01 · Who Merle works with

Merle works with stress, Anxiety, grief and anger management

Merle lists 12 specialisms and 20 further focus areas. Specialisms are the subjects Merle chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Merle's own words

What Merle says about the work

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

I am a social worker licensed at LCSW level in Mississippi. Sometimes we need someone to help us make needed changes or keep track of how we’re doing with the many ways we and our lives can change. Becoming a social worker was a midlife transition for me. “It’s never too late.” was a saying that became a mantra as I learned from challenges related to making a new life 30+ years ago. But now, with a stronger cognitive perspective, I’d change that to, “It’s not too late right now”. My cultural background is mixed. To me, each person is unique, but our common humanity makes us alike. My experience is broad including : outpatient, inpatient, IOP, home health and hospice. I take an eclectic approach towards working with others, so that I can fit what I offer to your individual needs. Modalities and techniques I can bring to our work include: humanistic, insight-oriented, cognitive behavioral, wholistic, and solution focused .

Merle Montalvo, on the BetterHelp listing · read 9 Oct 2026

03 · How Merle works

The 5 approaches Merle lists, in plain English

These are the clinical methods Merle lists. The descriptions are Maker Therapy's, not Merle'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 Merle runs a session.

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.

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

Merle 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 Merle'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 Merle at this point.

2. Naming Merle specifically

   BetterHelp matches algorithmically by default, so asking for Merle 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 Merle.

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 Merle

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

• “You list both Cognitive Behavioural Therapy and Psychodynamic 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 23 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

LCSW

Licensed in

Mississippi

Licence

MS LCSW C5031

Licence number

C5031

Licence expires

30 Apr 2027

NPI

1558753707

Years in practice

23

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Merle'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 Merle. 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.