Kari Mackneer , LMHC

Kari Mackneer is a licensed mental health counselor in Florida who supports people dealing with stress, anxiety, addiction, mood disorders, trauma, grief, and issues around self-esteem and identity. She listens without judgment and helps people find practical ways to cope. Kari draws on 25 years of clinical experience to guide people through change and recovery.

Her approach is straightforward and adaptable. Sessions focus on what a person most needs right now, whether that is symptom relief, learning new skills, or making life changes. She uses plain language and concrete strategies so people can try things between sessions.

Kari commonly uses cognitive behavioral techniques to identify unhelpful thoughts and actions and replace them with more useful habits. She also uses client-centered methods to keep the pace set by the person in therapy and to ensure each plan fits their life. Mindfulness skills and tools from dialectical behavior therapy are added when people need help with emotion regulation and stress tolerance.

People bring a wide range of concerns, including ADHD, substance use, relationship and family problems, eating or sleep issues, anger, compassion fatigue, career strain, and effects of trauma or loss. Kari also supports LGBT clients and addresses body image and abandonment concerns among other topics.

Sessions are offered in English and are available via multiple online formats. Kari combines practical skill-building with steady support so people can make sustainable changes and feel more able to manage life’s challenges.

Approaches that translate to online care

Client-centered therapy focuses on listening, validation, and shaping the work around a person’s own goals; it helps when someone needs a respectful space to make sense of feelings and decide what to change. Cognitive behavioral therapy, or CBT, looks at the links between thoughts, feelings, and actions and teaches concrete techniques for reducing anxiety, depression, and unwanted behaviors. Dialectical behavior therapy, or DBT, offers skills for handling intense emotions, improving relationships, and tolerating distress without making things worse.

Finding the right mix of approaches is part of the process. The therapist works collaboratively to identify which methods fit a person’s needs and preferences, revisiting the plan as goals change. Clients can expect discussions about what’s working and adjustments to the approach when needed.

Online therapy with Kari can take place over video calls, phone sessions, live chat, or text-based messaging, which makes scheduling more flexible. Video is good for deeper conversations and visual cues, phone sessions can fit into a short break or require less bandwidth, live chat can be useful for quick check-ins, and messaging supports ongoing reflection between meetings. These options help people keep therapy going around work, caregiving, and travel.