About Melanie
Melanie Roum is a licensed clinical social worker (LCSW) practicing in Louisiana. She brings 15 years of experience to sessions and focuses on stress, anxiety, trauma and abuse, substance concerns, and depression. Melanie centers the conversation on each person’s strengths and goals.
She frames therapy as a collaborative process and supports people taking steps toward change. Melanie uses practical, skills-based approaches in session. She often draws on Cognitive Behavioral Therapy (CBT) to examine unhelpful thinking and build new coping strategies.
Background and approach
Acceptance and Commitment Therapy (ACT) is used to help people clarify values and take committed action even when difficult feelings remain. Dialectical Behavior Therapy (DBT) skills are included for emotion regulation, distress tolerance, and better interpersonal communication. Mindfulness practices are woven into work when grounding and present-moment awareness are helpful.
Motivational Interviewing helps with ambivalence, especially around substance use and behavior change. She also addresses relationship and family-related concerns such as communication problems, blended family issues, and family of origin patterns. Melanie supports people dealing with grief, parenting strain, chronic pain or illness, caregiving stress, and life transitions.
She also works with issues like codependency, control struggles, and eating or substance-related problems. Sessions are conversational but goal-directed. Melanie aims to help people leave with clear tools they can use between meetings.
She acknowledges faith can be important and is willing to incorporate a client’s spiritual resources when requested.
Approach-driven online therapy for anxiety and life stress
Melanie commonly uses Cognitive Behavioral Therapy (CBT) to help people identify and change unhelpful thoughts and behaviors. CBT offers concrete exercises and practice tasks that can reduce anxiety and improve mood over time.She also integrates Acceptance and Commitment Therapy (ACT), which focuses on clarifying personal values and taking meaningful action even when hard emotions are present. ACT can be useful for people who want to build a life that matters to them while still experiencing difficult feelings.
Dialectical Behavior Therapy (DBT) skills are used for emotion regulation, distress tolerance, and improving communication. These skills are practical and can be practiced between sessions to manage intense moments more effectively.
Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose techniques that match their goals, preferences, and the challenges they bring. This helps tailor sessions so progress feels relevant and achievable.
Online sessions are offered by video calls, phone, live chat, and text-based messaging. Video lets people use visual cues and longer conversations, phone can fit a busy schedule or low bandwidth situations, and chat or messaging supports brief check-ins and ongoing skill practice. These options make therapy more flexible and easier to fit into daily life.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- Addictions
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Relationship issues
- Self esteem
- Sexual assault and abuse
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 15 years
- Licensed
- Louisiana, Virginia
- Languages
- English
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