Melissa DiSilvestro, LISW-CP

Melissa DiSilvestro, LISW-CP, supports people managing stress, anxiety, depression, grief, parenting strain, compassion fatigue, and changes that come with life transitions. She welcomes conversations about relationship and family concerns, trauma and abuse, anger, self-esteem, and ADHD. Melissa also focuses on issues tied to adoption and foster care, autism and Asperger syndrome, hospice and end-of-life counseling, postpartum depression, pregnancy and childbirth, women's issues, and workplace stress.

She has 12 years of work experience in South Carolina. Her background includes roles in hospitals, schools, and outpatient primary care. Those settings inform a practical approach she brings to sessions.

Melissa takes a collaborative style. She works with each person to set clear goals and then builds a plan to move toward them. She emphasizes strengths and treats the person as the expert in their own story.

Sessions often involve talking through current struggles, trying out coping strategies, and adjusting plans based on what helps. Melissa aims for straightforward, doable steps rather than long lists of tasks.

Taking the first step can feel hard, and she frames that move as one of courage. Her role is to support people as they work toward a more satisfying and manageable life. The process is paced to each person's needs and circumstances.

How Melissa Uses CBT Online and What to Expect

Melissa uses Cognitive Behavioral Therapy (CBT) to help people recognize unhelpful thoughts and try different behaviors. CBT focuses on practical exercises and short-term skills that can reduce anxiety, manage low mood, and improve coping with life changes.

Finding the right approach is a team process. The therapist will review your concerns, goals, and preferences and work with you to decide whether CBT or another direction fits best. Together you will track what helps and adjust the plan as you go.

If you are considering online therapy, confirm which session formats are offered before booking. Online work can make it easier to fit sessions into a busy week, reduce commuting time, and allow shorter check-ins when needed. Many people find online sessions help them practice skills in everyday life and maintain continuity of care when schedules are tight. Licensed professionals can adapt exercises and worksheets for remote use so you can continue progress between appointments.