01 · Who Megan works with

Megan works with stress, Anxiety, relationship issues and intimacy-related issues

Megan lists 13 specialisms and 16 further focus areas. Specialisms are the subjects Megan chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Megan's own words

What Megan says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hello there! I am truly happy you are here and have decided to embark on this therapeutic journey. It is my hope that I can be of assistance to you during the process. I received my Master's of Science degree in Mental Health Counseling, from Stetson University in 2004, and am currently a licensed mental health counselor (LMHC) in the state of Florida. I have worked extensively with individuals suffering from anxiety, depression, loneliness, body image distortions, and emotional imbalances. I had a private practice in Winter Park, Florida before venturing to Nicaragua for an adventure and change of pace. I facilitated counseling and wellness retreats on the Pacific coast of Nicaragua for 7 years! I worked with people from all over the world with issues ranging from anxiety/stress, grief, and meaninglessness, to relationship problems and career/life transitions.

I am currently back in the United States and calling Miami home. A lot has changed since I left the US for the jungle of Nicaragua, but one thing has stayed the same: I feel it is an absolute privilege to work with client's as they are journeying through the unknown and trusting me with their emotional space. I was born to be a therapist, and couldn't imagine my life having taken any other path. I am also of the belief that a therapist cannot take a client further than they have been willing to go themselves. That said, self-exploration and growth have been a personal journey for me most of my life. I will be the first to tell you that the process may not be easy, and sometimes just downright messy; but with honest work, grit, and authenticity, the growth potential can be huge and often times, life changing.

I consider myself eclectic in my approach and draw my therapy style from a few different teachers, however, I tend to favor existential/humanistic philosophies, in addition to holistic modalities. Simply put, we will explore what it means to be human and the questions of meaning, choice, personal freedom, and hopefully uncovering the hidden potential that I feel most all of us possess. I also feel it is of utmost importance to look at the whole person, therefore we will explore and address your issues holistically. Our mental health is only one piece of us, therefore, it can be out of balance if we are not taking care of ourselves in other ways (i.e., physically, spiritually, nutritionally, etc).

I look forward to meeting you soon and perhaps participating in the journey with you. I already laud your insight and courage for coming this far.

"Challenging the meaning of life is the truest expression of the state of being human." ~Victor E. Frankl

Megan Sihle, on the BetterHelp listing · read 9 Oct 2026

03 · How Megan works

The 1 approach Megan lists, in plain English

These are the clinical methods Megan lists. The descriptions are Maker Therapy's, not Megan's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Megan runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Also listed

• Existential Therapy
• Imago Relationship Therapy

04 · What happens next

From this page to a first session

Megan practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Megan's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Megan at this point.

2. Naming Megan specifically

   BetterHelp matches algorithmically by default, so asking for Megan is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Megan.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

Florida

Licence

FL LMHC MH9991

Licence number

MH9991

Licence expires

31 Mar 2027

NPI

1447466404

Years in practice

13

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

06 · Provenance

Where every line on this page came from

Megan's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Megan. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.