Approaches and what online therapy looks like

Melissa uses client-centered therapy to focus on each person’s perspective and priorities. That means conversations center on what matters most to the client, and the therapist follows the client’s lead while offering support and reflection.

She also draws on cognitive behavioral therapy, which helps people notice unhelpful thought patterns and try small experiments to change feelings and behavior. This approach is often useful for anxiety, depression, and stress management. Solution-focused therapy is another tool she uses to identify specific goals and practical steps toward them, which can be helpful when someone wants clear short-term progress.

Choosing the right approach is a joint process. Melissa will work with clients to decide which methods match their needs, goals, and preferences, and she adjusts the plan as progress unfolds. The emphasis is on collaboration and on finding techniques that feel useful in daily life.

Online sessions are offered by video call, phone, live chat, or text-based messaging to give flexibility. Video works well for in-depth conversations, phone calls can fit into a busy day, live chat is useful for shorter check-ins, and messaging supports ongoing reflection between sessions. These options help people access care around work, caregiving, or mobility limits while keeping the focus on practical change and emotional support.