Dr. Sr. Marian Mikhail, LMHC, LPC

Dr. Sr. Marian Mikhail is a licensed mental health counselor who brings seven years of clinical experience to her work. She practices from Pennsylvania and speaks English and Arabic. She focuses on common struggles like stress, anxiety, grief, low self-esteem, career concerns, and life changes. Her approach is practical and goal-oriented. Sessions use tools from Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Solution-Focused Therapy to help people notice unhelpful thinking, clarify values, and try new behaviors. Conversations are shaped to each person's needs and paced to what feels manageable. Marian draws on a strong academic background in counseling and ministry. She holds a Master of Divinity and a PhD in Clinical Pastoral Counseling, along with other graduate degrees in related fields. She also maintains professional licenses as an LMHC and an LPC in the regions where she practices. She has experience helping people work through body image concerns, communication problems, loneliness, and questions about life purpose and forgiveness. She also supports people facing young adult issues and career-related stress. Therapy begins with listening and mapping small, realistic steps forward. She works with clients to set clear goals and track progress. Sessions can include practical exercises, short skill-building tasks, and reflections to help people use what they learn between meetings.

How CBT and ACT can work online

Dr. Sr. Marian Mikhail uses Cognitive Behavioral Therapy to help people identify thoughts and behaviors that keep them stuck and practice small changes that reduce distress. CBT is useful for anxiety, depression, and stress when people want clear strategies to try between sessions.

She also draws on Acceptance and Commitment Therapy, which helps people clarify what matters most and take meaningful action even when difficult feelings are present. ACT can be helpful for grief, low self-esteem, and feelings of emptiness by focusing on values and committed steps.

Choosing the right approach is a joint process. The therapist will talk with each person about needs, goals, and preferences and will adjust methods as progress is observed. That collaborative planning helps make sessions feel relevant and usable.

Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different rhythms of life. Video sessions allow face-to-face conversation and skills practice, phone sessions can be quicker check-ins with lower bandwidth, and messaging or live chat work well for short updates or ongoing support. These options make it easier to fit therapy into work, school, or busy family days while keeping the focus on practical steps and achievable goals.