- CBT strategies
- Client-centered care
- Narrative work
About Mary
Mary Catherine "Katie" Miller is a New York LMHC with 20 years of experience. She works with adults facing depression, anxiety, trauma, grief, relationship and intimacy difficulties, and issues common in young adulthood like identity, work, and life transitions. Katie also helps people dealing with ADHD, compassion fatigue, parenting strains, and family conflict.
She uses straightforward, person-focused methods in sessions. Conversations move at the client’s pace. Practical tools are offered alongside chances to talk through feelings about loss, abandonment, or major change. Katie draws on client-centered ways to listen, and on evidence-based strategies to help manage mood and stress.
Her experience includes counseling, training, teaching, and coaching across community settings in Western New York. That background shaped a style that mixes short-term problem solving with deeper narrative work when needed. Clients may work on shifting unhelpful thoughts, building clearer communication, or sorting out identity and relationship questions.
Sessions may address grief and end-of-life concerns, caregiver stress, and the specific pressures young adults face such as leaving home, early careers, and shifting social roles. Katie also supports people navigating gender dysphoria and LGBT-related issues, focusing on what each person wants to change or understand.
People who meet with Katie can expect steady attention to practical steps and to the stories that shape day-to-day experience. She invites clients to set goals, try small experiments between sessions, and notice when things shift.
Approaches used and what online sessions offer
Client-centered therapy places the person’s experience at the center of sessions and emphasizes listening and understanding. It helps when someone needs a clear, steady space to talk about identity, relationships, or life changes.Cognitive behavioral therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors. It is useful for managing anxiety, depression, ADHD-related challenges, and stress by teaching concrete skills and experiments to try between sessions.
Mindfulness therapy teaches simple awareness practices to reduce reactivity and improve focus. These techniques can be helpful for stress, grief, and coping with overwhelming emotions.
Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and preferences. That may mean starting with skill-based CBT, weaving in narrative work, or focusing on listening and validation first.
Session formats are not listed in the biography, so confirm available online options before booking. Online sessions can make it easier to fit appointments into a busy week, allow shorter check-ins when needed, and remove commuting time so therapy fits around study or work. Ask about session length and any technical or scheduling details when you use the booking steps.
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 work with?
Katie works with depression, anxiety, trauma and grief along with relationship, intimacy, parenting, and LGBT-related concerns. She also supports people with ADHD and compassion fatigue.
How would she describe her therapeutic style?
She combines client-centered listening with practical approaches like cognitive behavioral therapy and motivational interviewing. Sessions often mix talking through issues with skill-building exercises.
How long has she been practicing?
She has 20 years of experience providing counseling, training, teaching, and coaching in Western New York and surrounding areas.
What credential does she hold and where is she based?
She is an LMHC licensed in New York and practices out of New York.
Can I work with her if I live outside the United States?
She accepts international clients and conducts sessions in English.
What session formats are available?
Please confirm current session options before booking since formats are not listed in the biography. The site’s booking flow will show which formats she offers.
What does therapy cost with her?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I begin working with Katie?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the booking steps.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.