01 · Who Melissa works with

Melissa works with stress, Anxiety, LGBT and parenting issues

Melissa lists 10 specialisms and 19 further focus areas. Specialisms are the subjects Melissa chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Melissa's own words

What Melissa says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a retired 20yr military veteran, raised 4 girls on my own (I am a "self-proclaimed certified" parental management provider with a PHD (Parental Home Degree) because I survived parenting after they left the house!! Lol.), licensed in Colorado and California with over 12 years of professional therapy work experience and over 24 years of mental health experience. I am a certified Anger Management and Emotional Intelligence Instructor.

DISCLAIMER: I am a "Reality Therapist." I am also going to challenge you. I can be blunt, but harmless. :-). If you are ready for a healthy challenge to think about changing things for yourself, improve your quality of life, and/or needing some uplifting/empowerment, I am that Therapist!

What this means is, reality therapy sees current behavior as choices, and it teaches us that while we cannot control how we feel, we can control how we think and behave. We choose to behave in certain ways and these choices can help or hamper the ability to satisfy essential needs and reach individual goals.

This type of therapy also uses choice theory, the behaviors we choose are key to our accountability and who we are. The goal of this type of therapy is to help people take control of improving their own lives by learning to make better choices. (Psychology Today). I engage clients with cognitive reframing helps to have you look at your situation from a different perspective.

I have also provided support to clients needing help managing stress and anxiety/panic attacks, anger, motivation, self-esteem, improving confidence, and depressive symptoms.

I believe in treating everyone with respect, sensitivity, and compassion. I will tailor your session and goals to meet your specific needs.

Taking the first step to seeking a more fulfilling and happier life takes courage and I am here to support you in that process. Just remember, mistakes are proof that you are trying your best. Thank you for allowing me to help you!

Melissa Fletcher, on the BetterHelp listing · read 7 Nov 2026

03 · How Melissa works

The 7 approaches Melissa lists, in plain English

These are the clinical methods Melissa lists. The descriptions are Maker Therapy's, not Melissa's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Melissa runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Melissa practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Melissa's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Melissa at this point.

2. Naming Melissa specifically

   BetterHelp matches algorithmically by default, so asking for Melissa is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Melissa.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

2 questions worth asking Melissa

Built from what Melissa actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Melissa's - Melissa has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

California

Licence

CA LCSW 136996, CO LCSW CSW.09928936

Licence number

CSW.09928936

Licence expires

31 Aug 2027

NPI

1366961955

Years in practice

12

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Melissa's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Nov 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Melissa. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.