About Melissa
Melissa McCauley-Burow is a Licensed Professional Counselor (LPC) and Licensed Mental Health Counselor (LMHC) practicing in Missouri. She brings 18 years of clinical experience to her work and focuses on helping people manage stress and anxiety. She also addresses addiction, grief, mood concerns, sleep problems, anger, and coping with life changes.
Melissa uses clear, practical methods in sessions. She draws on cognitive behavioral therapy to look at how thoughts affect feelings and behavior.
Background and approach
She also teaches mindfulness skills to help people stay grounded in the present. Dialectical behavior therapy techniques are used to build emotional regulation and interpersonal skills. Clients can expect straightforward, calm guidance.
Melissa aims to meet people where they are and help them move toward a more satisfying life. Sessions include skill practice, problem-solving, and gentle reflection about patterns that cause distress. Her background includes work across many kinds of concerns, including trauma and abuse, bipolar disorder, ADHD, and substance use.
She also supports people facing chronic illness, end-of-life issues, and family-of-origin concerns. Melissa combines practical tools with a respectful, person-focused stance. She offers sessions in English and provides several online formats to fit different needs.
The first step is a brief questionnaire and scheduling to match timing and preferences. Melissa’s approach is patient and collaborative, aimed at steady progress rather than quick fixes.
Approach and online options that fit your life
Melissa often blends cognitive behavioral therapy and mindfulness practice in online sessions. Cognitive behavioral therapy helps people spot and change unhelpful thoughts and behaviors to improve mood and daily functioning. Mindfulness work teaches simple attention and breathing skills to reduce rumination and increase present-moment awareness.Finding the right mix of methods is a collaborative process. The therapist will talk with the client about goals, try approaches, and adjust techniques based on what helps most. Sessions focus on practical skills, short homework tasks, and checking progress together so the plan can shift as needs change.
Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video is useful for deeper conversations and practicing skills together. Phone sessions can work when camera use is difficult or bandwidth is limited. Live chat and text messaging allow quick check-ins, brief skill reminders, or steady support between longer sessions. These options help fit therapy into work, caregiving, or busy days while keeping the work focused and goal-oriented.
Questions people ask
What kinds of concerns can Melissa help with?
What is her general therapy style?
How long has she practiced?
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What session formats are available?
How does cost and scheduling work?
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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