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Melissa Guarnaccia, LISW-CP, LCSW

Licensed social worker specializing in anxiety and relationships
  • CBT and ACT
  • Family and relationships
  • Parenting workshops

About Melissa Guarnaccia

Melissa Guarnaccia is a psychotherapist with eleven years of clinical experience who helps people manage stress, anxiety, depression, relationship difficulties, family conflict, trauma, grief, and a range of other concerns. She is trained in Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Solution-Focused Therapy, and she brings an open-minded, relaxed, and non-judgmental approach while remaining action-oriented in her work with clients. She has experience supporting children, adolescents, and adults across hospital, school, and private practice settings.

Melissa holds the credentials LISW-CP and LCSW, indicating clinical social work licensure that authorizes her to provide therapeutic services. Her specialties include anxiety, depression, relationship and family issues, self-esteem concerns, trauma and abuse, grief, intimacy-related issues, eating concerns, anger, career-related challenges, and bipolar disorder. She also works with parenting challenges and is a certified instructor in Parenting with Love and Logic, offering workshops in her community.

Originally from Charlotte, North Carolina, Melissa earned a BA in Psychology from the University of North Carolina at Chapel Hill and a Master of Social Work from the University of North Carolina at Charlotte. She is married and is a mother to two boys, and the family includes a pug named Mabel. Melissa spends much of her free time outdoors with her family and enjoys travel and cultural experiences.

Areas of Expertise

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Cognitive Behavioral Therapy (CBT)

Frequently Asked Questions

How much experience does Melissa Guarnaccia have?

Melissa Guarnaccia has 11 years of experience.

Is Melissa Guarnaccia a licensed therapist?

Yes. She holds the credentials LISW-CP and LCSW. License details are SC LISW-CP 14816 and NC LCSW C006618.

In which languages does Melissa Guarnaccia provide therapy?

Therapy is provided in English.

Where is Melissa Guarnaccia located?

Melissa Guarnaccia is located in North Carolina.

How can I work with Melissa Guarnaccia as my therapist?

You can work with Melissa Guarnaccia through video calls, phone sessions, live chat, or text-based messaging.

Does Melissa Guarnaccia work with international clients?

Melissa Guarnaccia does not currently work with international clients.

How much does therapy with Melissa Guarnaccia cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Could Remote Therapy Be a Good Fit?



Many people wonder whether online therapy can make a real difference. For common concerns such as stress, anxiety, depression, relationship challenges, and life transitions, online therapy is often considered comparable to traditional in-person care in its potential to support meaningful change and coping.

One of the clearest benefits is flexibility - individuals can connect with a therapist in the format that works best for them, including video calls, phone sessions, live chat, or in-app messaging. This range of options can make it easier to fit therapy into a busy schedule, maintain continuity during life changes, and access support from a familiar setting.

Licensed professionals provide online services, and clients have the option to change therapists if they would like a different fit. For many people, remote therapy offers a practical, accessible way to pursue therapeutic goals with qualified therapists.

Ready to start therapy with Melissa Guarnaccia?

Take the first step toward a better you.