Dr. Miguel Koschil, LCSW
Bilingual psychotherapist blending body and insight
About Miguel
Dr. Miguel Koschil is a bilingual psychotherapist based in Florida. He uses plain, direct language and a warm manner to help people facing stress, anxiety, depression, addiction, grief, and relationship or intimacy concerns.
He speaks English, Spanish, and Ukrainian and has worked in mental health for decades. He brings 35 years of experience to sessions and holds a Florida LCSW license (SW22599). Over his career he has developed programs for substance abuse, domestic violence, and work with people who have experienced trauma.
Background and approach
He frames therapy as a practical step toward a better life and offers straightforward support to people who are ready to try change. Miguel combines somatic awareness with practical skills. That means he pays attention to how the body holds stress while teaching tools to manage emotions and cope with difficult situations.
He also uses ideas from dialectical behavior work, existential thinking, mindfulness, and psychodynamic perspectives to tailor care to each person. In sessions he favors a humanistic, interactive style. He emphasizes trust and acceptance so people can talk through their history and current problems without judgment.
Miguel aims to empower people to make clearer choices and build healthier routines. Therapy can include short-term skill building or deeper, insight-focused work depending on the person's needs. He supports people dealing with parenting strain, career stress, sleeping problems, anger, ADHD-related challenges, and major life transitions.
If someone is ready to begin, he guides them step by step toward practical change.
How somatic and skills-based work translate to online care
Somatic Therapy focuses on how the body stores stress and emotion, using gentle attention to breathing, posture, and bodily sensations to help someone feel more regulated and less reactive. It can be useful for trauma, anxiety, and chronic tension. Dialectical Behavior Therapy (DBT) teaches clear, practical skills for managing intense emotions, improving relationships, and reducing unhelpful behaviors through emotional regulation, distress tolerance, and interpersonal effectiveness. Existential Therapy invites people to examine meaning, values, and life choices to clarify what matters most when facing loss or major life changes.Finding the right approach is part of the work. The therapist will talk with the person about their goals, symptoms, and preferences and then suggest a mix of somatic exercises, DBT skills, mindfulness, or insight-oriented conversations. That choice is made together and can change as needs shift.
Online therapy offers flexible ways to meet. Video calls allow face-to-face interaction for body-focused awareness and guided practices. Phone sessions give an audio option for people on the go. Live chat and text-based messaging support brief check-ins, coaching, or skill reinforcement between sessions. These formats help people fit therapy into busy lives and maintain continuity of care across locations.
Frequently asked questions
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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