Melissa DiSilvestro , LISW-CP

Melissa DiSilvestro is a licensed clinical social worker with 12 years of professional experience in South Carolina. Holding the LISW-CP credential, which denotes a clinical social work license in the state, she has worked across community settings including hospitals, schools, and outpatient primary care. Her background in these varied environments informs a practical, client-focused approach to care.

Melissa works with people experiencing stress, anxiety, depression, and difficulty coping with life changes. She prefers a collaborative style, partnering with clients to set meaningful goals and to develop individualized plans that address each person’s priorities. Melissa acknowledges that clients are the experts on their own stories and seeks to build on existing strengths as part of the healing process.

Recognizing that reaching out for help takes courage, Melissa offers steady support throughout the change process. Her practice emphasizes clear, achievable steps and compassion as clients move toward a more fulfilling and balanced life.

Cognitive Behavioral Therapy and Flexible Online Care

Melissa uses Cognitive Behavioral Therapy, a practical approach that helps people identify and change patterns of thought and behavior that contribute to emotional distress. CBT is often useful for managing stress, anxiety, and depression by teaching concrete skills for coping and problem solving.

She also emphasizes a collaborative, goal-oriented process, working with clients to set clear objectives and create individualized plans. This approach focuses on building strengths and taking achievable steps toward the changes a client wants to make.

Finding the right therapeutic approach is part of the work. Melissa partners with each client to determine what methods align with their needs, goals, and preferences, adjusting the plan as progress unfolds.

Online therapy with Melissa can take place via video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit care into busy schedules and to connect from different locations, offering flexibility while maintaining consistent support from a licensed professional.