Melissa Annechino, LMHC

New York | Online sessions in New York | English | Book with Melissa »

Thoughtful Narrative-informed counseling

Details

Name	Melissa Annechino
Credentials	LMHC
Based in	New York
Licensed in	New York
Session format	Online
Languages	English
Years in practice	11

About Melissa

Melissa Annechino is a licensed mental health counselor (LMHC) based in New York. She focuses on helping people navigate self-esteem struggles, career shifts, compassion fatigue, and big life changes. Her approach is practical and person-centered, with room for reflection and real-life problem solving.

Melissa uses a mix of methods to match each person’s needs rather than a one-size-fits-all plan. She often draws on Narrative Therapy to help people rethink the stories they tell about themselves.

Background and approach

She also uses Cognitive Behavioral Therapy and mindfulness techniques to address unhelpful thoughts and build small, manageable habits. Clients can expect a calm, nonjudgmental space to talk through guilt, shame, and questions about life purpose. Melissa pays attention to workplace stress and women’s issues, and she supports people coping with Seasonal Affective Disorder and struggles around self-love.

Sessions aim to identify patterns and create steps that feel doable in daily life. With 11 years of clinical experience, Melissa blends lived insight with practical tools. She offers individual work and has experience with group counseling formats.

The focus is on helping people pause, reflect, and make changes that fit their values and routines. Her style is straightforward and encouraging. She helps people break old patterns and notice small shifts that lead to better days.

If someone wants to talk through confusion, grief, or next steps in work or life, she listens and helps outline a path forward.

What this therapist works with

Her listing names Self esteem, Career difficulties, Coping with life changes among the things Melissa works with, alongside the areas below.

Approaches listed

Narrative Therapy: Named in her listing among her approaches.
Cognitive Behavioral Therapy (CBT): Listed by Melissa among the ways she works.
Existential Therapy: Listed by Melissa among the ways she works.
Jungian Therapy: Listed by Melissa among the ways she works.
Mindfulness Therapy: Listed by Melissa among the ways she works.
Solution-Focused Therapy: Listed by Melissa among the ways she works.
Somatic Therapy: Listed by Melissa among the ways she works.
Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Melissa directly how much of the work is narrative and what a session usually looks like.

Narrative Therapy in this listing

Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.

If a narrative approach is what you are looking for, it is worth asking Melissa directly how she uses it and what a session usually looks like.

Online session options

How Narrative and Cognitive approaches work online

Melissa often uses Narrative Therapy to help people notice and revise the stories they tell about themselves. This approach focuses on language and meaning, and it can be useful for rethinking identities tied to shame, guilt, or old patterns.

She also uses Cognitive Behavioral Therapy to identify unhelpful thoughts and experiment with new behaviors. CBT provides concrete exercises to shift thinking and improve mood in everyday situations. Mindfulness techniques appear alongside these approaches to help people notice feelings and calm their reactions.

Finding the right approach is part of the process. Melissa will work collaboratively to see which methods match a person’s goals and preferences. Together they decide on steps, homework, or small experiments that fit the client’s life and values.

Online therapy offers flexibility for different needs. Video calls allow face-to-face conversation when visual cues matter. Phone sessions use less bandwidth and can be easier during a short break at work. Live chat and text-based messaging let people check in between sessions or use brief written reflections. These options make it simpler to fit therapy into a busy schedule while still working with a licensed professional.

Common questions about this listing

What concerns does she help with?

She helps people with self-esteem, career changes, coping with life transitions, and compassion fatigue. Additional focus areas include guilt and shame, life purpose, Seasonal Affective Disorder, self-love, women's issues, and workplace problems.

How would you describe her therapeutic style?

Her style blends Narrative Therapy with cognitive and mindfulness tools. Sessions tend to be conversational and practical, focusing on stories, thoughts, and small steps that change daily life.

What is her background and experience?

She has 11 years of clinical experience working in the helping professions. Melissa draws on a variety of theories to better understand people’s struggles and resilience.

Where is she based and what credential does she hold?

She practices from New York and holds the LMHC credential, listed as NY LMHC.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with her?

She is not currently accepting international clients.

What session formats are available?

She works through video calls, phone sessions, live chat, and text-based messaging to fit different schedules and preferences.

How are costs and starting therapy handled?

Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time. To begin, use the Start Therapy button, complete the short matching questionnaire, and schedule according to the therapist's availability.

Contacting this therapist

Sessions with Melissa are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Melissa where she has space. Ask about fees, and whether she holds a licence or registration where you live.

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