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Melanie Giarratano, LMHC, LCMHC

Compassionate counselor for trauma and change
  • Trauma-informed care
  • CBT and DBT techniques
  • Flexible online sessions

About Melanie Giarratano

Melanie Giarratano is a licensed mental health counselor who brings a blend of research-informed insight and practical clinical experience to her work. She holds state counseling credentials - LMHC and LCMHC - which indicate her qualifications to practice as a mental health counselor, and she completed a Bachelor of Science in Neuroscience at the University of Delaware followed by a Master of Science in Mental Health Counseling at SUNY College at Old Westbury.

Her background includes research on post-traumatic stress in animal models, a formative experience that deepened her understanding of stress responses and the ways trauma can alter fear extinction. That research perspective complements her current clinical role in inpatient psychiatric settings, where she works with people who have extensive trauma histories. Melanie has provided both group and individual therapy across inpatient and outpatient programs and has experience supporting adults, teenagers, children, Veterans, individuals with substance use concerns, and people with developmental disabilities. Relationship issues are a frequent focus across these populations, and she brings that lens into many treatment plans.

Melanie draws from a range of theoretical approaches to tailor care to each person. Her practice emphasizes motivational interviewing to support goal-directed change, person-centered listening to offer encouragement when clients are ready to engage, solution-focused techniques that orient work toward present and future goals, and cognitive behavioral strategies to map the links between thoughts, feelings, and behaviors. She also integrates elements of psychodynamic thinking from her graduate training to consider development, family context, and relational patterns. Outside of work she models self-care through yoga, biking, time with family and friends, and activities with her dog, and she encourages clients to find practical ways to nurture their own well-being.

Areas of Expertise

Primary Focus

Also Specializes In

Family conflictsTrauma and abuseParenting issuesAnger managementBipolar disorderCoping with life changesADHD

Additional Focus Areas

Attachment issuesCommunication problemsDisruptive Mood Dysregulation Disorder (DMDD)JealousyMood disordersSelf-loveSocial anxiety and phobiaYoung adult issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Psychodynamic Therapy Solution-Focused Therapy

Frequently Asked Questions

How much experience does Melanie Giarratano have?

Melanie Giarratano has 4 years of clinical experience.

Is Melanie Giarratano a licensed therapist?

Yes. She holds the credentials LMHC and LCMHC and is licensed in New York and Utah. License details are NY LMHC 009995 and UT LCMHC 12912533-6004.

In which languages does Melanie Giarratano provide therapy?

Melanie provides therapy in English.

Where is Melanie Giarratano located?

Melanie is located in New York.

How can I work with Melanie Giarratano as my therapist?

You can work with Melanie Giarratano through video calls, phone sessions, live chat, or text-based messaging.

Does Melanie Giarratano work with international clients?

Yes, Melanie works with international clients.

How much does therapy with Melanie Giarratano cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session by phone, video call, live chat, or in-app messaging.

Approaches that translate well to online therapy



Melanie commonly uses client-centered therapy, which focuses on creating a supportive, nonjudgmental space where a person’s own goals and values guide the work. This approach helps people who need empathy and encouragement as they navigate change. Cognitive Behavioral Therapy, or CBT, involves identifying and reshaping unhelpful thought patterns and behaviors; it is practical and skills-based, often used for anxiety, depression, and stress. Dialectical Behavior Therapy, or DBT, adds tools for emotion regulation, distress tolerance, and interpersonal effectiveness, making it useful for intense emotions and relationship challenges.

Choosing the right approach is part of the collaborative process. Melanie works with each person to determine which methods fit their needs, goals, and preferences, adjusting treatments over time as progress and priorities evolve.

Online therapy offers flexibility in how people connect - video calls, phone sessions, live chat, or text-based messaging allow sessions to fit into busy schedules and accommodate different comfort levels. For many clients, these options make it easier to maintain consistency, access licensed professionals from wherever they are, and apply therapeutic skills between sessions.

Ready to start therapy with Melanie Giarratano?

Take the first step toward a better you.