About Sr.
Dr. Sr. Marian Mikhail is a licensed mental health counselor who brings seven years of clinical experience to her work.
She sees people for stress, anxiety, grief, depression, self-esteem concerns, career worries, and life changes. She speaks English and Arabic and practices in Pennsylvania as an LMHC and a Licensed Professional Counselor, LPC. Her sessions aim to be respectful, direct, and compassionate.
She tailors conversations and plans to each person's situation.
Background and approach
She focuses on practical steps people can try between sessions to make daily life more manageable. Dr. Mikhail uses evidence-informed approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Solution-Focused Therapy.
In practice she helps people notice unhelpful patterns, try small behavior changes, and set clear short-term goals. She explains tools plainly and practices them together with the person in session. Her background includes graduate study in counseling, pastoral care, and religious education.
That training informs an emphasis on values, meaning, and purpose when clients want to address emptiness, forgiveness, or life purpose questions. She also draws on experience supporting people with body image, communication problems, isolation, and young adult issues. People working with Dr.
Mikhail can expect a collaborative tone. Sessions typically move between talking, practicing specific skills, and planning next steps. She encourages honest conversation and steady progress at a comfortable pace.
How ACT, CBT, and Solution-Focused Work Online
Acceptance and Commitment Therapy, or ACT, helps people notice thoughts and feelings without getting stuck in them. It focuses on identifying personal values and taking small actions that match those values to reduce suffering from anxiety, depression, or emptiness.Cognitive Behavioral Therapy, CBT, looks at thoughts, behaviors, and feelings and teaches concrete skills to change unhelpful patterns. It is useful for managing anxiety, depression, and stress by practicing new ways of thinking and behaving between sessions.
Solution-Focused Therapy centers on setting clear, short-term goals and identifying strengths and resources. It helps people move toward specific changes quickly by building on what already works in their life.
Finding the right approach is a shared process. The therapist will collaborate with each person to pick or combine methods based on goals, preferences, and how symptoms show up. That teamwork helps tailor sessions so they feel relevant and doable.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text messaging. Video is good for fuller conversation and visual cues. Phone sessions work when bandwidth is limited or for a shorter check-in. Live chat and text messaging let people keep momentum between appointments or fit brief exchanges into a busy day. These options make it easier to access licensed professionals from different locations and schedules.
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Specialties and expertise
Top specialties
Also works with
Therapeutic approaches
- Experience
- 7 years
- Licensed
- New York, New Jersey, Pennsylvania
- Languages
- English, Arabic