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LPC, LMHC

Melissa McCauley-Burow, LPC, LMHC

  • Experience18 years
  • LocationMissouri
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesAttachment-Based Therapy and Client-Centered Therapy
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About Melissa

Melissa McCauley-Burow brings an integrative, person-focused approach to therapy, combining client-centered care with evidence-based techniques such as CBT and mindfulness to help people navigate stress, mood concerns, addiction, grief, and ADHD.

Background and approach

As an LPC and LMHC with 18 years of clinical experience, she emphasizes practical skills and reflective work to support improved coping, clearer thinking, and more satisfying day-to-day functioning. Her practice blends attachment-based ideas with dialectical and cognitive strategies, helping clients explore relational patterns, manage intense emotions, and shift unhelpful thoughts.

Melissa’s background includes work with mood disorders, trauma, chronic pain and illness, end-of-life concerns, and substance use challenges, and she draws on a range of tools to tailor care to each person’s situation. Licensed in Missouri (MO LPC 2009010209) and Washington (WA LMHC LH61433332), Melissa centers collaboration and mindfulness in her therapeutic style.

She aims to meet people where they are, build practical skills, and support gradual, sustainable change toward a more balanced and meaningful life.

Integrating therapeutic approaches into online care



Melissa commonly uses cognitive behavioral therapy (CBT) to help clients identify and change unhelpful thinking and behavior patterns, offering concrete exercises to reduce symptoms of anxiety, depression, and trouble with focus. She also uses mindfulness therapy to teach present-moment awareness and acceptance skills that can ease stress, improve emotional regulation, and support better sleep and concentration. Attachment-based therapy informs work on relational patterns, helping people understand how early bonds affect current relationships and communication.

Choosing the right method is collaborative; the therapist works with each person to assess goals, preferences, and needs, and then adapts techniques over time. That shared process helps determine whether more skills-based CBT, mindfulness practice, or attachment-focused exploration will be most useful for a given concern.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which make it easier to fit therapy into busy schedules and maintain continuity of care when in-person options are limited. These options allow licensed professionals to deliver structured interventions, skills coaching, check-ins, and reflective conversations in ways that can be flexible and accessible for many people.

Frequently asked questions

What kinds of concerns does Melissa address?
Her work covers stress, anxiety, depression, addictions, grief, self-esteem, relationship and trauma issues, bipolar disorder, sleep problems, anger, and ADHD, along with related areas such as chronic pain and hospice counseling.
What is her overall therapeutic style?
She blends client-centered care with evidence-based methods like CBT, DBT, mindfulness, attachment-based work, and motivational interviewing to provide practical skills and reflective exploration.
How much clinical experience does she have?
She has 18 years of therapy experience and a longer history in the mental health field, which informs a range of clinical approaches and interventions.
What credentials and location should I know about?
Melissa holds LPC and LMHC credentials and is licensed in Missouri under MO LPC 2009010209 and in Washington under WA LMHC LH61433332, and she practices from Missouri.
Does she provide services in multiple languages or accept international clients?
Sessions are offered in English, and she is not accepting international clients at this time.
Which session formats are available?
Clients may meet through video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How are fees and payment handled?
Cost varies by location and therapist availability, and sessions are provided via a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Start by selecting the Start Therapy button, completing a brief matching questionnaire, and then scheduling sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsGriefSelf esteemDepression

Also works with

Relationship issuesTrauma and abuseSleeping disordersAnger managementBipolar disorderCoping with life changesADHD

Additional focus areas

Aging and geriatric issuesAttachment issuesChronic pain, illness, and disabilityCommunication problemsCoping with natural or human-caused disasterDrug and alcohol addictionFamily of origin issuesGuilt and shameHospice and end-of-life counselingMood disordersSelf-harm

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

18+ years

Licensed

Missouri, Washington

Languages

English

What Melissa can help with

Melissa McCauley-Burow works with clients on stress and anxiety, addictions, grief, self esteem, and depression.

How Melissa approaches therapy

Melissa's clinical approaches include Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Motivational Interviewing, and Solution-Focused Therapy.

Experience and training

Melissa is a Licensed Professional Counselor practicing in Missouri.