Melissa McCauley-Burow

Compassionate evidence-based care for real-life challenges

LPC, LMHC Missouri

Experience: 18 years in practice
Focus areas: Stress, Anxiety, Addictions, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages: English

About Melissa

Melissa McCauley-Burow is a licensed counselor who blends practical, evidence-informed strategies with a compassionate, person-centered stance. With 18 years of clinical experience, she draws on Cognitive Behavioral Therapy along with mindfulness and dialectical behavior principles to help clients recognize patterns, manage intense emotions, and build healthier coping habits.

Background and approach

Her practice emphasizes collaboration and practical skills that people can apply in daily life. She works with a wide range of concerns including stress, anxiety, addictions, grief, low self-esteem, depression, trauma and abuse, sleep difficulties, anger, bipolar disorder, and ADHD.

Additional areas of focus include chronic pain and illness, communication problems, family of origin issues, hospice and end-of-life counseling, and complications related to aging and caregiving. Missouri-licensed and also holding a Washington LMHC credential, she brings a depth of training and real-world experience to each client encounter.

Melissa aims to meet people where they are and walk alongside them as they make meaningful changes. Her approach balances evidence-based techniques with respect for each person’s values and pace, helping clients move toward greater emotional balance and clearer perspective.

Therapeutic approaches and online care that fit your life

Melissa integrates Cognitive Behavioral Therapy and Attachment-Based Therapy into her online practice. CBT focuses on identifying and shifting unhelpful thought patterns and behaviors, which can be useful for anxiety, depression, sleep problems, and mood regulation. Attachment-Based Therapy explores relational patterns and emotional bonds formed over time, helping people understand how early relationships influence current communication and connection issues.

Finding the right approach is collaborative. The therapist works with clients to assess needs, goals, and preferences, and then tailors strategies accordingly rather than insisting on a single model. This collaborative process aims to match practical skills and insight work to the client’s priorities and pace.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care while fitting therapy into busy lives, allowing clients to practice skills between sessions and access support from varied formats that suit their day-to-day routines.

Frequently asked questions

What kinds of concerns does this therapist address?

She works with many issues including stress, anxiety, addictions, grief, self-esteem, depression, relationship and trauma-related concerns, sleep problems, anger, bipolar disorder, ADHD, and coping with life changes.

What therapeutic style can I expect in sessions?

The approach combines Cognitive Behavioral Therapy with mindfulness and dialectical skills alongside client-centered and attachment-based elements to emphasize skill-building and present-moment awareness.

How long has she been practicing?

Melissa has 18 years of direct therapy experience and brings more than two decades of work in the mental health field to her practice.

What credentials and licenses does she hold?

She holds LPC and LMHC credentials with Missouri LPC number 2009010209 and Washington LMHC LH61433332.

Can I work with her if I live outside the country?

International clients are not currently accepted; services are provided to clients within the therapist's permitted regions.

Which session formats are available?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different preferences and needs.

How much does therapy cost?

Cost varies with location and therapist availability; sessions are billed through a subscription that can be canceled at any time.

What is the first step to begin working together?

Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Grief Self esteem Depression

Also works with

Relationship issuesTrauma and abuseSleeping disordersAnger managementBipolar disorderCoping with life changes ADHD

Additional focus areas

Aging and geriatric issuesAttachment issuesChronic pain, illness, and disabilityCommunication problemsCoping with natural or human-caused disasterDrug and alcohol addictionFamily of origin issuesGuilt and shameHospice and end-of-life counselingMood disorders Self-harm

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

18+ years

Licensed

Missouri, Washington

Languages

English