Melissa Annechino , LMHC

Melissa Annechino is a licensed mental health counselor (LMHC) based in New York. She practices with a focus on women's issues and supports people working through self-esteem, career concerns, life changes, and compassion fatigue. Her approach emphasizes understanding each person's unique experience and building practical steps forward.

Melissa uses a mix of evidence-based and exploratory approaches to tailor care to each person. She draws on cognitive behavioral tools to address unhelpful thinking and uses mindfulness methods to help people stay grounded in moments of stress. Narrative and existential ideas help clients examine meaning, values, and patterns that show up in their lives.

Clients can expect conversations that are direct and compassionate. Sessions involve talking through problems, identifying small actionable changes, and reflecting on deeper themes that shape behavior. Melissa aims to help people stop repeating old patterns and to identify clearer steps toward their goals.

She has 11 years of experience in the helping professions and holds a New York LMHC credential. That background informs her work with workplace issues, guilt and shame, life purpose, and seasonal affective disorder alongside the primary focus areas.

Sessions can include short exercises, thought reframing, and mindful awareness practices that are practical to use between meetings. Melissa encourages a collaborative process where the pace and focus are set together.

How these approaches translate to online work

Melissa commonly uses cognitive behavioral therapy to help people identify and change unhelpful thoughts and behaviors; this approach is practical and often focuses on exercises and homework that translate well to online sessions. Existential therapy helps clients examine life meaning, values, and choices, which can be useful when someone is facing transitions or questions about purpose. Jungian ideas and narrative therapy support looking at personal stories and recurring patterns to uncover themes that affect daily life.

Finding the right approach is part of the work together. The therapist will discuss goals, habits, and preferences and suggest which methods to try first. Clients and the therapist adjust the plan as they learn what is most helpful, keeping the process collaborative and goal-oriented.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation and guided exercises. Phone sessions can be easier when bandwidth is limited or when a check-in fits a break at work. Live chat and text messaging offer brief check-ins, tracking progress, and shorter reflections between sessions, which adds flexibility for different schedules and needs.