Meredith Millen , LMHC

Meredith Millen is a Licensed Mental Health Counselor based in New York with over 20 years of professional experience working across clinical and educational settings. She also holds a permanent certification in School Psychology, reflecting additional training in supporting children and collaborating with schools on developmental and educational needs. Most of her work is offered virtually, and she provides therapy for adults, couples, children, and families while supporting LGBTQIA2S+ clients.

Meredith practices with an integrative, client-centered orientation, blending solution-focused strategies and behaviorally oriented techniques to address stress, anxiety, trauma and abuse, grief, self-esteem, and life transitions. She commonly uses cognitive behavioral therapy - CBT - to help people examine patterns of thinking and behavior, and incorporates elements of dialectical behavior therapy - DBT - and trauma-informed practices alongside mindfulness and conscious awareness to promote regulation and insight.

When working with children and families, Meredith develops functional behavior plans and partners with school districts as needed to provide wrap-around care and coordinate educational history. Her approach draws from humanistic and transpersonal perspectives as well, offering complementary options such as meditation, Integrated Energy Therapy, and client-selected spiritual or shamanic practices for those who find them helpful.

Meredith emphasizes collaboration in setting goals and tailoring treatment plans to each person or family. She recognizes that progress varies by individual and that difficult emotions can arise during therapy - these experiences are treated as part of the healing process. Meredith aims to provide respectful, nonjudgmental support to empower clients toward greater self-awareness, acceptance, and relational growth.

Evidence-Based Approaches and Virtual Care

Meredith commonly draws on cognitive behavioral therapy - CBT - a practical approach that helps clients identify and change unhelpful thought and behavior patterns to reduce symptoms of anxiety, depression, and stress. She also integrates dialectical behavior therapy - DBT - techniques to teach emotion regulation, distress tolerance, and improved interpersonal skills, which can be especially useful for intense emotions and relationship challenges. Trauma-informed practices and mindfulness are woven into care to support processing of traumatic experiences and to build present-moment awareness that aids coping and resilience.

Finding the right mix of approaches is a collaborative process. Meredith works together with each person to assess needs, preferences, and goals, adjusting methods over time so therapy aligns with what feels most helpful and realistic for the client.

Online therapy with Meredith offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit sessions into busy schedules or to access care from different locations. These options support continuity of care, allow timely check-ins, and increase accessibility for people who prefer remote sessions with licensed professionals and therapists.