What patients are saying
Overall rating
4.42
Average wait time
4.58
Bedside manner
4.62
“Great listener. Here’s to hoping appointment 2 and onward are even better - with solutions instead of just listening and talk. ??”
Hadid S.August 7, 2024
“For over 2 years I've had the pleasure to learn about myself and how my habits and shortcoming came about. The self awareness I've gathered is invaluable to me. There is no way to measure the impact that working with Mackenzie has had and will have for many years to come. The attention to detail, the challenges along the way, and the practical frameworks to do the necessary work to get better was evident. I strongly recommend Mackenzie for anyone looking for effective therapy that is forward moving and help one understand their mental challenges and how to overcome them.”
GDMore than 1 year ago
About Mackenzie O'Brien
Focus areas
Adjustment Disorder
Attention-Deficit / Hyperactivity Disorder (ADHD)
Post-Traumatic Stress Disorder (PTSD)
Adult Psychotherapy
Depression
Therapy
Anxiety
Existential Anxiety
Clientele seen
Young adults (18-24)
Individuals
Adults (25-64)
Seniors (65+)
Treatment approaches
Acceptance and Commitment (ACT)
Christian Counseling
Attachment-based
Cognitive Behavioral (CBT)
Biofeedback
Eclectic
Identity
Gender
MaleSexuality
StraightFaith
ChristianEthnicity
White
Languages spoken
English
Getting to know Mackenzie O'Brien
I help people cut through the noise. Whether you’re dealing with anxiety, trauma, relationship struggles, or just feel lost, my job is to help you stop spinning your wheels and start moving with purpose. I provide existential therapy to those in need. You don’t have to have everything figured out before starting therapy. If you’re feeling stuck, burned out, or just want to work through something with someone who’s direct but supportive, I’m here for that. I offer free consultations and work evenings. I approach counseling from an existential perspective and help people see the benefit of not running from suffering but rather finding meaning in facing it. I believe the goal of counseling should be growth, not comfort. I hold a Master's in Mental Health Counseling from the State University of New York, Oswego, which informs my approach and commitment to supporting meaningful personal development.
What should a new client know about working with you?
My ideal client is someone who feels stuck—not broken, but exhausted from carrying unresolved weight. They're often high-functioning on the outside but quietly wrestling with anxiety, self-doubt, existential questions, or the lingering impact of past experiences. They want clarity, not just coping skills
What is your typical process for working with clients?
I employ solution- focused, cognitive behavioral, existential, and person-centered approaches. My approach is flexible, more conversational for some, and more person-centered for others. Sessions are usually focused on particular client goals, yet our approach can be flexible with client concerns which may change week to week. A normal session is centered around "What would you like to work on this week relative to your larger goals?"
Is this doctor in your insurance network?
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In-network insurances
Mackenzie O'Brien, LMHC has +25 in-network plans.
Don’t see your insurance?
It’s common for mental health providers to be out-of-network. Many insurance plans offer out-of-network coverage, so you may get partially reimbursed. Learn more
Out-of-pocket fees and assistance
Initial session: $175 for 60 minutes
Ongoing session: $150 for 60 minutes
- Files your insurance claim: You pay the session fee upfront and the provider files the claim for you, so you can get reimbursed directly without worrying about the paperwork
Education and background
Practice names
Education and training
- SUNY Oswego, Master's in Mental Health Counseling
- Binghamton University (Bachelor's)
Professional memberships
- American Mental Health Counselors Association
NPI number
1184190969
Patient reviews
All reviews have been submitted by patients after interacting with the practice.
Overall rating
4.42
Wait time
4.58
Bedside manner
4.62
Your trust is our top concern, so providers can't pay to alter or remove reviews. We also don't publish reviews that contain any private patient health information. Learn more here
31 reviews
Most relevant
Therapist Very unreliable and unprofessional.
I waited for the call that never happened.
June 25, 2024Shelisa V.Verified patient
Great service, I like my therapist a lot, zocdoc made booking easy and fast
January 13, 2025Mark P.Verified patient
Very nice guy. Easy to talk too. Highly recommend.
October 5, 2024Edwin T.Verified patient
Great listener. Here’s to hoping appointment 2 and onward are even better - with solutions instead of just listening and talk. ??
August 7, 2024Hadid S.Verified patient
I was never seen by this counselor. My appointment was for 7pm on Zoom with Mackenzie O’Brien. I waited with my laptop at hand for over an hour. I called the contact number for Mr. O’Brien and couldn’t get a hold of anyone. Even left a message… Today is the following day and still no one has contacted me to reschedule for the missed appointment.
