Melissa DiSilvestro, LISW-CP

Melissa DiSilvestro, LISW-CP, helps people who are feeling overwhelmed by stress, anxiety, depression, or major life changes. She also supports those coping with grief, trauma, parenting strain, workplace stress, and challenges like ADHD or compassion fatigue. Her approach is collaborative and goal-oriented to make progress feel manageable.

Melissa draws on 12 years of experience working in hospitals, schools, and outpatient primary care in South Carolina. She listens for strengths in each person's story and builds plans that fit daily life. Sessions focus on small, practical steps people can try between meetings.

Her style is straightforward and supportive. She works with clients to set clear goals and then breaks those goals into doable actions. The emphasis is on skills people can use right away to reduce symptoms and improve coping.

Melissa often uses Cognitive Behavioral Therapy, which helps people notice and change unhelpful thoughts and behaviors. She adapts techniques to each person’s situation instead of applying a one-size-fits-all plan. Progress is tracked so the plan can shift when needed.

Because she has worked across community settings, Melissa understands common hurdles that come up when juggling work, family, and health. She encourages people to tap their existing strengths while learning new strategies. The aim is steady, practical change rather than quick fixes.

How Melissa Uses CBT Online

Melissa commonly uses Cognitive Behavioral Therapy, which focuses on identifying patterns of thought and behavior that keep problems going and practicing concrete skills to change them. CBT is often helpful for anxiety, depression, stress, and coping with life changes by teaching tools people can apply between sessions.

Finding the right approach is part of the work. Melissa will talk with each person to understand goals and preferences, then shape a plan together. That collaborative process makes it easier to try techniques and adjust them when something isn’t working.

Online sessions offer flexibility for busy schedules and different needs. Video calls allow fuller conversation and visual cues. Phone sessions can be simpler when bandwidth is limited or a shorter check-in is needed. Live chat or text messaging lets people send updates, ask quick questions, or work through ideas in writing between meetings. These options make it easier to fit therapy into daily life while using CBT techniques and goal-setting in practical ways.