About Melissa
Melissa DiSilvestro is a licensed social worker in South Carolina with 12 years of clinical experience. She focuses on stress, anxiety, depression, grief, trauma, parenting concerns, and ADHD. Melissa works collaboratively with each person to set clear goals and build steps that fit everyday life.
She uses straightforward conversation and practical strategies. Sessions usually involve setting small, doable goals and trying techniques between meetings. Melissa believes people bring strengths and knowledge about their own lives, and she helps them use those strengths to handle hard moments.
Background and approach
Her background includes work in hospitals, schools, and outpatient primary care settings. That range gives her experience with different kinds of stress and life transitions. She draws on twelve years of practice to help people organize problems and choose next steps that feel manageable.
Melissa tends to keep therapy concrete and problem-focused while remaining attentive to personal history. She helps clients notice patterns in thoughts and behavior and then experiments with new ways of coping. Sessions aim to leave people with clear options and small skills they can use right away.
People seeking support for relationship strain, family concerns, workplace stress, postpartum changes, or caregiver fatigue will find a practical, goal-oriented partner. Melissa offers steady guidance while clients try new strategies and track what helps. Taking one small step often builds momentum for larger change.
How Melissa uses CBT and online formats
Melissa primarily uses Cognitive Behavioral Therapy, which helps people notice unhelpful thought patterns and try new behaviors. CBT is often useful for worry, low mood, stress, and challenges with focus and routine.She pairs practical goal-setting with skill practice between sessions. That means setting small, measurable tasks and checking progress together to see what helps. The therapist and client decide together which techniques to try, adjusting the plan as goals and needs change.
Online therapy offers flexible ways to connect. Video calls let you work face-to-face from wherever you are. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging allow brief updates, coaching-style support, or check-ins between longer sessions.
These options make it easier to fit therapy into busy lives and to keep momentum between meetings. Melissa uses the same structured approach online as she would in person, focusing on clear goals, behavioral experiments, and practical tools that can be used in daily life.
Questions people ask
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What this therapist works with
Also listed
- ADHD
- Adoption and foster care
- Anger management
- Autism and Asperger Syndrome
- Caregiver issues and stress
- Coaching
- Compassion fatigue
- Family conflicts
- Family problems
- Grief
- Hospice and end-of-life counseling
- Parenting issues
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Self esteem
- Trauma and abuse
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 12 years
- Licensed
- South Carolina
- Languages
- English
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