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MD Portrait of Melissa DiSilvestro

Melissa DiSilvestro

Compassionate, practical therapy for life transitions

LISW-CP South Carolina

Experience
12 years in practice
Focus areas
Stress, Anxiety, Depression, Coping with life changes
Approaches
Cognitive Behavioral Therapy (CBT)
Languages
English
Continue with Melissa

About Melissa

Melissa DiSilvestro is a licensed social worker in South Carolina who brings 12 years of clinical experience to her practice.

Background and approach

She focuses on helping people manage stress, anxiety, depression, and the difficulties that come with life transitions, along with concerns such as trauma and abuse, grief, parenting challenges, anger, self-esteem, compassion fatigue, and ADHD. Her background includes work across hospitals, schools, and outpatient primary care settings, which informs a practical, community-oriented perspective.

She uses a collaborative approach to set realistic goals and build individualized plans that match each person’s needs and strengths. Melissa emphasizes that clients are the experts on their own stories and works to highlight existing resources while introducing skills and strategies to address current problems.

Her style blends goal-focused work with empathy, supporting people as they take steps toward a more fulfilling life. Clients can expect a steady, supportive presence aimed at helping them identify priorities and practice concrete coping tools.

Melissa’s experience in varied care environments helps her tailor strategies to everyday life demands and transitions.

CBT-informed Care and Flexible Online Options



Cognitive Behavioral Therapy (CBT) is an evidence-informed, skills-based approach that focuses on identifying unhelpful thought and behavior patterns and replacing them with more adaptive responses. It is commonly used for anxiety, depression, stress, and coping with life changes by teaching practical tools for managing symptoms and improving daily functioning.

Melissa emphasizes a collaborative process for choosing the right approach. She works with clients to explore goals, preferences, and the specific challenges they face, and then tailors CBT techniques and supportive strategies to fit those needs. The choice of methods evolves over time as progress and priorities become clearer.

Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to increase convenience and accommodate varied schedules. These options allow clients to access licensed professionals from home or other settings, making it easier to maintain continuity of care and practice new skills in real-life contexts. The flexible formats support ongoing work on goals while fitting into busy lives.

Frequently asked questions

What concerns does Melissa commonly address?
She works with stress, anxiety, depression, coping with life changes, trauma and abuse, grief, parenting, anger, self-esteem, compassion fatigue, ADHD, and related issues such as workplace or family problems.
What is her therapeutic style and approach?
Melissa takes a collaborative, goal-focused approach that emphasizes client strengths and practical strategies. She uses Cognitive Behavioral Therapy (CBT) to help clients identify patterns and develop skills for managing thoughts and behaviors.
How much clinical experience does she have?
She has 12 years of professional work experience in clinical and community settings including hospitals, schools, and outpatient primary care.
What credentials and location are on file?
Melissa holds the credential LISW-CP and is licensed in South Carolina with license number SC LISW-CP 12112.
Does she work with non-English speakers or international clients?
She provides services in English and is not currently accepting international clients.
Which session formats are available for appointments?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different needs and schedules.
How are fees and payment handled?
Cost varies by location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule a session based on therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyDepressionCoping with life changes

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefParenting issuesAnger managementSelf esteemCoachingCompassion fatigueADHD

Additional focus areas

Adoption and foster careAutism and Asperger SyndromeCaregiver issues and stressFamily problemsHospice and end-of-life counselingPostpartum depressionPregnancy and childbirthWomen's issuesWorkplace issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)

Experience

12+ years

Licensed

South Carolina

Languages

English