Melissa DiSilvestro

Melissa DiSilvestro is a licensed social worker in South Carolina with 12 years of professional experience. She helps people who are struggling with stress, anxiety, depression, anger, and major life changes. Melissa works with adults facing caregiving strain, workplace pressures, parenting challenges, and grief. She has practiced in hospitals, schools, and outpatient primary care settings. That variety shaped a practical style that focuses on daily coping skills. Sessions emphasize setting clear goals and building step-by-step plans to reach them. Melissa uses Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and behaviors connect. She guides people to try small changes and notice what works. The approach is goal-focused and tends to involve homework between meetings. Her method is collaborative. She treats the person in the room as the expert on their life and helps them use their strengths. Progress is measured in concrete steps rather than vague talk alone. People who come to Melissa for issues related to adoption, foster care, autism, postpartum concerns, hospice and end-of-life, or compassion fatigue will find a therapist familiar with those topics. She also supports those working through parenting strain and workplace problems. If someone is unsure where to begin, Melissa helps create an individualized plan and adjusts it as needed. Her practice aims to make changes feel manageable and tied to everyday life.

How Melissa Uses CBT Online and What to Expect

Melissa uses Cognitive Behavioral Therapy to help people notice and change unhelpful thought and behavior patterns. CBT involves identifying specific thoughts that lead to distress, testing them in everyday situations, and practicing alternate actions that reduce symptoms like anxiety, depression, or anger.

Her sessions focus on concrete skills you can use between meetings. Work often includes simple practice tasks and brief exercises to track progress. This makes sessions feel actionable and tied to daily life rather than abstract discussion.

Choosing the right approach is a shared process. Melissa works with each person to match methods to their goals, needs, and preferences. If CBT isn't the best first step, she adjusts the plan and tries different techniques together.

Confirm current session options before booking, as the biography does not list specific formats. Many people find online sessions helpful because they can fit appointments into a busy day, avoid travel time, or schedule shorter check-ins when needed. Discuss format preferences during the intake so sessions can be arranged in a way that matches practical life demands.