Melissa Russiano


About Me

Greetings and welcome to Better Help! It takes a lot of courage to ask for help and just by coming to this site, you've taken the first step towards change. As a counselor I am here to support and empower you as you take that step. Whether you work with me or another counselor, I hope you find what you are looking for.

I am a Licensed Clinical Social Worker in Pennsylvania (soon to be dual licensed in the state of Ohio) with over 20 years of experience. I have helped individuals with a wide variety of concerns including depression, anxiety, post-partum, eating disorders, self-harm, and relationship issues. I also have training in working with individuals who have experienced trauma or abuse.

My counseling style is warm and empathetic. I believe in treating everyone with respect and compassion. I also believe that YOU are the expert on you and your needs, so I will let you set the pace for counseling. I will encourage you to grow, but will never push you more than you are ready for. My approach combines cognitive-behavioral, dialectical-behavioral, and solution-focused therapy. I will tailor our dialog and treatment goals to meet your unique and specific needs.

I look forward to working with you & regardless of who you choose to work with remember that you are worth the change you are seeking!



  • Stress, anxiety
  • Relationship
  • Trauma and abuse
  • Self esteem
  • Depression
Years of Experience: 23


LCSW #CW014975 (Expires: 2019-02-28)


Written by P.A on Feb 27, 2017 after counseling with Melissa for 3 weeks depression, stress, anxiety, relationship, trauma and abuse, and eating

Melissa is a fabulous counselor. She listens, she is insightful, she always responds in a timely manner. She continues to work with you until you get to the root of the issue.

Written by C.O on Feb 22, 2017 after counseling with Melissa for 2 days depression, stress, anxiety, and relationship

I feel safe talking with Melissa.

Written by F.R on Jan 31, 2017 after counseling with Melissa for 4 weeks stress, anxiety, relationship, and self esteem

Melissa is a genius, she helped me through issues that I would have never managed alone, my experience with her was amazing, she is very dedicated and caring, and she offers her professional help generously. I totally recommend her.

Written by J.U on Jan 24, 2017 after counseling with Melissa for 1 month relationship, and self esteem

One of the weaknesses of synchronous (live, face-to-face) therapy is its inefficiency. The therapist might ask a challenging question and it might take the remainder of the (45-minute?) session to work through the answer. Then, the session is done, you've accomplished little, and you wait a week for further progress (during which any progress may or may not regress). eliminates this problem by leveraging asynchronous therapy, and Melissa knows how to use this to the benefit of the client. We can accomplish 3 or 4 deep, challenging back-and-forth dialogues in the same time (and cost) that it would take to cover one short topic in a face-to-face environment, because we're not constrained by one short session. In fact, I am the bottleneck in this relationship more often than she is, as she is astoundingly quick to respond with helpful information, and I'm the one who needs to find time to thoughtfully evaluate and respond to her questions.

2 months in, this has been the most efficient and effective therapy experience that I have ever been a part of.

Written by J.A on Dec 05, 2016 after counseling with Melissa for 2 weeks depression, stress, anxiety, relationship, sleeping, and self esteem

Super knowledgeable and professional. She seems like she actually cares about helping you, and has alot of resources to help.

Written by R.I on Dec 01, 2016 after counseling with Melissa for 3 weeks stress, anxiety

The only thing you need to know about Melissa is that she asks the right questions - the ones that will get you thinking on the right track again.

Written by J.J on Nov 19, 2016 after counseling with Melissa for 1 week depression, relationship, and self esteem

I was iffy about starting to speak with a counselor online, but as I began to speak regularly with Melissa, I realized this was the best decision I could have made. Melissa is very insightful and gives me a chance to figure things out for myself. She helps push me in the right direction with my thoughts. Also, being a Christian myself, it is so awesome that she is able to provide me with insights that are grounded in spirituality as well. She is truly wonderful!!

Written by M.A on Nov 11, 2016 after counseling with Melissa for 3 weeks depression, stress, anxiety, trauma and abuse, and anger

Melissa is absolutely fantastic. She listens, understands and is incredibly helpful with dealing with all sorts of matters.

Written by J.E on Oct 27, 2016 after counseling with Melissa for 2 weeks stress, anxiety, and relationship

I was able to open up to Melissa right away. Her ability to instantly understand me and ask the right questions is very impressive. I didn't think something like this could genuinely help someone but with careful context and communication you can still gain the outcome as an office setting. Her exercises and challenges are great, making me think and challenge myself. She's been great to work with and my anxiety attacks have left completely since I've been able to open up to her.

Written by A.N on Oct 21, 2016 after counseling with Melissa for 2 weeks relationship, trauma and abuse, and self esteem

She is very compassionate and understanding, like an angel. It is very important and comforting to know that she really cares. I would highly recommend her! :)

Written by J.O on Aug 27, 2015 after counseling with Melissa for 1 month stress, anxiety, relationship, family, grief, sleeping, self esteem, anger, and depression

Melissa is amazing! She's always got great advice to help me with my anxiety and depression. She always responds so quickly, and checks in if I haven't written her in a while. She is definitely very inspiring to me!

Written by M.A on Jul 19, 2014 after counseling with Melissa for 3 weeks stress, anxiety, relationship, self esteem, career, and depression

I would highly recommend Melissa Russiano to anyone looking for a counselor. It's evident that she is compassionate about helping others and has her patients' best interest at heart. I feel very comfortable talking to her.

Written by R.O on Apr 12, 2014 after counseling with Melissa for 3 weeks

Very kind, very helpful. Nice to have someone to talk to, who has your best interest in mind. :)