About Melissa
Melissa Annechino is a licensed mental health counselor who uses thoughtful therapy to help people facing change and overwhelm. She works with clients on self-esteem, career questions, compassion fatigue, and coping with life transitions. Her style is straightforward and caring, aimed at making progress in simple, real ways.
She blends practical tools with deeper reflection. Cognitive Behavioral Therapy (CBT) is used to spot and shift unhelpful thinking patterns. Mindfulness and narrative techniques help clients notice recurring themes and tell their story in new ways.
Background and approach
Jungian and existential ideas are woven in when exploring meaning, identity, and purpose. Melissa brings 11 years of clinical experience in New York to her work as an LMHC. That background includes helping people unpack guilt, shame, Seasonal Affective Disorder, workplace stress, and issues many women name as important.
She listens without judging and helps clients set small, doable goals. Sessions focus on what feels useful day to day. Some people begin with skill-based steps such as mood tracking or thought records.
Others spend time clarifying values, life purpose, or patterns that keep them stuck. Group and individual formats are options when appropriate. The approach is collaborative.
Melissa will help you notice what’s working, what isn’t, and try different strategies until something fits. The pace is decided together so progress feels manageable and relevant.
Approaches for change offered online
Melissa uses Cognitive Behavioral Therapy and Mindfulness Therapy in many online sessions. CBT helps people notice thinking patterns that feed anxiety or low mood and then try small behavioral or thinking changes to test new outcomes. Mindfulness Therapy teaches simple attention and breathing practices that reduce reactivity and help people stay present during stressful moments.She also brings in Narrative Therapy when people want to reframe their life story. Narrative work helps separate a person from a problem, so shame or guilt no longer defines who they are, and it can be useful for examining recurring career or relationship themes.
Choosing the right approach is part of the work. Melissa will talk with clients about goals, preferences, and how they respond to different methods. Together they adjust strategies over time, aiming for practical steps that feel doable and meaningful.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video calls can support face-to-face conversation and visual cues. Phone sessions use less bandwidth and can fit into a busy day. Chat or text messaging can be useful for short check-ins, reflections between sessions, or when someone prefers typed communication. These options make it easier to keep therapy consistent around work, family, and life demands.
Frequently asked questions
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Specialties and expertise
Top specialties
- Self esteem
- Career difficulties
- Coping with life changes
Also works with
Therapeutic approaches
- Experience
- 11 years
- Licensed
- New York
- Languages
- English