About Melissa
Melissa DiSilvestro is a licensed social worker in South Carolina with 12 years of experience. She helps people who are struggling with stress, anxiety, depression, and the hard parts of big life changes. Melissa works with practical goals and clear steps to make progress feel manageable.
She uses an approach that focuses on changing unhelpful thoughts and behaviors. Sessions are collaborative - Melissa listens first, then helps create a plan that fits each person.
Background and approach
She emphasizes small, doable tools that can be used between meetings. Her background includes work in hospitals, schools, and outpatient primary care settings. That variety shaped a straightforward, solution-minded style that suits people facing both everyday problems and deeper struggles.
Melissa pays attention to strengths people already have and builds on them. She also supports people dealing with trauma and abuse, grief, parenting stress, workplace problems, and caregiving strain. Additional focus areas include adoption and foster care, autism and Asperger syndrome, postpartum concerns, hospice and end-of-life counseling, and women's health issues.
Clients can expect a respectful, goal-oriented process. Melissa frames progress as a series of small steps and adapts techniques to a person’s pace. She invites questions and works together to adjust plans when life changes occur.
How CBT and online sessions can help manage anxiety
Melissa uses Cognitive Behavioral Therapy (CBT) to help people notice and change thoughts and behaviors that keep anxiety and low mood going. CBT breaks problems into smaller pieces, teaches simple coping skills, and focuses on practice between sessions so progress can be measured.The right approach often emerges through collaboration. Melissa will work with each person to match methods to their needs, goals, and preferences. Together they decide whether to emphasize skills practice, problem-solving, or tracking patterns over time.
Online work is available through video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when a shorter check-in is needed or bandwidth is limited. Live chat and messaging let people share thoughts in writing and slot therapy into a busy day. These options give flexibility for scheduling, consistent follow-up, and using skills in real time.
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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