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Melissa McCauley-Burow is a Licensed Professional Counselor and Licensed Mental Health Counselor with 18 years of clinical experience.

01About Melissa

Melissa McCauley-Burow is a Licensed Professional Counselor and Licensed Mental Health Counselor with 18 years of clinical experience. She focuses on helping people manage stress, anxiety, addiction, grief, low self-esteem, depression, and relationship concerns. Her style is practical and down-to-earth, aimed at helping people get through hard times and find more balance.

Melissa uses straightforward tools from cognitive behavioral approaches to help people notice how thoughts affect feelings and behavior.

Background and approach

She also teaches mindfulness practices so people can stay present and respond with more awareness. When emotions feel overwhelming, she draws on dialectical behavior strategies that teach coping and emotion-regulation skills. Her background includes long-term work with mood disorders, trauma and abuse, bipolar disorder, sleeping problems, anger, and ADHD.

She also supports people facing chronic illness, aging issues, hospice and end-of-life concerns, and the emotional fallout of disasters. Melissa pays attention to family of origin issues, attachment concerns, guilt, shame, and substance use problems. Sessions with Melissa aim to be collaborative.

She listens to what matters most and helps people set small, usable goals. The focus is on concrete steps people can try between sessions to see real change in daily life. Clients can expect a calm, steady approach and practical skill-building tailored to their goals.

Melissa combines experience and everyday tools to help people cope better, think more clearly, and move forward in ways that feel sustainable.

02Credentials

LPC (Missouri)
License 2009010209 · expires June 2027
LMHC (Washington)
License LH61433332 · expires June 2026
NPI
1639303928 · national provider identifier

Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.

03Focus areas and approaches

Everything Melissa lists on their public professional profile, in their own terms.

Methods Melissa names

These are the methods Melissa names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.

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04Online support

Therapeutic approaches that work online

Melissa blends cognitive behavioral work with mindfulness and skills-based strategies to help people navigate difficult feelings and change unhelpful patterns. Cognitive Behavioral Therapy (CBT) looks at how thoughts influence moods and actions, and then teaches practical steps to change those patterns to improve daily functioning. Mindfulness Therapy trains attention to the present moment and helps people notice thoughts, body sensations, and emotions without judgment, which can reduce reactivity. Dialectical Behavior Therapy (DBT) focuses on building emotion regulation, distress tolerance, and interpersonal skills to handle intense feelings and improve relationships.

Choosing the right approach is part of the process. Melissa will work together with each person to identify goals and try methods that fit their needs and preferences. She checks progress and adjusts techniques so the plan stays useful and realistic.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video lets people use visual cues and a traditional session feel. Phone calls can be easier when internet is limited or someone prefers not to use video. Live chat and text messaging make brief check-ins and skills coaching possible between longer sessions. These options make it easier to fit therapy into work, caregiving, or busy schedules while still using evidence-based approaches.

05Questions people ask

What concerns does Melissa commonly address?

She helps with stress, anxiety, depression, addiction, grief, self-esteem, relationship issues, trauma and abuse, sleeping problems, anger, bipolar disorder, ADHD, and coping with life changes.

What is her therapeutic style like?

Her approach is collaborative and practical, using cognitive behavioral ideas, mindfulness, and skills-based methods to help people change unhelpful patterns and manage strong emotions.

How much clinical experience does she have?

She has 18 years of experience providing therapy and has worked across a wide range of mental health concerns over that time.

What credentials and location are listed?

She holds the credentials LPC and LMHC and practices from Missouri with licensure noted as MO LPC and WA LMHC in her background.

Which languages are supported for sessions?

Sessions are offered in English.

What session formats are available?

Therapy can be done via video calls, phone sessions, live chat, or text-based messaging to fit different needs and schedules.

How is cost handled for sessions?

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

How do I begin working with her?

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

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