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- Stress and anxiety
- Relationship issues
- Trauma and abuse
About Melissa
LIMHP, LMHP licensed in Nebraska with 13 years of experience, Melissa Silva focuses on stress, anxiety, relationships, trauma and abuse, and depression. She describes her work as creating an open space for people to speak about their thoughts and feelings without judgment. Melissa aims to support people who are ready to make change and take practical steps toward feeling better.
Melissa uses several evidence-based methods to address everyday struggles. She draws on Acceptance and Commitment Therapy (ACT) to help people notice difficult thoughts, choose values that matter, and take small meaningful actions. She also uses Cognitive Behavioral Therapy to identify unhelpful thinking and behavior patterns and to teach skills for managing anxiety and mood. Emotionally-Focused ideas guide conversations about attachment and relationship patterns.
Sessions are conversational and focused on real-world strategies. Melissa listens for patterns such as codependency, control issues, and communication problems, then suggests manageable skills to try between meetings. She pays attention to how guilt, shame, or impulsivity show up in daily life and works to make those issues concrete and addressable.
Her background includes long-term clinical work in Nebraska settings. Melissa has helped people cope with grief, addiction concerns, compassion fatigue, and major life changes. She also supports those dealing with intimacy-related issues, social anxiety, and women’s concerns.
People who value practical tools alongside reflective conversation may find this approach useful. To begin, she asks people to complete a brief questionnaire and schedule a first session so the pair can agree on goals and a working plan.
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How these approaches translate to online work
Acceptance and Commitment Therapy helps people notice painful thoughts and choose actions that match their values. Online sessions using ACT typically focus on small behavioral experiments and practice between meetings to build momentum for change.Cognitive Behavioral Therapy looks at the links between thoughts, feelings, and actions. In an online setting CBT sessions often include skill teaching, thought records, and short homework exercises to try during the week, which the therapist reviews together with the client.
Finding the right approach is part of the work. Melissa will collaborate with each person to decide which methods fit their goals and preferences. That decision is revisited as progress is made and needs shift.
The original biography does not specify which session formats she offers. Confirm current session options before booking so you know what mode of meeting is available. Many people find remote sessions help fit therapy into a busy day, allow shorter check-ins, or reduce travel time, and Melissa focuses on practical skills and follow-up tasks that fit with clients' everyday routines.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
13+ years
Listed in
Nebraska
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, relationship issues, trauma and abuse, depression, addictions, grief, and related concerns such as codependency, attachment issues, and social anxiety.
What methods does she use in sessions?
She practices Acceptance and Commitment Therapy, Client-Centered approaches, Cognitive Behavioral Therapy, Dialectical Behavior Therapy ideas, and Emotionally-Focused Therapy techniques.
How much clinical experience does she have?
She has 13 years of professional experience working in clinical settings.
What are her credentials and where is she based?
She holds the credentials LIMHP and LMHP and practices in Nebraska.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
She does not accept international clients at this time.
How are sessions structured and what formats are offered?
The original biography does not list session formats. Confirm current session options before booking.
How does cost and scheduling work?
Cost varies by location and sessions use a subscription that can be canceled at any time. To start, complete the short matching questionnaire and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.