About Melissa
Melissa McCauley-Burow is a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) with 18 years of clinical experience. She practices from Missouri and focuses on helping people manage stress, anxiety, depression, grief, and ADHD along with other life challenges. Her approach is calm and practical, aimed at helping people regain balance one step at a time.
She uses straightforward methods like mindfulness to help people stay present and notice thoughts and bodily sensations without harsh judgment.
Background and approach
Cognitive Behavioral Therapy is part of her work, looking at how thoughts influence feelings and actions and then shifting unhelpful patterns. She also draws on Dialectical Behavior Therapy skills to teach emotion regulation and better ways to handle intense feelings. Melissa meets people where they are and emphasizes collaboration.
She listens to daily struggles and helps set clear, achievable goals. Sessions often focus on small changes that build toward steadier routines and improved coping. Her background includes long experience with mood disorders, addiction-related concerns, trauma and abuse, sleep problems, anger, and chronic health or pain issues.
She has worked with a broad range of concerns related to family of origin, communication problems, guilt and shame, and end-of-life topics. Sessions are offered in English and delivered online by video, phone, live chat, or text messaging. Getting started involves a short matching questionnaire followed by scheduling a time that fits the person’s life.
How Melissa’s Approaches Work Online
Attachment-based work focuses on how early connections shape current relationships and emotional responses, helping people notice patterns and try new ways of relating. Client-centered therapy emphasizes listening and empathy, giving people space to be heard while they set goals and decide what feels helpful. Cognitive Behavioral Therapy looks at links between thoughts, feelings, and actions and teaches concrete steps to shift unhelpful thinking and behavior.Finding the right approach is a joint effort. The therapist will talk with the person about their goals, preferences, and what feels most useful. Together they try methods and adjust the plan based on what helps in daily life.
Online sessions offer flexibility for different needs. Video calls let people use visual cues for richer conversation. Phone sessions can be easier when bandwidth is limited or a quick check-in fits a work break. Live chat and text messaging are useful for shorter updates, homework check-ins, or when someone prefers writing to speaking. These options make it simpler to maintain regular contact and practice new skills between meetings.
Questions people ask
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What this therapist works with
Most often
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Chronic pain, illness, and disability
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Drug and alcohol addiction
- Family of origin issues
- Guilt and shame
- Hospice and end-of-life counseling
- Mood disorders
- Relationship issues
- Self esteem
- Self-harm
- Sleeping disorders
- Trauma and abuse
Therapeutic approaches
- Experience
- 18 years
- Licensed
- Missouri, Washington
- Languages
- English
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