Kari Mackneer, LMHC

Kari Mackneer is a Licensed Mental Health Counselor (LMHC) based in Florida. She brings 25 years of experience helping people who are coping with anxiety, depression, addictions, mood concerns, and the stress of life transitions. Kari listens without judgment and focuses on practical steps people can use day to day.

She uses Cognitive Behavioral Therapy (CBT) as a core approach but adapts methods to the person in front of her. Sessions combine problem-solving, skill practice, and conversations that help people see patterns and choose different responses. Mindfulness and Dialectical Behavior Therapy skills are blended when emotional regulation and distress tolerance are priorities.

Kari often supports people dealing with relationship strain, grief, body image and eating concerns, caregiver stress, and work-related burnout. She also helps those facing trauma, substance use issues, ADHD, and the frustration of repeated setbacks. Her work includes attention to communication problems, codependency, and boundaries.

Her style is collaborative and straightforward. She helps set plain goals, tracks progress, and adjusts plans when needed. Expect a focus on skills you can try between sessions and on small, realistic steps toward change.

Kari offers therapy in English and works with people across state lines, including international clients, through online formats. Her practice uses flexible session options to fit busy schedules and changing life demands.

How CBT and Skills-Based Work Translate Online

Online sessions with Kari often draw on Cognitive Behavioral Therapy and Client-Centered approaches. CBT focuses on identifying unhelpful thinking and testing new behaviors, which works well over video or messaging when practicing real-world changes. Client-Centered methods emphasize listening, empathy, and collaboration to shape goals that matter to the person seeking help.

She may also use Dialectical Behavior Therapy skills when people need tools for emotion regulation and tolerating distress. DBT skills are concrete - like breathing exercises, grounding techniques, and step-by-step coping plans - which can be taught and practiced during a call or via messages.

Finding the right mix of approaches is part of the work together. The therapist will help decide what fits based on personal goals, symptom patterns, and how someone prefers to engage. That decision is collaborative and can shift as progress is made.

Online formats offer practical benefits. Video lets the therapist and person see facial cues and run role-plays. Phone calls are useful when bandwidth is limited or a quieter check-in is needed. Live chat and text messaging allow short, focused exchanges, homework check-ins, and skill reminders between sessions. These options help make therapy more flexible and easier to fit into busy lives.