Keith Miller, LICSW

Keith Miller Counseling



I am a Licensed Independent Clinical Social Worker, Certified Imago Relationship Therapist, and a certified therapist/coach of Self-Leadership using the Internal Family Systems Model. I have worked in mental health and psychotherapy for twelve years in a variety of settings and have trained closely with nationally renowned experts in the fields of individual and couples psychotherapy.

I’m the author of Love Under Repair: How to Save Your Marriage and Survive Couples Therapy, a book I wrote after the experience of my own marital crisis transformed the way I look at how couples therapy is done today.

When I was looking for my own couples therapist, I found out firsthand how incredibly difficult it is to find a couples therapist that integrates the latest understanding of attachment-based therapy with common-sense, practical solutions. After getting the help we needed, I decided to share how to navigate the process of finding a highly qualified couples therapist that is the best fit for your situation.

My work with couples incorporates what I’ve found to be the “most effective of the most effective” methods for helping relationships thrive and heal. For this reason I consider myself a highly experienced relationship specialist. Using a blend of mindfulness-based concepts and structured behavioral therapy, I’m familiar with helping couples deal with some of the most common and most difficult relationship issues such as resentment, incompatibility, communication issues, infidelity, lack of passion or emotional connection, sexual frustration, parenting conflicts and “gridlock” disagreements.

I find that the kind of approach to helping couples that has the most success is one that focuses both on your relationship to each other and your relationship to yourself. Many couples therapy experiences leans too heavily toward healing the relationship or healing yourself as an individual. I believe you’ll find that I’m able to assess quickly where our focus should be so you’re not left feeling like you have to find your way out of the fog of by yourself.

Individual Therapy and Coaching

I love to work with individuals in therapy or coaching and can help you build your own ability to change emotional states or behaviors that seem highly resistant to change. After noticing how many of my clients struggled to get better with traditional talk therapy, I devoted many years to studying and fine-tuning the method that I now use, based on mindfulness.

My approach doesn’t involve chanting “Om” while sitting on a cushion with closed eyes. Rather, I’ll teach you to pay attention to your thoughts, emotions, and bodily sensations and view them neutrally, without assigning an emotional value that they are strongly positive or negative. The idea is to allow parts of the prefrontal cortex to lessen activity in the amygdala, which is responsible for evaluating threats. This helps reduce the likelihood you will over/under-react and enhances your ability to see potential solutions to problems.

Research supporting the use of mindfulness is especially noteworthy in medicine and psychiatry. The power of our brain to inhibit pain, regulate fear, and heal physical tissue damage is scientifically shown to be as effective as powerful drugs or invasive surgeries. You can view a huge collection of these articles, videos and resources on mindfulness here.

I’ll incorporate mindfulness in a systematic way with you that’s highly efficient at getting to the root of issues without recycling old biases that have outlasted their usefulness in your life. In my opinion, this is the most common limitation of cognitive or analytical therapies.

Some people are naturally averse to or attracted to mindfulness because for years it’s been associated with spiritual or religious practices. I’m highly familiar with the overlap between religious practices and the effects of mindfulness. In fact, I hold an undergraduate degree in Christian religious studies. However, I’m most comfortable teaching the secular/scientific version of mindfulness taught in the U.S. for nearly five decades.

The specific areas I have expertise in treating are:

  • Getting free from depression and anxiety
  • Panic attacks
  • Stress-related health physical issues such as back and shoulder pain, GI symptoms, weight gain
  • Compulsive or addictive behaviors
  • Sexual issues such as low desire or frustration with partner with much higher or much lower libido
  • Healing from divorce and safeguarding your new relationship

Even if you have no prior experience with so-called “experiential psychotherapy” or mindfulness, I enjoy finding ways for you to use these powerful methods in a way that feels comfortable to you. If you’re unsure if this method is right for you I’m happy to discuss it with you prior to our first meeting.

Phone & Skype 

I work with regularly with people from around the world. If you’re not able to come in for an office visit, I’m happy to consult with you over the phone or skype. Please know that phone sessions are technically “coaching” or “consultation” and cannot be considered psychotherapy–therefore phone sessions are not subject to insurance reimbursement.

Academic and Personal Background 

My graduate degree in Social Work is from Virginia Commonwealth University and I hold an undergraduate degree in religious studies.

Out-of-the-classroom training is important for any therapist to be effective and I have high standards for maintaining post-graduate, experiential training and professional review of my work throughout the year. I also think it is important that you know I am committed to maintain my own personal discipline of sitting regularly my own therapist. It always has the effect of stretching me, showing me how hard it really is to take the risk of investing in your own personal growth and also how deeply rewarding it is to stick with it.

I also consider myself fortunate to be married to someone who has been willing to labor with me–in the trenches of marriage therapy at times–to shape our relationship when it needs shaping and rest when it’s time to rest. More than any degree or gold-star training ever will, the continuous act of attempting to love and be loved by one person challenges all of my best faculties and adds a fine point to so many of the relationship tools that I offer to others. All of it yields in me a steady crop of confidence, compassion, and hope for others who seek personal and relationship growth.

An important asset I bring to my work with you is my awareness of how to flexibly respond to what you need by inviting your feedback and having a comfort with changing course when needed.

I share the the joys and challenges of marriage, parenting, and growing a garden with my wife of fifteen years.



$364 for 60 minutes
$542 for 90 minutes

(A 4% discount, amounting to fees of $350 and $525 respectively, is given for payment by check, cash or ACH bank debit.)

Payment is expected at the beginning of each session whether or not you are submitting insurance claims. Payment may be made by Visa, Discover, Mastercard, or American Express. For local (in-person) consultation, all checks should be made payable to Keith Miller Counseling, LLC.


Monday – Friday, 10am-3:00pm

 INSURANCE: Because we are licensed as professional social workers and counselors, our professional services do qualify for patient reimbursement under most insurance plans. Coverage varies widely from policy to policy, so you may want to review your benefits to determine your expected reimbursement.



Since the scheduling of an appointment involves the reservation of times specifically for you, a minimum of 48 hours notice is required for re-scheduling or canceling an appointment. Unless we reach a different agreement, the full fee will be charged for sessions missed without such notification. Most insurance companies do not reimburse for missed sessions.

In inclimate weather the cancellation policy is in effect unless the federal government is closed.


I look forward to meeting with you very soon. Please complete the forms and bring them to the first session or take the first few minutes of your session to fill them out after I greet you in the waiting area.

The following two forms are REQUIRED for meeting with Keith Miller:




The following forms are OPTIONAL and used only when needed


Consent for Release of Information