Melissa Guarnaccia, LISW-CP, LCSW

Melissa Guarnaccia is a licensed social worker who helps people manage stress, anxiety, depression, and relationship concerns. She brings 11 years of clinical experience to sessions and uses practical, action-oriented methods to help people move forward. Melissa speaks English and practices in North Carolina. She holds SC LISW-CP and NC LCSW credentials.

Melissa uses approaches like Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to guide her work. She tends to keep sessions relaxed and nonjudgmental while also focusing on concrete steps clients can try between meetings. That mix helps people confront painful thoughts, test new behaviors, and build skills for everyday life.

Her background includes work in hospital settings, schools, and independent practice. She has helped children, adolescents, and adults navigate anxiety, depression, grief, trauma and abuse, eating concerns, anger, bipolar mood issues, and family conflict. She also supports people dealing with self-esteem, career strain, intimacy-related issues, and parenting stress as part of family dynamics.

Melissa offers community workshops as a certified instructor in Parenting with Love & Logic and draws on that experience when supporting parents who want practical strategies. She lives in North Carolina, is married, and has two sons and a pug named Mabel.

If a reader wants to begin, they can use the continue button on this profile, complete a short matching questionnaire, and schedule based on therapist availability. The subscription used for sessions can be canceled at any time.

How ACT and CBT Guide Online Work

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them. It emphasizes identifying personal values and taking small actions that move toward those values, which can help with anxiety, depression, and relationship concerns.

Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions. It teaches straightforward skills to change unhelpful thinking patterns and test new behaviors, which is useful for stress, mood issues, and anger management.

Finding the right approach is part of the process. The therapist will work together with the client to decide which methods fit the person’s goals and preferences. That collaborative process may blend ACT and CBT tools or emphasize one approach depending on what helps most.

Confirm current session options before booking, as specific online formats are not listed here. Online work can make it easier to fit therapy into busy schedules, reduce travel time, and allow shorter check-ins when needed. Some people find it simpler to attend sessions during a work break or to maintain continuity of care when life is otherwise hectic.