Melissa Guarnaccia, LISW-CP, LCSW

Licensed in North Carolina · 11 years in practice

Melissa Guarnaccia is a licensed clinical social worker who uses practical, action-focused therapy to help people make changes that matter.

License and registration

LCSW, North Carolina: C006618 · expires November 2026
LISW-CP, South Carolina: 14816 · expires December 2026
NPI: 1467778043 · national provider identifier
Years in practice: 11
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Melissa

Melissa Guarnaccia is a licensed clinical social worker who uses practical, action-focused therapy to help people make changes that matter. She brings eleven years of experience and a calm, open-minded manner to sessions. Melissa speaks English and provides services from North Carolina.

Her main approaches are Cognitive Behavioral Therapy and Acceptance and Commitment Therapy. In sessions she helps people notice unhelpful thoughts, try new behaviors, and clarify what matters most to them.

Background and approach

She balances talking and skill-building so clients leave with concrete steps to practice between meetings. Melissa has worked in hospitals, schools, and independent practice settings. That range gives her experience with common life struggles such as anxiety, depression, grief, and relationship stress.

She also helps people managing family conflict, parenting strain, eating concerns, anger, career questions, bipolar mood challenges, trauma and intimacy-related issues. Her style is relaxed and nonjudgmental, while remaining focused on progress. Sessions are collaborative; she and the client set goals together and track small wins.

Melissa also offers workshops using the Love and Logic parenting approach in community settings. To start, clients complete a short matching questionnaire and then schedule sessions based on availability. Therapy sessions are offered through video calls, phone, live chat, or text messaging using a subscription that can be canceled at any time.

Focus areas and approaches

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

Stress, Anxiety
Family conflicts
Self esteem
Depression
Relationship issues
Trauma and abuse
Grief
Intimacy-related issues
Eating disorders
Anger management
Career difficulties
Bipolar disorder

Approaches Melissa names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How ACT and CBT work in online therapy

Acceptance and Commitment Therapy (ACT) focuses on helping people notice their thoughts and feelings without getting stuck in them, then take actions that match their values. It can be useful for anxiety, depression, grief, and relationship concerns by clarifying what matters and building committed steps toward it.

Cognitive Behavioral Therapy (CBT) teaches practical skills to change unhelpful thinking and behavior patterns. CBT is often used for stress, panic, low mood, eating concerns, anger, and many day-to-day problems because it breaks big issues into manageable steps.

Finding the right approach is part of the work. The therapist will talk with the client about goals and preferences, then try methods that fit those needs. Sessions are collaborative and adjust over time based on what helps the person make steady progress.

Online therapy offers flexible ways to connect. Video calls let the therapist and client see each other and work through exercises together. Phone sessions are useful if video is difficult or bandwidth is limited. Live chat and text messaging can support short check-ins, homework review, or ongoing coaching between longer sessions. These options make it easier to fit therapy into busy schedules and changing routines.

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Questions people ask

What concerns does Melissa commonly address?

She works with stress, anxiety, depression, grief, relationship issues, trauma and abuse, eating concerns, anger, career questions, bipolar mood challenges, intimacy-related issues, and family conflict.

What is her therapy style like?

Her approach is relaxed and nonjudgmental while staying action-oriented. Sessions combine conversation with practical skills to try between meetings.

How much experience does she have?

She has eleven years of clinical experience working in hospital, school, and independent practice settings.

What credentials and location are listed?

She holds LISW-CP and LCSW credentials and practices from North Carolina.

Are sessions offered in other languages or internationally?

Sessions are offered in English. International clients are not currently accepted.

Which session formats are available?

Therapy is available by video calls, phone sessions, live chat, or text-based messaging.

How is cost handled for sessions?

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

What are the first steps to begin therapy?

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

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