Michael Misterka , MD, LCSW-C

Michael Misterka brings a practical, change-focused approach to therapy that emphasizes real-world improvements in daily life. He helps clients navigate difficult transitions and relationship challenges while acknowledging that progress can sometimes feel painful, especially when family of origin or significant others are involved. Michael draws on a blend of developmental, psychodynamic, cognitive, reality, and experiential practices to tailor interventions to each person he works with.

His work centers on a client-driven model - the client sets priorities and determines the goals of therapy, while Michael offers guidance, feedback, and partnership along the way. He encourages open discussion about therapeutic strategies and supports decision making by those he serves, walking alongside clients until they reach their objectives.

Michael has fifteen years of counseling experience and has focused much of his practice on relationship conflict, trauma and abuse, parenting challenges, and families affected by substance use, incarceration, and reentry. He has also supported combat veterans adjusting to civilian life, and has helped people manage anxiety, depression, anger, and broader life changes. Michael holds MD and LCSW-C credentials - MD denotes a medical doctor, and LCSW-C is a clinical social work credential - and he brings that combined background to collaborative, goal-oriented care.

Approach to Relationships and Online Care

Michael integrates Attachment-Based Therapy, Client-Centered Therapy, and Emotionally-Focused Therapy to address relational and emotional challenges. Attachment-Based Therapy explores how early bonds shape current patterns and helps people build more secure, connected relationships. Client-Centered Therapy emphasizes empathy and respect, giving clients space to define their goals while the therapist follows their lead to promote growth. Emotionally-Focused Therapy focuses on identifying and reshaping emotional responses within relationships, which can help with conflict, intimacy issues, and repair.

Finding the right fit is part of the therapeutic process, and Michael approaches that task collaboratively. He will work with each person to determine which methods best match their needs, goals, and personal preferences, adjusting the plan as progress unfolds.

Online therapy with Michael can be delivered by video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care during life transitions, reduce travel time, and allow therapists and clients to focus on important relationship and coping work from wherever they are. Licensed professionals can adapt these formats to support meaningful therapeutic change.