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Mark S. Macko, LMHC

Florida LMHC for stress and mood care
  • 36 years experience
  • CBT and solution-focused
  • 19 years with VA

About Mark S. Macko

Mark S. Macko is a Licensed Mental Health Counselor (LMHC) practicing in Florida with 36 years of professional experience supporting people through stress, anxiety, grief, bipolar disorder, depression, and other life transitions. He holds degrees in Psychology and Mental Health and has provided care in a wide range of settings including inpatient, outpatient, residential, partial hospital programs, and online services. The most extensive portion of his career was a 19-year tenure with the U.S. Department of Veterans Affairs, where he worked with veterans across multiple levels of care.

His practice draws on Christian-based perspectives alongside cognitive behavioral therapy (CBT) and solution-focused approaches, tailoring interventions to the needs and goals of each person. Mark emphasizes clear communication, opportunities for emotional expression, and cultivating hope as central elements of the therapeutic process. As an LMHC - a state-recognized Licensed Mental Health Counselor - he combines clinical experience with practical strategies to help clients pursue meaningful change and improved coping in everyday life.

Areas of Expertise

Primary Focus

Stress, AnxietyGriefBipolar disorderDepressionCoping with life changes

Additional Focus Areas

AbandonmentAging and geriatric issuesChronic pain, illness, and disabilityCommitment issuesCommunication problemsCoping with natural or human-caused disasterDrug and alcohol addictionEmptinessForgivenessGuilt and shameIntellectual disabilityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMood disordersPanic disorder and panic attacksPost-traumatic stressSocial anxiety and phobiaTraumatic brain injuryWorkplace issues

Therapeutic Approach

Cognitive Behavioral Therapy (CBT) Solution-Focused Therapy

Frequently Asked Questions

How much experience does Mark S. Macko have?

Mark S. Macko has 36 years of professional experience.

Is Mark S. Macko a licensed therapist?

Yes. He holds the credential LMHC, which stands for Licensed Mental Health Counselor. License details are FL LMHC MH4013.

In which languages does Mark S. Macko provide therapy?

He provides therapy in English.

Where is Mark S. Macko located?

He is located in Florida.

How can I work with Mark S. Macko as my therapist?

Clients can work with Mark S. Macko through video calls, phone sessions, live chat, or text-based messaging.

Does Mark S. Macko work with international clients?

Mark S. Macko does not currently work with international clients.

How much does therapy with Mark S. Macko cost?

The cost of therapy can vary depending on factors such as the client’s location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match the client with the therapist. Depending on availability, the client can then schedule a first session by phone, video call, live chat, or in-app messaging.

Could Online Therapy Suit a Client's Needs?

Many people wonder whether online therapy can make a meaningful difference. For common concerns such as stress, anxiety, depression, relationship challenges, or navigating life changes, online therapy has been shown to be just as effective as traditional in-person sessions.

One of the primary advantages is the flexibility it provides. Clients can connect with a therapist in the format that works best for them - through video calls, phone sessions, live chat, or in-app messaging - which often makes it easier to fit therapy into a busy schedule or to continue care during life transitions.

Therapists who offer remote services are licensed professionals who use established clinical approaches to support clients. If a client finds that a particular therapeutic match is not ideal, they may switch to a different therapist to find a better fit. Online therapy offers an accessible option for many people seeking support while maintaining the same core therapeutic goals as in-person work.

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