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Mark S. Macko, LMHC

Experienced Florida LMHC for stress and grief
  • Stress and anxiety
  • Grief and loss
  • CBT and solution-focused therapy

About Mark S. Macko

Mark S. Macko is a Licensed Mental Health Counselor (LMHC) practicing in Florida with 36 years of professional experience helping adults navigate stress, anxiety, grief and loss, bipolar disorder, depression, and related life changes. He holds degrees in Psychology and Mental Health and has developed clinical skills across inpatient, outpatient, residential, partial hospital programs and online settings. The longest single tenure in his career was 19 years of service with the U.S. Department of Veterans Affairs, where he gained extensive experience working with complex presentations and diverse needs.

Mark aligns his work with Christian-based perspectives alongside cognitive behavioral and solution-driven approaches, drawing on those frameworks to help clients identify practical steps, shift unhelpful thinking patterns, and build coping skills. His practice emphasizes clear communication, the open expression of emotion, and a hopeful outlook about the possibility of change. As a licensed clinician, he combines years of direct practice with a pragmatic focus on what works for each person, aiming to support clients as they manage loss, mood concerns, relationship struggles, and major life transitions.

Areas of Expertise

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?

Mark S. Macko provides therapy in English.

Where is Mark S. Macko located?

Mark S. Macko is located in Florida.

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

You 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 your 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, just click the "Start Therapy" button on this page.

How can I get started with therapy?

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

CBT and Solution-Focused Care Delivered Online

Mark S. Macko uses Cognitive Behavioral Therapy, which helps people identify and change unhelpful thoughts and behaviors so they can manage symptoms like anxiety and depression more effectively. He also applies Solution-Focused Therapy, a short-term approach that concentrates on clients' strengths and practical steps toward specific goals, and is useful for coping with life transitions, stress, and problem-solving.

Finding the right approach is part of the therapeutic process, and Mark works collaboratively with each client to determine which methods fit their needs, goals, and preferences. He values clear communication and a hopeful stance, and adjusts strategies over time as progress and priorities evolve.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care, access support from home, and choose the format that best supports engagement with therapy. Licensed professionals and therapists can adapt these modalities to provide practical, goal-oriented treatment that fits into a client's life.

Ready to start therapy with Mark S. Macko?

Take the first step toward a better you.