July 31, 2024Rosemary J.Verified patient
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July 1, 2024Initials hidden
For over 2 years I've had the pleasure to learn about myself and how my habits and shortcoming came about. The self awareness I've gathered is invaluable to me. There is no way to measure the impact that working with Mackenzie has had and will have for many years to come. The attention to detail, the challenges along the way, and the practical frameworks to do the necessary work to get better was evident. I strongly recommend Mackenzie for anyone looking for effective therapy that is forward moving and help one understand their mental challenges and how to overcome them.
More than 1 year agoGD
"Working with Mackenzie has been an incredibly enriching experience. His expertise in existential therapy empowered me to confront my deepest fears and find meaning in my existence. He helped me to find purpose even in my sons death. I highly recommend him to anyone seeking profound personal growth."
More than 1 year agoLL
"Mack's existential counseling has truly transformed my perspective on life. His compassionate approach and deep understanding helped me navigate through existential crises with clarity and purpose. I'm grateful for his wisdom and guidance. Life has tragedies but thats what therapy is for"
More than 1 year agoKF
Choosing Mack as my therapist was one of the best decisions I've made for my mental well-being. His existential counseling approach provided me with the tools to confront existential dilemmas and live authentically. His support has been invaluable on my journey of self-discovery. I love finally living in the present, unafraid of the judgements of others
More than 1 year agoMW
Mackenzie helped me to overcome my trauma triggers and be more in control of my emotions and reactions. Mackenzie helped me to gain insight into my relationships and what role they played in my life. I highly recommend him to anyone wanting self improvement or to confront old fears.
More than 1 year agoAB
"Mack is an exceptional therapist who skillfully combines empathy and insight in his practice. Through our sessions, he helped me explore my own emotional boundaries and be more vulnerable, even with my partner and parents. I'm thankful for his guidance in navigating life's difficulties."
More than 1 year agoKK
Mack helped me through my eating disorders as well as through my past trauma. Over the years I worked with him he gave me tools to face my past and acknowledge how it kept me trapped in the present. Also he thinks he's funny so be sure to roast him back.
More than 1 year agoSL
Mackenzie helped me to feel heard and gave me a place to process my emotions and stressors. I noticed alot of areas of my life improved when I was able to increase my understanding of myself and others an take time to be present. I would highly recommend him as a therapist.
More than 1 year agoGT
I am very greatful to have worked with Mack. He is quite wise and I enjoyed our existential talks. I found the conversations around meaning, freedom, and suffering to be quite helpful when facing life trials. That paired with his problems solving and rational approach often helped me to feel grounded when facing the challenges in life. Thank you Mack, I would recommend you to any and all.
More than 1 year agoAH
As a women of color I was originally skeptical that as a white man Mr. Obrien would be able to connect with my expirences and thinking and be helpful. I am very greatful to be wrong. Mr Obrien was able to quickly understand my stressors, joys and past expirences and help me use my strengths to confront the areas I was struggling in. He truly is a blessing.
More than 1 year agoST
Mackenzie helped me to overcome my panic attacks and the deep breathing and minfulness skills really helped me stress espeically at work. I felt like he was very knowledable and professional as a therapist and its help me recommend counseling to others.
More than 1 year agoJC
February 3, 2025Ramesh W.Verified patient
January 7, 2025Ivan P.Verified patient
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June 27, 2024Christina W.Verified patient
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How soon can I make an appointment with Mackenzie O'Brien?
Generally, Mackenzie O'Brien has appointments available on Zocdoc within 1 week. You can see Mackenzie O'Brien's earliest availability on Zocdoc and make an appointment online.
Is Mackenzie O'Brien accepting new patients?
Mackenzie O'Brien generally accepts new patients on Zocdoc. You can see Mackenzie O'Brien's earliest availability on Zocdoc and schedule an appointment online.
Does Mackenzie O'Brien accept my insurance?
Choose your insurance plan to verify if Mackenzie O'Brien is in-network.
Can I make an appointment with Mackenzie O'Brien online?
Yes, you can make an appointment online with Mackenzie O'Brien using Zocdoc. It’s simple, secure, and free.
What practice does Mackenzie O'Brien work with?
Mackenzie O'Brien works with OBrien telemental Health.
What are common reasons for patients to see Mackenzie O'Brien?
Mackenzie O'Brien frequently sees patients for Depression, New Patient Visit, Psychotherapy, Psychotherapy Intake / Initial Visit, and Therapy. You can see other visit reasons for Mackenzie O'Brien on their profile.
What languages does Mackenzie O'Brien speak?
Mackenzie O'Brien speaks English.
How do patients rate Mackenzie O'Brien in reviews?
31 patients have reviewed Mackenzie O'Brien. The overall rating for this doctor is 4.42/5. They have a 4.62/5 rating for bedside manner and a 4.58/5 rating for wait time. You can read individual reviews and ratings on their profile.