Michael Spain, LMFT, LPC

Michael Spain is a Licensed Marriage and Family Therapist (LMFT) and a Licensed Professional Counselor (LPC) with 30 years of clinical experience. He provides online therapy in English and Spanish and works with adults, parents, and adolescents. His practice focuses on stress, anxiety, depression, parenting, and major life transitions. He also includes aging and geriatric issues among his areas of focus.

He uses practical, goal-focused work in sessions. He helps people spot unhelpful patterns, learn new coping skills, and take small steps that add up. Conversations are collaborative and oriented toward real changes in day-to-day life. He can include faith-based perspectives when clients ask for them.

Michael draws on Cognitive Behavioral Therapy, Narrative Therapy, Solution-Focused Therapy, Internal Family Systems, and Systemic Therapy to shape treatment plans. That mix allows him to combine skill-building with attention to personal stories and relationships. Sessions often move between problem-solving and deeper reflection depending on what a person needs.

Over three decades he has helped people facing family conflict, addiction recovery, caregiver stress, and identity or motivation issues in teenagers. He also supports people dealing with loneliness, grief, guilt, and shifting roles such as fatherhood or caregiving. Work with him aims for clearer communication and steadier day-to-day functioning.

For those ready to start, he asks people to complete a short questionnaire to match with him and then schedule according to availability. The subscription model he uses can be canceled at any time.

How Michael’s approaches can work online

Michael often uses Cognitive Behavioral Therapy to help people notice and change thinking and behavior patterns that worsen anxiety or depression. CBT is practical and skill oriented, for example teaching ways to manage worry and increase activity.

Narrative Therapy is another approach he uses to separate a person from unhelpful stories they tell themselves. That can be useful for people sorting identity issues, caregiving roles, or family-of-origin concerns. Solution-Focused Therapy keeps sessions forward looking and helps set small, measurable goals for change.

Choosing the right approach is part of the work together. He will talk with each person about goals, needs, and preferences and recommend approaches that match. That decision is collaborative and can change as progress is made.

Confirm the current online session options before booking so you know what formats are offered. Online work can make it easier to fit sessions into a busy week, reduce travel time, and allow brief check-ins when needed. It also lets people access a therapist who speaks English or Spanish and has experience with caregiving and aging concerns without needing to travel long distances.