Melissa McCauley-Burow, LPC, LMHC

Melissa McCauley-Burow is a licensed counselor who brings nearly two decades of direct therapy experience and more than 21 years working in the mental health field. She is credentialed as an LPC - Licensed Professional Counselor - in Missouri and as an LMHC - Licensed Mental Health Counselor - in Washington, and she has built a practice grounded in compassionate, person-focused care. Melissa meets people across the age spectrum and supports those facing stress, anxiety, addictions, grief, depression, relationship and attachment struggles, trauma and abuse, sleep difficulties, bipolar disorder, anger, ADHD, and many other life changes.

Her clinical style blends mindfulness practice with evidence-informed therapies such as Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help clients notice their present-moment experience, examine thought patterns, develop emotion-regulation skills, and adopt practical coping strategies. She also draws on attachment-based and client-centered principles to create a safe, collaborative space where each person is met where they are and guided toward greater well-being. Melissa holds additional training relevant to substance use and grief and has experience supervising clinicians.

Outside of her clinical work she is a parent of three adult children, enjoys writing and traveling, and maintains a daily mindfulness practice. She aims to walk alongside clients as they pursue a more content and fulfilling life.

Therapeutic Approaches and Online Care

Melissa integrates mindfulness practice, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy into her work. Mindfulness Therapy involves learning to focus on the present moment and notice thoughts, emotions, and body sensations without judgment - this approach can support people dealing with stress, anxiety, sleep difficulties, and grief. Cognitive Behavioral Therapy (CBT) helps clients identify and change unhelpful thought patterns and behaviors, which can improve mood and provide practical tools for depression, anxiety, and coping with life changes. Dialectical Behavior Therapy (DBT) emphasizes skill-building for emotion regulation, distress tolerance, and interpersonal effectiveness, and can be useful for intense emotions, relationship challenges, and patterns that interfere with daily functioning.

Choosing the right approach is a collaborative process. Melissa works with clients to understand their goals, needs, and preferences, and together they determine which combination of techniques fits best. The therapeutic plan can evolve as progress is made.

Online therapy with Melissa is offered via video calls, phone sessions, live chat, or text-based messaging, providing flexibility for different schedules and comfort levels. These options make it easier to access licensed professionals from home or elsewhere and to continue consistent care while managing other responsibilities.