Melissa DiSilvestro, LISW-CP - Therapist in South Carolina

About Melissa

Melissa DiSilvestro is a licensed social worker in South Carolina who helps people dealing with stress, anxiety, depression, and major life changes. She names parenting, relationship strain, grief, trauma, and workplace concerns among areas she addresses. Melissa writes short-term goals with clients and builds straightforward plans to move toward those goals.

She emphasizes practical steps and clear direction for people who want relief and change. Melissa has 12 years of experience across community settings.

Background and approach

Her background includes work in hospitals, schools, and outpatient primary care. That variety informs how she adapts strategies to different daily demands and life rhythms. She uses Cognitive Behavioral Therapy, which focuses on how thoughts and behaviors affect mood and choices.

In sessions she treats clients as the experts on their lives and looks for existing strengths to build on. Conversations are collaborative and goal-focused, with simple, achievable tasks between meetings. Melissa supports people through transitions like pregnancy, postpartum, adoption and foster care, and end-of-life planning.

She also addresses caregiver stress, compassion fatigue, ADHD, autism and Asperger concerns, and women's health issues. For those coping with grief, trauma, or anger, the work blends skills training with problem-solving. Melissa aims to make therapy practical and relatable so people can use what they learn right away.

Therapy with Melissa may include short skill-building exercises, talk-based problem solving, and homework tailored to daily life. Her approach is direct but warm, focused on helping clients make steady progress toward clearer days and improved coping.

How Melissa’s approaches translate to online care

Melissa uses Cognitive Behavioral Therapy (CBT) to help people notice and change unhelpful thought and behavior patterns. CBT breaks problems into concrete steps, teaches coping skills, and is often used for anxiety, depression, stress, and anger.

She focuses on setting clear goals and practicing skills between sessions. That might include tracking moods, testing small behavior changes, or learning new ways to respond in stressful moments. Those tasks work well in virtual sessions because they can be reviewed and adjusted together in real time.

Finding the right approach is a team effort. Melissa will talk with each person about their needs, goals, and preferences and will adjust strategies accordingly. She aims to match methods to what fits a client's daily life and commitments.

Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for busy schedules. These options make it easier to fit sessions around work, childcare, or medical appointments and let people keep momentum between meetings with messages and brief check-ins.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Frequently asked questions

What concerns does Melissa address?

She works with stress, anxiety, depression, coping with life changes, relationship and family issues, parenting, grief, trauma and abuse, anger, self esteem, ADHD, and related topics listed in her specialties.

What is her general therapy style?

Melissa uses a collaborative, goal-focused style. She helps set specific goals, practices skills in sessions, and suggests small tasks to try between meetings.

What kind of work background does she have?

She has 12 years of professional experience working in hospitals, schools, and outpatient primary care settings in the community.

What credentials and region are listed?

Melissa holds the LISW-CP credential with license number SC LISW-CP 12112 and practices in South Carolina.

Which languages are supported for sessions?

Sessions are offered in English.

In what formats can sessions take place?

Sessions are available via video calls, phone sessions, live chat, or text-based messaging.

How are fees and billing handled?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule based on the therapist's availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)

Experience: 12 years
Licensed: South Carolina
Languages: English

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