01 · Who Melissa works with

Melissa works with stress, Anxiety, family conflicts and trauma and abuse

Melissa lists 13 specialisms and 23 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.

Hello! I am Melissa Romain, a licensed social worker with over 18 years of experience in the behavioral health field. I have worked in outpatient counseling and residential treatment settings and enjoy working with individuals who are looking to learn more about themselves and gain insight into their thoughts, feelings and behaviors. I have worked with individuals who have experienced depression, anxiety, trauma and abuse or neglect, substance use, parenting issues, and adjustment issues as well.

I attended graduate school at the Mandel School of Applied Social Sciences at Case Western Reserve University in Cleveland, Ohio and currently teach as an adjunct instructor there as well. My approach to working with clients is strengths based and client centered. I am trained in Trauma Focused Cognitive Behavioral Therapy, psychodynamic theory, and Trauma Informed Care. I believe that we are all the developers of our own path and my job is to help individuals develop skills and insight into how to make the best decisions for themselves each day.

Outside of being a therapist, I'm a dog mom to a 17 year old Pomeranian named Stanley and I enjoy yoga, kickboxing and weight lifting as my regular means of self care. I am currently only working limited weekend hours so please know that when looking to schedule. I look forward to working with you!

Melissa Romain, on the BetterHelp listing · read 9 Oct 2026

03 · How Melissa works

The 6 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.

Attachment-Based Therapy

Reads present-day relationship difficulty through the lens of how safety and closeness were learned early on. The therapeutic relationship itself is treated as part of the work, because it is where the pattern tends to show up first.

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”.

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.

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.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

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

4 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 Solution-Focused Brief Therapy and Attachment-Based 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 decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 15 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “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

LISW

Licensed in

Ohio

Licence

OH LISW I.0800245-SUPV

Licence number

I.0800245-SUPV

Licence expires

29 Jul 2028

NPI

1770615775

Years in practice

15

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 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 9 Oct 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.