- Stress and anxiety
- Trauma and EMDR
- CBT and DBT skills
About Melissa
Melissa Pierce is an LPC licensed in Texas and has 20 years of professional experience in mental health. She works with adults facing stress, anxiety, addictions, LGBT concerns, trauma and abuse, anger, relationship and intimacy issues, sleep problems, and depression.
Melissa takes a straightforward approach in sessions. She listens, asks clear questions, and helps people set practical goals. Conversations focus on what matters most now - managing symptoms, improving relationships, and building routines that fit daily life.
Her work draws on methods that promote active problem solving and emotional regulation. Melissa uses client-centered techniques to keep sessions focused on each person’s priorities. She also uses cognitive behavioral tools to change unhelpful thinking and DBT skills for managing strong emotions.
For trauma-related concerns she incorporates EMDR elements where appropriate to address distressing memories. Existential ideas are used when people are wrestling with meaning, responsibility, or life direction after big changes.
Sessions are direct and practical. Expect clear suggestions, skill-building exercises, and check-ins about what’s working. The goal is better day-to-day functioning - from sleep and mood to how a relationship feels and how stress is handled.
Online sessions and therapeutic approaches
Melissa commonly uses client-centered work, cognitive behavioral therapy (CBT), and dialectical behavior therapy (DBT) in her practice. Client-centered work focuses on the client’s priorities and uses listening and reflection to clarify goals. CBT looks at patterns of thought and behavior and teaches practical techniques to change them. DBT provides concrete skills for managing intense emotions, improving relationships, and tolerating distress.Choosing the right approach is something the therapist does together with the client. Melissa will review goals, current difficulties, and preferences and then recommend methods to try. That recommendation is revisited regularly so the plan can change as needs shift.
The therapist’s biography did not list specific online formats. Before booking, confirm which session types are offered. Online options can make it easier to fit therapy into a work or school day, allow shorter check-ins when needed, and reduce travel time. They can also let someone choose audio-only or video depending on bandwidth, comfort, or the kind of session planned. Licensed professionals can adapt CBT and DBT exercises to a remote setting and use EMDR-informed methods for trauma work when appropriate.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Texas
Languages
English
Frequently asked questions
What issues does she help with?
She works with stress, anxiety, addictions, LGBT concerns, trauma and abuse, anger, relationship and intimacy issues, sleeping problems, and depression. Additional focuses include attachment, body image, caregiving stress, chronic illness, and related topics.
How would you describe her therapy style?
Her style is client-centered and practical. Sessions emphasize clear goals, skill-building, and problem-solving rather than only talking about feelings.
How much experience does she have?
She has 20 years of professional experience in the mental health field. That spans a range of common adult concerns and therapeutic methods.
What are her credentials and where is she based?
She holds the LPC credential and is licensed in Texas. Her practice and licensure are in Texas.
Can I work with her if I live outside the United States?
International clients are not currently accepted. Sessions are offered in English and limited to clients within applicable service areas.
What session formats are offered?
The original biography does not list specific session formats. Confirm current session options before booking to know whether video or phone sessions are possible.
How much do sessions cost?
Cost varies with location and the practice uses a subscription that can be canceled at any time. Check the booking flow for exact pricing details where you live.
How do I get started with a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That process connects you to the therapist and lets you book an initial appointment.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.