Dr. Miguel Koschil
Change-focused therapist with decades of experience
- Credentials
- LCSW
- Experience
- 35 years
- Licensed in
- Florida
- Languages
- English, Spanish, Ukrainian
- Format
- Online sessions
About Miguel
Dr. Miguel Koschil welcomes people who are looking for clear, practical help with stressful life problems. He writes simply and speaks both English and Spanish, and also communicates in Ukrainian.
With a direct and warm manner, he focuses on building trust so clients can talk about what matters most to them. He is a Licensed Clinical Social Worker, LCSW, licensed in Florida (FL LCSW SW22599). He brings 35 years of work in mental health to each session.
Background and approach
That experience includes addressing depression, anxiety, trauma, addictions, and relationship concerns along with sleep problems, parenting issues, grief, anger, and self-esteem challenges. Dr. Koschil uses a humanistic, interactive style.
He draws from several approaches - including cognitive-behavioral ideas and insight-oriented work - to match practical tools to each person’s needs. Sessions are straightforward and focused on what the client wants to change. Clients can expect a therapist who offers honest feedback and gentle challenge.
He has developed programs for substance use, domestic violence, and sex offender work in past roles, and applies that background to practical treatment planning when relevant. If someone is ready to try therapy, Dr. Koschil treats that step as an investment in a better life.
He helps people set clear goals, learn skills, and find ways to cope with life changes and daily stressors.
Therapeutic approaches and online flexibility
Dr. Koschil commonly draws from Dialectical Behavior Therapy and Mindfulness Therapy in online work. Dialectical Behavior Therapy, or DBT, teaches concrete skills for managing intense emotions, handling conflict, and improving coping under stress. Mindfulness Therapy focuses on present-moment awareness, helping reduce reactivity and improve sleep and stress management.He also integrates psychodynamic ideas when helpful, looking at patterns from a person’s past that show up now and affect relationships and self-worth. Each approach is described simply in sessions so people can see how it might help their specific problem rather than getting stuck in jargon.
Finding the right approach is a team effort. The therapist will talk with the client about goals, preferences, and what has or hasn’t helped before. Together they decide which methods to try and make adjustments over time based on what works.
Online therapy offers practical benefits for busy lives. Video calls let conversations feel close to an in-person visit while phone, live chat, and text-based messaging provide flexible ways to check in between sessions. These options make it easier to fit consistent care into a family schedule or when travel and time are limited.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Existential Therapy
Takes the larger questions seriously: meaning, choice, mortality, responsibility. Suited to periods when the difficulty is less a symptom than a sense that something has to change.
Mindfulness Therapy
Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.
Frequently asked questions
What kinds of problems does he help with?
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What is his clinical background?
What are his credentials and where is he based?
Which languages can sessions be held in?
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How are sessions paid for and what do they cost?
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- ADHD
- Anger management
- Career difficulties
- Coaching
- Coping with life changes
- Depression
- Family conflicts
- Grief
- Intimacy-related issues
- Parenting issues
- Self esteem
- Sleeping disorders
- Trauma and abuse
Therapeutic approaches
- Experience
- 35 years
- Licensed
- Florida
- Languages
- English, Spanish, Ukrainian
Next step
Talk to Miguel
- Takes a few minutes to look through
- Nothing to set up just to read
- Stop at any point