Sheet 1
- ACT methods
- CBT tools
- Parenting workshops
About Melissa
LISW-CP, LCSW clinician based in North Carolina with 11 years of practice experience. Melissa Guarnaccia focuses on anxiety, depression, relationship and family concerns, and uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) in her work.
Melissa combines action-oriented techniques with a relaxed, open approach. She uses ACT to help people clarify values and take concrete steps toward them. She uses CBT to spot unhelpful thoughts and try different behaviors to test what works.
Her background includes work in hospital and school settings as well as private practice. That mix of settings shaped how she structures sessions and follows practical goals. She also teaches Parenting with Love & Logic workshops in the community and supports parents who want concrete strategies for managing behavior.
Melissa earned a BA in Psychology from the University of North Carolina at Chapel Hill and a Master of Social Work from the University of North Carolina at Charlotte. Her credentials are listed as LISW-CP and LCSW. She lives in North Carolina with her family and spends free time outdoors and traveling.
In sessions she aims to set clear steps and measurable goals. New clients are asked to complete a short matching questionnaire and schedule a first session to begin working on immediate concerns.
Sheet 2
How ACT and CBT inform online sessions
Acceptance and Commitment Therapy (ACT) helps people name what matters to them and take small steps toward those values. Online sessions using ACT typically include exercises to notice thoughts and commit to actions that match personal priorities. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors to reduce distress. In virtual work this often means short behavioral experiments and practice between sessions to see what changes daily life.Choosing the right approach is a shared process. The therapist will talk with the client about goals, preferences, and how certain methods fit their situation. Together they decide whether ACT, CBT, or a mix of both makes the most sense and adjust as work progresses.
Confirm the available session formats before booking, as specific delivery methods are not listed in the profile. Online work can make it easier to fit sessions into a busy week, shorten check-ins when needed, and reduce travel time. It can also make phone-based check-ins or camera-off conversations a practical option when less screen time or a quicker appointment is helpful.
Sheet 3
Areas of expertise
Primary focus
Also works with
Therapeutic approaches
Experience
11+ years
Listed in
North Carolina, South Carolina
Languages
English
Sheet 4
Frequently asked questions
Which concerns does she address?
She focuses on stress, anxiety, depression, relationship issues, family conflict, trauma and abuse, grief, intimacy concerns, eating issues, anger, career questions, and bipolar-related concerns.
What therapeutic approaches are used?
She practices Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). These approaches guide values-based action and changing unhelpful thoughts and behaviors.
How much experience does she have?
She has eleven years of professional experience working in hospital, school, and private practice settings.
What are her credentials and practice location?
She holds LISW-CP and LCSW credentials and practices in North Carolina.
Are sessions available in other languages or countries?
Sessions are offered in English. International clients are not currently accepted.
What session formats are offered?
Confirm current session options before booking, as specific formats are not listed in the profile.
How is cost handled?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What are the steps to begin working together?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.