About Melissa
Melissa McCauley-Burow is a Licensed Professional Counselor who brings 18 years of clinical experience to her work. She offers straightforward, practical therapy for people facing stress, anxiety, depression, addiction, grief, trauma, and other life changes. Melissa speaks plainly and focuses on helping people find manageable steps forward.
Her approach centers on building a trusting relationship and using evidence-based techniques. She draws from client-centered methods to make sessions feel respectful and collaborative.
Background and approach
She also uses cognitive behavioral tools to spot thought patterns that keep problems going and to practice new ways of responding. Melissa includes mindfulness and skills from dialectical behavior therapy when those fit a person’s needs. Mindfulness helps people notice thoughts and feelings without getting swept away by them.
DBT-style skills teach emotion regulation and clearer communication for tense moments. Over her career she has helped people with mood disorders, addiction, chronic pain and illness, attachment concerns, and end-of-life issues among other challenges. She works with a wide range of concerns like sleeping problems, anger, bipolar mood issues, ADHD, and relationship struggles.
Melissa also supports people dealing with guilt, shame, family of origin issues, and hospice-related stress. Sessions are offered in English and delivered online in several formats. Getting started involves a short matching questionnaire and scheduling a time that fits.
Melissa aims to make therapy practical, approachable, and focused on the changes each person wants to make.
How therapeutic approaches translate to online care
Melissa uses cognitive behavioral therapy to help people notice and test the thoughts that keep them stuck; this approach breaks problems into clear steps and teaches practical exercises people can practice between sessions. She also draws on client-centered methods that prioritize listening and building a respectful, collaborative relationship so goals come from what matters most to the person.Choosing the right approach is part of the work together. Melissa will discuss what matters to the client, try methods that fit their goals, and adjust techniques based on progress and preferences. That collaborative process helps pinpoint which tools and skills are most useful over time.
Online therapy offers several practical benefits for people juggling busy lives. Video calls allow face-to-face conversation when that matters, phone sessions work well when bandwidth is limited, and live chat or text-based messaging can be useful for quick check-ins or shorter, focused support. These options make scheduling easier and let clients use formats that fit their day-to-day needs.
Questions people ask
What kinds of concerns does Melissa help with?
What is her general therapy style?
How much experience does she have?
What credentials and location are listed?
Which languages are sessions offered in?
What session formats are available?
How is cost handled for sessions?
How do I begin working with her?
What this counselor works with
Most often
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Chronic pain, illness, and disability
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Drug and alcohol addiction
- Family of origin issues
- Guilt and shame
- Hospice and end-of-life counseling
- Mood disorders
- Relationship issues
- Self esteem
- Self-harm
- Sleeping disorders
- Trauma and abuse
Therapeutic approaches
- Experience
- 18 years
- Licensed
- Missouri, Washington
- Languages
- English