Melissa Russiano

Therapist Melissa Russiano Photo

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, Ohio, and Tennessee with over 20 years of experience. I have helped individuals with a wide variety of concerns including depression, anxiety, postpartum depression, eating disorders, self-harm, and relationship issues. I also have training in working with individuals who have experienced trauma or abuse.

More importantly to me, is that my interventions and styles are grounded in my personal beliefs and faith in Christ. My favorite scripture is “For I know the plans I have for you says the Lord. Plans to bring you hope and a future and not to bring you harm.” Jer. 29:11-13. My personal and professional life is lived through this lens – God has a plan for you! No matter what you have been through or what you are dealing with, His plan far surpasses anything we can develop in our human form. Through this lens, there is never judgment, no shame, no guilt and only a fellow Christian walking through the pain with you to get you where you want to be. No bible beating, no memory verse assignments, and once again (because I cannot stress it enough!!!) no judgment.

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 issues
  • Self esteem
  • Depression
Also experienced in:
Family conflicts , Trauma and abuse , Parenting issues
Years of Experience: 25

Services Offered

  • Messaging

  • Live Chat

  • Phone

  • Video


LCSW #CW014975 (Expires: 2023-02-28)

LISW #I-1440174 (Expires: 2022-03-18)

LCSW #6255 (Expires: 2023-08-31)


Written by J.E. on Nov 09, 2021 after therapy with Melissa for 4 years and 2 months

I am thrilled to say that after four years of hard work and tackling, breaking down and processing many complex relational issues one at a time, I am experiencing the healing and joy we have hoped and prayed for. Many of the issues were beyond my control, but even so, learning self care, boundaries and to trust myself again has impacted my whole family and the businesses I run in the process for the better. The unwavering support and wisdom Melissa has shown weekly to hold boundaries and stay the course has been absolutely instrumental. Thank you, and I am looking forward to the next leg of the healing journey with God and the support of my counselor!

Written by J.O. on Jul 28, 2020 after therapy with Melissa for 1 month

I loved working with her!

Written by K.R. on Aug 06, 2019 after therapy with Melissa for 3 weeks

Competent, professional, intuitive and compassionate. She comes with years of experience in many areas and was a very good fit for what I needed!

Written by L.I. on Nov 25, 2018 after therapy with Melissa for 2 weeks

Melissa is the most amazing counselor I’ve ever worked with. I actually look forward to our video sessions. She is truly a blessing.

Written by T.I. on Sep 04, 2018 after therapy with Melissa for 2 months

Melissa is a caring and wonderfully in-tune counselor. She asks questions that get to the bottom of your needs. She also offers great advice and strategies to help you in all areas.

Written by M.A. on Aug 30, 2018 after therapy with Melissa for 5 months

Melissa has been a great help to me in a very difficult and challenging situation. She gives me hope and direction. Thank you for your support.

Written by S.H. on Aug 02, 2018 after therapy with Melissa for 10 months

Melissa is a very dynamic and patient counselor. My case has proven to be strange, difficult, ever changing and probably very frustrating for her but she has evolved every time my situation changes, met me where I am and continued to try to help me move beyond my struggles.

Written by M.E. on Apr 30, 2018 after therapy with Melissa for 4 months

Melissa seems like a great person. She seems to care deeply about the people she works with. She has assured me that she is here for the long haul and that helps me. Sometimes I say things that I think would make someone judge me harshly and she doesn't. Nothing seems to shock her. I've never felt more alone in my life and she does a great job of making me feel someone is out there. She is a great addition to a team I am working with to help me. I pray that it all works. Thank you Melissa.

Written by L.I. on Apr 26, 2018 after therapy with Melissa for 2 weeks

Melissa Russiano has been great at responding to messages, addressing different things I’m going through, and goes completely at a pace I’m comfortable with. Nothing seems too big or small, she also gives good ideas and constructive help for me to work with and feel comfortable with.

Written by N.A. on Feb 06, 2018 after therapy with Melissa for 2 weeks

Melissa is so easy to talk to and makes herself available when I need her. She is helping me through the single most difficult time in my marriage. Her dedication is unmeasurable!

Written by A.L. on Feb 04, 2018 after therapy with Melissa for 2 weeks

Melissa is a great counselor to work with. She gives me thoughtful advice and asks questions that make me think harder about the topics we are discussing. She checks in on me if I do not reply for a couple of days, and she responds quickly. I highly, highly recommend her.

Written by L.O. on Jan 26, 2018 after therapy with Melissa for 2 weeks

Melissa is a great listener and is very insightful.

Written by S.A. on Nov 16, 2017 after therapy with Melissa for 2 weeks

Melissa did a great job. Very kind. Was non judgmental or too pushy but she did a great job asking me the right questions to help me work through my problems. Thank you!