Melissa DiSilvestro , LISW-CP

Melissa DiSilvestro is a licensed social worker with 12 years of experience helping people who feel overwhelmed by stress, anxiety, or depression. She supports those coping with major life changes and the emotional fallout from trauma, grief, and parenting challenges. Melissa also focuses on women’s issues and related concerns such as postpartum depression and pregnancy and childbirth. She works with people experiencing anger, low self-esteem, compassion fatigue, ADHD, and workplace strain.

Melissa draws on practical strategies to set clear goals with each person she sees. Sessions are collaborative - she listens, helps organize priorities, and builds step-by-step plans that fit everyday life. The process is straightforward and goal-oriented, aimed at producing small, manageable changes over time.

Her background includes work in hospitals, schools, and outpatient primary care settings. That range of experience shaped a flexible approach that adapts to different needs and schedules. People meet her and move from feeling stuck to having concrete next steps.

Melissa uses Cognitive Behavioral Therapy, which focuses on changing thought and behavior patterns that keep problems going. She frames therapy in plain language and avoids jargon so people can try new ways of coping right away.

She practices in South Carolina as a SC LISW-CP - Licensed Independent Social Worker with Clinical Practice. Sessions are offered in English and can happen by video call, phone, live chat, or text-based messaging. To start, a short matching questionnaire helps pair needs with the right plan.

How CBT and practical online sessions help

Melissa uses Cognitive Behavioral Therapy (CBT) to help people identify the thoughts and behaviors that keep problems going. CBT breaks problems into clear parts and teaches simple skills to change unhelpful thinking and habits, which is useful for anxiety, depression, and stress.

The therapist emphasizes practical tools and goal-setting rather than long theoretical talks. Sessions focus on small steps clients can try between meetings, such as tracking moods, testing new behaviors, or practicing calming routines. This approach can help with parenting stress, workplace strain, and compassion fatigue as well as women’s health concerns like postpartum mood changes.

Finding the right approach is a shared process. Melissa works with each person to choose techniques that fit their goals and preferences, and adjusts plans over time. She treats the client as the expert on their life while offering guidance on what to try next.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for face-to-face conversation and interactive work. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging offer quick check-ins, brief coaching, or ongoing support between longer sessions. These options make therapy flexible for different schedules and day-to-day demands.