Melissa DiSilvestro

Melissa DiSilvestro is a licensed social worker in South Carolina with 12 years of clinical experience. She helps people who are dealing with stress, anxiety, depression, and the strain of life changes. Melissa works collaboratively to set clear goals and build practical plans that fit each person's situation.

She has worked in hospitals, schools, and outpatient primary care settings. That range of experience means she is used to short-term problem solving and longer-term work, depending on what a person needs. Melissa focuses on straightforward approaches that address symptoms and daily functioning.

In sessions she treats people as the expert on their own story and looks for strengths to build on. Conversations are aimed at making small, useful changes that add up over time. She emphasizes teamwork and clear steps so progress is easier to notice.

Melissa uses Cognitive Behavioral Therapy to help people notice unhelpful thinking and try different behaviors. She also supports people facing relationship strain, parenting stress, grief, trauma and caregiver fatigue. Her additional focus areas include adoption and foster care, autism and Asperger syndrome, postpartum concerns, hospice and end-of-life issues, workplace stress, and women's health topics.

Many people find it takes courage to reach out for help. Melissa aims to make that step feel manageable by offering a calm, goal-focused process and practical tools to cope day to day.

How CBT and collaborative work translate to online therapy

Melissa uses Cognitive Behavioral Therapy, which helps people identify unhelpful thoughts and try different actions. CBT is often used for anxiety, depression, stress, and coping with life transitions because it focuses on practical skills and small behavior changes.

Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and daily routines to choose strategies that fit each person. That planning is collaborative and adjusted as progress is made.

Online therapy can make it easier to fit sessions into a busy schedule by reducing travel time and allowing quicker check-ins during the week. It can also make it simpler to maintain continuity when life is unpredictable. The original profile does not list specific session formats, so confirm current options before booking to know what is offered. Many people find that remote sessions help them apply skills directly to everyday settings and keep therapy consistent when schedules are tight.