top of page
White Female Mental Health Counselor
Client Portal
Client Portal

River Mihok, MS, LMSW (she/her/hers)

Telehealth - Virtual Appointments Only

We all have times in life when we become overwhelmed by life events. We all have times when the coping skills we have just aren’t enough for what we’re dealing with. In times like these we usually just want life to be easier, but we don’t know how or what to do. We want things to be better, and we want to be not just surviving but thriving and living our best life. This is often the time when individuals decide to seek therapy.

I specialize in helping kids and adults build ‘toolkits’ - sets of skills that can help them better cope with current life difficulties and have success dealing with future challenges. I teach a variety of coping skills that individuals can begin to apply immediately to learn how to successfully manage daily stressors as well as their extraordinary stressors. This combined with traditional talk therapy allows clients to gain skills that become a foundation of stability- meaning our work helps with current problems and also brings long-term solutions for sustainable health and resiliency. I believe everyone deserves to feel good about themselves and lead their best life.

In my work with children I believe, as Ross Greene says, that "kids do well when they can” and I endeavor to work with kids and their parents to jump start the ability for kids to do well. I work on increasing coping skills for kids so that they can learn how to respond more adaptively to situations. Oftentimes, when appropriate, I also work to help parents be more attuned to their child and we work together to repair breaks and disconnects in the parent-child relationship and to help build a more secure parent–child relationship.

I particularly enjoy working with adults who are in the midst of transition. Transitions occur when our usual way of being or functioning in life has been disrupted in some way or another, and it may seem that who we have been or how we have done things no longer works.

At times in our lives, we may find that we have become locked into some external reality or life that for one reason or another no longer fits us. When that happens, something may happen to wake us up, or to snap us out of auto-pilot - to alert us that we have grown inside but our external reality has not. Transitions then must happen, when it seems our external reality has fallen apart, so that we can restructure our lives such that we can help our external world to catch up with our internal reality. 


The process of transitions gives us a chance to become who we were meant to be in our lives, to become more authentic, more ourselves. Much of the transition process can be very uncomfortable for people, at best. It is usually destabilizing, painful and very difficult. If we can move thru the process successfully, however, we build a new internal center- one that is uniquely ours with integrity, wholeness and more authenticity than ever before. 


Transitions can be anything from not wanting to do our previously chosen career anymore, a job loss, a pregnancy, a divorce, an illness, death of a loved one, midlife, perimenopause or menopause, etc. I have training working with people in perimenopause, menopause and midlife. At these times there can be, as Murray Stein says, "a crossing over from one identity to another...old selves are lost and new ones are born." It can be a time of great upheaval but also of great internal and external change. 


As a psychotherapist and practitioner, I am always interested in growth, self-development, healing, good mental health, bettering oneself, becoming more authentic, and gathering my gifts to help others in the world. I would be honored and privileged to help you do the same! My goal is always to offer a safe, friendly, supportive experience in which clients end up equipped to better handle their life experiences, thereby feeling less stressed, more resilient, capable and happier.


I graduated from Loyola University in Maryland with my Master’s degree in Clinical Psychology and have spent over 20 years in the mental health field.

River's Counseling Info

in a Snapshot

Therapy Sessions

River Provides Telehealth (Virtual) Counseling Only

Clients Served

  • Individuals

  • Children + their Families

  • Children ages 5 - 17

  • Adults

Insurance + Payment

  • Aetna

  • Amerihealth Caritas

  • Blue Cross Blue Shield

  • Cigna/Evernorth

  • Delaware First Health

  • Highmark Health Options

  • Self-Pay

  • Sliding Scale (based on financial need)

bottom of page