Mike SmuklerMS · LMHC · Psychotherapy

Psychotherapy for adults

See clearly.
Move freely.

You can be managing everything and still not be all right.

Telehealth across Massachusetts / Currently accepting new clients

Mike Smukler in his office

Psychotherapy

Presence without pressure.

Therapy offers a place to slow down and look at what’s actually going on. What once felt confusing or overwhelming often begins to make more sense. The parts of yourself that have been quiet, or set aside to keep things moving, get a chance to be heard.

Over time, something shifts. You stop bracing so hard. You trust yourself more, and need to control less. You find you can be kinder to yourself, which quietly makes you kinder to everyone else. Life feels less like something to manage and more like something you’re actually in. Fewer things frighten you. You feel more like yourself, more of the time.

Anything that is human is mentionable, and anything that is mentionable can be more manageable.

Fred Rogers

What we work with

Most people come to me with anxiety, anger, overthinking, or a change they haven’t caught up to yet. Those four are rarely as separate as they seem.

The patterns that trouble us are usually old. They made sense once, and they were how we got through something. Now they shape reactions that don’t quite fit who we’re becoming. They hold on. They can also loosen.

Knowing where a pattern came from isn’t enough. You practice catching it earlier, until you catch it before it runs. Then it’s a choice.

Mike’s open and non-judgmental approach allows him to connect easily with people, and I have personally witnessed him act as a catalyst for many making significant life changes.
Christine Palmieri, former supervisor

About

My path into this work started with film. What drew me was people in their real moments, the hard ones, the ones that matter. Then in 2004 I spent a year on a suicide hotline, and what I’d been chasing as a filmmaker changed. I didn’t want to capture those moments anymore. I wanted to help people find their way through them. That’s still what I’m here for.

I’m a Licensed Mental Health Counselor with over two decades of experience across private practice, outpatient care, community programs, and interdisciplinary teams. I’ve also held supervisory and leadership roles, supporting clinicians and programs in developing ethical practice. The way I work is quiet and practical. I pay close attention, I don’t rush, and I keep a working set of tools that I’m always adding to, because what helps one person often isn’t what helps the next one.

Some of how I work comes from Taoism. You can’t make yourself fall asleep. You can only stop doing the things that keep you awake.

Mike Smukler
Mike Smukler, LMHC

The curious paradox is that when I accept myself just as I am, then I can change.

Carl Rogers

Fees and insurance

Initial session55 min$230
Standard session45 min$190

A limited number of reduced-fee spaces are reserved for people who may benefit from this work but for whom the full fee would be difficult. There’s no application and nothing to prove. Don’t let cost be the reason you never reach out.

I’m in network with Blue Cross Blue Shield directly. Through Headway, I’m also in network with Aetna, Carelon Behavioral Health, and Cigna. Headway confirms your coverage and what you’ll pay before the first session. For anything else, I can provide a superbill for out-of-network reimbursement.

Common questions

How do I know if it’s time?

There’s no threshold to meet. Most people come when working it out alone has stopped getting anywhere, and plenty of them have never done this before.

What is a session like?

It depends on the week and on what you want out of it. Some sessions are mostly working out what’s actually going on. Others are mostly working on something specific. Most are both.

How often do we meet?

I suggest weekly for the first four to six sessions, which is about how long it takes to know whether this is a fit. After that you set your own pace. If you’d rather have a standing time, I can hold one.

How long do people stay?

Some come for one specific thing and stop when it’s handled. Others stay longer because it’s still useful. Both are normal, and it doesn’t have to be settled now.

Will you give me advice?

I’ll offer things to try, and say what I think. None of it decides for you. That part was always yours.

Contact

When you’re ready, I’m here.

Start with a free fifteen-minute conversation. We talk about what you’re looking for and whether I’m the right person for it. If you want to go ahead, you can book online whenever you like.