Dr. Miles Matise, LPC, LMHC

Dr. Miles Matise uses clear, practical approaches to help people manage stress, anxiety, grief, depression, addiction, and relationship concerns. He is Dr. Miles Matise, LPC and LMHC, and brings 22 years of counseling experience to his work in Texas. He writes plainly with clients about goals and steps they can take between sessions.

He favors Cognitive Behavioral Therapy (CBT) alongside client-centered and existential approaches. That means he helps people notice unhelpful thoughts, try new behaviors, and reflect on values and meaning. He may also use EMDR when trauma memories are a clear part of the problem.

Miles has a background in counselor education and long clinical experience. He focuses on common life challenges such as coping with change, career stress, compassion fatigue, and intimacy-related worries. He also helps people dealing with family conflict, aging and geriatric issues, hospice and end-of-life concerns, and the emotional effects of trauma and abuse.

In sessions he talks through concrete strategies, skill practice, and self-reflection. He can include spiritually-attuned perspectives if a client requests that approach. He supports clients who want to work on improving relationships, managing cravings, processing grief, or building self-esteem.

People who choose him can expect a collaborative process that looks at thoughts, behaviors, and personal values. He adapts how he works to match each person's situation and goals, and explains options so clients can decide what feels right.

How therapeutic approaches translate to online care

Dr. Matise commonly uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and practice new behaviors for anxiety, depression, and stress. CBT offers clear exercises and homework that adapt well to an online setting. He also draws on Client-Centered Therapy, which focuses on listening, empathy, and the client's own goals to guide each session. That approach helps build trust and keeps the work aligned with what matters to the client.

When trauma is a core issue he may incorporate Eye Movement Desensitization and Reprocessing, which targets distressing memories and their emotional impact. EMDR can be used selectively within online sessions for people who and whose circumstances make that approach appropriate. Choosing an approach is collaborative; he will talk with each person about their goals, explain options, and adjust methods if something isn't working.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or a shorter check-in is needed. Live chat and messaging offer flexibility for brief updates, reflections, or when scheduling makes real-time calls harder. These options make it easier to fit therapy into busy lives and to continue work between in-person appointments.