Melissa DiSilvestro, LISW-CP

Melissa DiSilvestro, LISW-CP, helps people who are struggling with stress, anxiety, depression, and big life changes. She focuses on practical steps clients can use to feel steadier and more able to cope. Melissa frames goals with each person and works alongside them to make a plan that fits their life.

She draws on 12 years of professional experience across hospitals, schools, and outpatient primary care. That background means she has seen concerns in many settings and brings a practical, down-to-earth style to sessions. Conversations move from understanding what is hard to testing small changes that can make daily life easier.

Sessions are collaborative and goal oriented. Melissa treats each person as the expert on their own story and looks for strengths to build on. She helps people set clear steps and checks progress as they go.

Cognitive Behavioral Therapy, which focuses on how thoughts and actions affect feelings, is part of her approach. That method is often used for anxiety, depression, and stress management. Melissa blends that approach with coaching-style support to help clients practice new skills between sessions.

Her work also addresses relationship and family concerns, parenting stress, grief, trauma and abuse, compassion fatigue, ADHD, and women’s health-related transitions. She offers care in English and is licensed in South Carolina. To begin, clients use the site’s Start Therapy flow and schedule based on availability.

How Melissa Uses CBT Online and What It Can Do

Melissa uses Cognitive Behavioral Therapy to help people notice how thoughts, feelings, and actions interact. CBT breaks problems into small parts and focuses on testing new behaviors and thinking patterns to reduce symptoms of anxiety and depression.

She pairs CBT with coaching-style support to help clients practice new skills between sessions. That approach can help with stress management, coping with life transitions, parenting strain, and workplace difficulties by offering concrete steps and short-term experiments to try at home.

Finding the right approach is a collaborative process. The therapist will work with each person to match methods to their goals, needs, and preferences and will adapt plans as progress is reviewed. Clients and the therapist decide together which tools and techniques fit best.

Session logistics and formats are not listed in the biography, so confirm current online session options before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time, and allow shorter check-ins when a full session is not needed. Licensed professionals can help translate CBT exercises to remote work so clients can practice skills in everyday settings.