Susan McMillian, LPC, LMHC

Susan McMillian is a licensed professional counselor with five years of clinical experience. She is an LPC and a Licensed Mental Health Counselor, and she practices in Florida. Susan focuses on practical help for stress, anxiety, trauma, and other life challenges. Susan aims to make sessions straightforward and goal-focused. She uses cognitive behavioral therapy to help people notice unhelpful thinking and try different behaviors. She also draws on client-centered work to follow what each person needs in the moment. Mindfulness tools and motivational interviewing are used when they fit a person's goals. Many people who come to Susan are dealing with grief, career strain, or compassion fatigue. She also supports those facing first responder issues, veteran and armed forces concerns, and post-traumatic stress. Susan helps people build coping skills, manage mood swings, and handle big life changes. Sessions move at a practical pace. Conversations focus on current problems, what is working, and small steps to try between meetings. Susan mixes short-term strategies with discussions about patterns that matter over time. Therapy is offered in several online formats including video calls, phone, live chat, and text-based messaging. Sessions are provided in English and are arranged through a subscription model that can be canceled at any time. To begin, a person completes a short matching questionnaire and schedules based on the therapist's availability. The process is intended to match needs and preferences so work can begin quickly.

How online approaches and practical therapy work together

Client-centered therapy focuses on listening and following what matters to the person in front of the therapist. It creates space for someone to set the pace and bring up what feels most urgent or important. Cognitive behavioral therapy looks at patterns of thinking and behavior and uses small experiments to change how people feel and act. That approach can help with anxiety, mood swings, and coping with stressful events. Mindfulness therapy offers simple practices to notice thoughts and feelings without getting swept away, which often helps with stress and reactivity.

Finding the right mix of approaches is part of the work. Susan collaborates with each person to figure out what fits their goals and preferences. Together they decide whether to focus on skills practice, exploring longer-standing patterns, or short check-in strategies that can be done between sessions.

Online formats include video calls, phone sessions, live chat, and text-based messaging to suit different needs. Video is useful for fuller conversations and visual cues, phone works well when bandwidth is low, live chat allows for shorter check-ins, and text messaging supports ongoing reminders or brief processing between meetings. These options make it easier to fit therapy into work breaks, busy days, or varying schedules while keeping the focus on practical steps and progress.