Melissa Guarnaccia, LISW-CP, LCSW

North Carolina · 11 years in practice

Melissa Guarnaccia uses practical, action-focused therapy to help people move past stuck points.

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 the license with the issuing state board, and the NPI with the national registry.

About Melissa

Melissa Guarnaccia uses practical, action-focused therapy to help people move past stuck points. She names simple goals and works step-by-step toward them. Melissa brings 11 years of experience as a licensed clinical social worker and keeps sessions straightforward and down-to-earth.

Her approach centers on tools from Cognitive Behavioral Therapy, which looks at thoughts and behaviors, and Acceptance and Commitment Therapy, which helps people live by their values even when feelings are hard.

Background and approach

Sessions mix talking, skill-building, and real-world exercises to practice between meetings. Melissa has provided care in hospitals, schools, and independent practice settings. That variety shaped her ability to adapt strategies to different life situations.

She often helps people who are coping with anxiety, depression, stress, grief, trauma, and relationship or family concerns. Parents seeking help for parenting strain can expect clear, practical ideas and options to try at home. Melissa also addresses issues such as self-esteem, anger, intimacy-related questions, eating concerns, career stress, and mood conditions like bipolar disorder.

She lives in North Carolina and draws on local experience when helping people find resources and next steps. Melissa keeps a warm, open manner while encouraging small, doable changes that add up over 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 online

Acceptance and Commitment Therapy, or ACT, focuses on helping people notice their thoughts and feelings without getting pushed around by them and then take action that matches their values. It can be useful for anxiety, depression, grief, and relationship concerns by moving attention toward what matters most.

Cognitive Behavioral Therapy, or CBT, looks at the patterns of thought and behavior that keep problems going and teaches concrete skills to change them. CBT often includes homework exercises, tracking moods or behaviors, and testing new ways of responding to stress or triggers.

Finding the right approach is part of the process. Melissa will work collaboratively to choose techniques that fit a person’s goals and daily life. She combines talking, skill practice, and small experiments to see what helps most, and adjusts the plan as progress occurs.

Online therapy offers flexible options like video calls, phone sessions, live chat, and text messaging. Video is useful when body language or a longer conversation helps, phone can be easier if bandwidth is limited, and messaging or chat can fit quick check-ins or brief skill coaching between sessions. These formats make it simpler to fit therapy into work, parenting, or travel schedules while keeping the focus on practical steps and progress.

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Questions people ask

What kinds of concerns does Melissa address?

She helps people with stress, anxiety, depression, relationship and family concerns, trauma and abuse, grief, self-esteem, intimacy-related issues, eating concerns, anger, career stress, and bipolar disorder.

What is her therapy style like?

Her style is relaxed and non-judgmental but action-oriented. Sessions combine conversation with practical exercises to try between meetings.

How much experience does she have?

Melissa has eleven years of clinical experience working in hospital settings, schools, and independent practice environments.

Where is she based and what credentials does she hold?

She practices in North Carolina and holds the credentials LISW-CP and LCSW as listed in her profile.

Which languages are sessions offered in?

Sessions are offered in English.

What session formats are available?

Therapy is offered via video calls, phone sessions, live chat, and text-based messaging to fit different schedules and preferences.

How do costs and billing work?

Costs vary 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, completing a short matching questionnaire, and then scheduling based on therapist availability.

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