Marissa Patti-Marshall, LISW-CP, LCSW

Marissa Patti-Marshall is a Licensed Independent Social Worker - Clinical Practice (LISW-CP) and a Licensed Clinical Social Worker (LCSW) offering therapy in North Carolina. She brings six years of clinical experience to sessions and focuses on practical steps people can use right away. Her work often centers on stress, anxiety, depression, trauma, and parenting concerns.

She uses Cognitive Behavioral Therapy, paired with client-centered and solution-focused techniques. That means she helps people notice unhelpful thoughts and try different ways of responding. Sessions also emphasize strengths and what is already working in a person’s life.

Marissa has experience supporting people facing addiction, housing instability, and major life transitions. She also addresses attachment and adoption-related issues, caregiver stress, body image, and relationship problems. Her background includes helping people cope with grief, anger, and career changes.

In sessions she aims to create a nonjudgmental space where thoughts and feelings can be talked through. She listens for what matters most to each person and builds on those priorities. The approach is collaborative and focused on clear, achievable goals.

Marissa offers multiple ways to connect, including video calls, phone sessions, live chat, and text messaging. She works with English-speaking clients who are located in North Carolina and is not accepting international clients. Starting therapy involves a short matching questionnaire and scheduling a session.

How these approaches translate to online therapy

Marissa uses Cognitive Behavioral Therapy to help people identify unhelpful thinking patterns and practice different responses. CBT is often useful for anxiety, depression, panic, and low self-esteem because it focuses on clear skills and behavior changes.

She also practices client-centered therapy, which emphasizes listening and validation. This approach helps people feel heard and shapes sessions around their priorities and pace. Dialectical Behavior Therapy techniques are used when emotion regulation and coping skills are a focus, offering concrete tools for managing intense feelings.

Finding the right approach is part of the work. Marissa collaborates with each person to choose methods that match their goals and preferences. She checks in about what is or isn’t helpful and adjusts the plan together so therapy stays practical and relevant.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to increase flexibility. Video is useful for a full-session conversation; phone works well when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging can support ongoing reflection between sessions and fit into busy schedules. These options make it easier to fit therapy into work, school, or caregiving routines while keeping the focus on progress and usable skills.