christian-based perspectives, cognitive behavioral techniques, and solution-focused methods. In sessions he emphasizes clear communication and opportunities to express emotions. He also highlights maintaining hope that change is possible.
In practical terms he encourages direct, structured work on thoughts, behaviors, and small problem-solving steps. Clients can expect focused conversations that aim to identify unhelpful patterns and try different ways of responding. He notes that expressing feelings and improving communication are central parts of the process.
His stated focus areas extend beyond core mood concerns to issues such as abandonment, aging and geriatric issues, chronic pain and illness, commitment and communication problems, addiction, loneliness, life purpose, men’s issues, and midlife transitions. Those topics reflect common themes he has addressed over many years in clinical settings.
How his approaches translate to online work
Mark uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and try new behaviors. CBT sessions often focus on specific problems, practical exercises, and short-term goals to reduce symptoms like anxiety or depression.He also uses Solution-Focused Therapy, which narrows in on immediate strengths and small changes that can produce visible progress. This approach tends to be goal-oriented and practical, useful when someone wants concrete steps to move forward.
Finding the right approach is part of the work. He will collaborate with the client to decide whether CBT, solution-focused techniques, a Christian-based perspective, or a mix fits best for their situation. That choice is guided by the client’s goals, needs, and preferences.
If you are considering online sessions, confirm the specific session formats before booking. The biography notes he has provided online work, but it does not list exact formats here. Online appointments can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and reduce travel time. He aims to make sessions practical and structured so they can be used effectively in everyday 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 commonly address?
He works with stress, anxiety, grief, bipolar disorder, depression, and coping with life changes. He also lists additional focuses like chronic pain, addiction, loneliness, men’s issues, and midlife concerns.
How does he describe his therapeutic style?
He uses communication, emotional expression, and a hopeful outlook as core elements. He aligns with Christian-based perspectives alongside cognitive behavioral and solution-focused methods.
How much clinical experience does he have?
He brings 36 years of professional work experience across inpatient, outpatient, residential, partial hospital programs, and online settings.
What are his credentials and where is he based?
He is a Florida LMHC, which stands for Licensed Mental Health Counselor, and he practices in Florida.
Which languages are supported for sessions?
Sessions are offered in English.
Does he take clients from other countries?
He does not accept international clients at this time.
How are sessions priced?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What are the first steps to begin?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.