Works with
How Melissa works
Practical facts
- Credentials
- LPC, LMHC
- Licensed in
- Missouri, Washington
- Years in practice
- 18
- Languages
- English
- Session format
- Online, through our partner platform
About Melissa
Melissa McCauley-Burow is a Licensed Professional Counselor (LPC) and Licensed Mental Health Counselor (LMHC) with 18 years of clinical experience. She offers practical, down-to-earth support for people feeling overwhelmed by stress, anxiety, anger, depression, addiction, or major life changes. Her style is calm and steady, focused on helping clients find tools that fit their daily life.
She uses approaches that help people notice what they think and feel, and then change what gets in the way.
Background and approach
Cognitive Behavioral Therapy helps identify unhelpful thought patterns and replace them with more constructive ones. Dialectical Behavior Therapy introduces concrete skills for managing intense emotions and improving relationships. Attachment-Based Therapy is part of her work when relationship patterns or early losses shape current reactions.
Melissa helps people understand how past connections influence present behavior and builds new ways of relating. She blends mindfulness practices into sessions so clients learn to slow down, notice what’s happening in the body, and respond rather than react. Melissa has worked across many concerns including grief, sleeping problems, bipolar mood symptoms, ADHD, chronic illness, and substance issues.
She also supports people facing family of origin struggles, communication breakdowns, guilt, and end-of-life questions. Her approach is collaborative - she listens first, then introduces skills and homework that match each person’s goals. She practices in Missouri and offers sessions in English.
People who want clear, practical steps and steady emotional support often find her approach useful.
What Melissa works with
Everything Melissa lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Melissa's practice.
- Stress, Anxiety
- Addictions
- Grief
- Self esteem
- Depression
- Relationship issues
- Trauma and abuse
- Sleeping disorders
- Anger management
- Bipolar disorder
- Coping with life changes
- ADHD
- Aging and geriatric issues
- Attachment issues
- Chronic pain, illness, and disability
- Communication problems
- Coping with natural or human-caused disaster
- Drug and alcohol addiction
- Family of origin issues
- Guilt and shame
- Hospice and end-of-life counseling
- Mood disorders
- Self-harm
Approaches Melissa lists
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches shape online care
Melissa combines cognitive behavioral work and mindfulness in online sessions to give clear, usable tools. Cognitive Behavioral Therapy helps clients spot and adjust thoughts that feed anxiety or anger, and then practice different responses. Mindfulness Therapy teaches simple attention and breathing skills to reduce reactivity and improve focus in daily life.Choosing the right approach is a collaborative process. The therapist listens to your goals and current struggles and then suggests methods that suit your needs. You and the therapist can try an approach for a few sessions and adjust as you learn what works best together.
Online sessions are offered by licensed professionals using video calls, phone sessions, live chat, or text-based messaging. Video is useful for deeper conversation and skill practice. Phone sessions are good when lower bandwidth or hands-free options are needed. Live chat and text messaging work for quick check-ins, skill reminders, and brief coaching between longer sessions. These options make therapy more flexible, fitting work breaks, caregiving schedules, or days when getting to an office is difficult.
Questions people ask about Melissa
What concerns does Melissa help with?
She works with stress, anxiety, anger, depression, addictions, grief, and several other concerns such as sleeping problems, bipolar mood issues, and ADHD.
What is her therapy style like?
Sessions are practical and collaborative, using clear tools from approaches like CBT, DBT, and mindfulness to manage emotions and change unhelpful patterns.
How much clinical experience does she have?
She brings 18 years of clinical experience to her counseling work, having supported people with a wide range of life challenges and mental health concerns.
What credentials and location are listed?
She holds LPC (Licensed Professional Counselor) and LMHC (Licensed Mental Health Counselor) credentials and practices in Missouri.
In which languages are sessions offered?
Sessions are offered in English only and international clients are not accepted at this time.
What formats are available for sessions?
She provides multiple online options including video calls, phone sessions, live chat, and text-based messaging to fit different needs.
How does billing and cost work?
Cost varies with location and therapist availability; sessions use a subscription model 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 schedule sessions based on the therapist's availability.