You don’t have to keep managing it all on your own.
Therapy for anxiety, OCD, and life transitions.
Online therapy in Louisiana, Virginia, and New Jersey
Consulting for therapy practices and nonprofits
Here’s what often brings people to my practice:
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What I hear:
Your mind gets stuck on certain thoughts, and no matter how much you try to resolve them, they keep coming back.
You feel a strong need to be certain, but the certainty never quite lasts.
You find yourself checking, researching, replaying, or mentally reviewing to feel better.
You are ashamed to talk about the content of these repetitive thoughts.
You question your thoughts, your intentions, or even who you are.
You’ve tried to “figure it out” on your own, but it keeps pulling you back in.
OCD can feel relentless, but it is highly treatable. With the right approach, you can learn to step out of the cycle rather than stay caught in it.
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What I hear:
Your mind is constantly thinking, planning, or preparing for what might go wrong.
It’s hard to relax, even when nothing is immediately wrong.
You overanalyze situations and second-guess yourself afterward.
You feel pressure to get things “right” or avoid mistakes.
You carry a sense of tension or unease that’s hard to turn off.
You’ve gotten used to pushing through, but it’s exhausting.
Anxiety can take up more space than it needs to. I can help you build tools to feel more grounded, present, and in control.
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What I hear:
Something in your life has shifted, and you’re trying to find your footing again.
You’re navigating change (whether expected or not) and it feels heavier than you anticipated.
You’re grieving a loss, a relationship, a role, or a version of life you thought you’d have.
You feel uncertain about what comes next.
You’re holding it together on the outside, but inside things feel unsettled.
You’re trying to move forward, but part of you still feels stuck.
Transitions can be disorienting, especially when loss is involved. I want to help you process what’s changed while finding a way forward that feels meaningful.
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What I hear:
You care deeply about your relationships, but they can feel confusing or draining at times.
You find yourself overthinking interactions or worrying about how you’re coming across.
You struggle to set boundaries or say what you really need.
You feel misunderstood or like you have to adjust yourself to be accepted.
You’re navigating conflict, connection, or belonging in ways that feel complex.
You’ve experienced a breakup, but can’t seem to move on.
Relationships can feel more manageable when you have space to explore them openly. I want to help you build clarity, confidence, and connection in ways that feel authentic to you.
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What I hear:
You’re doing meaningful work, but the behind-the-scenes operations feel overwhelming.
You’ve built something valuable, but workflows and structure haven’t caught up with your growth.
You’re spending too much time on administrative tasks and not enough on the work you actually care about.
You want to expand—whether that’s growing your practice or securing funding—but you’re not sure where to start.
You’ve thought about applying for grants, but the process feels complicated, time-consuming, or out of reach.
You’re trying to balance sustainability with impact, and it feels like a constant tension.
Melanie McClellan LCSW, MPH
I’ve spent over a decade working in the nonprofit healthcare world, and I’ve seen how people get stuck in so many different ways. I’ve worked behind the scenes in hospitals, clinics, and small organizations, as well as directly with clients in inpatient psychiatry, community mental health, and outpatient settings.
These experiences have shaped how I understand people—not just what they’re going through, but how hard they’re already trying to make things better.
Now, I get to do the work I really love. I work with people who feel stuck—whether that’s anxiety, OCD, life transitions, or something that just won’t seem to shift—and help them actually move forward. The specialties I focus on and the approaches I use, like CBT, ACT and ERP, are intentional. They’re practical, evidence-based, and designed to create real change, not just insight.
I tend to be a pretty down-to-earth therapist. I use a mix of humor, honesty, and the occasional bad metaphor to make things feel more human and less overwhelming. I also bring that same mindset into my consulting work by helping therapy practices and nonprofits get unstuck, whether that’s through operations, workflow, or grant support. At the end of the day, I like helping people (and organizations) move from feeling stuck to feeling clear, capable, and moving forward.
Services
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Individual Therapy
I provide therapy for anxiety, OCD, and life transitions using evidence-based approaches like ERP, CBT, and ACT. My goal is to help you get out of the patterns that keep you feeling stuck and build real confidence in how you respond to your thoughts and emotions. This work is focused on creating lasting change.
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Consulting
I offer consulting for therapists and organizations looking to build, streamline, or grow their work. This includes private practice setup, operations support, and nonprofit grant work. My approach is straightforward and solution-focused. I help you get unstuck, simplify your systems, and move things forward efficiently.
Therapeutic Modalities
I don't use just one approach. I pull from multiple evidence-based modalities based on what the moment calls for.
Exposure and Response Prevention (ERP)
A highly effective, evidence-based treatment for OCD and anxiety. ERP helps you break out of cycles of fear and avoidance by gradually facing what triggers anxiety—without relying on the behaviors that temporarily make it feel better. Over time, this reduces the intensity of the anxiety and helps you build real confidence in your ability to handle uncertainty.
Cognitive Behavioral Therapy (CBT)
CBT helps you understand how your thoughts, emotions, and behaviors are connected. Together, we identify patterns that may be keeping you stuck and work on developing more balanced, helpful ways of thinking and responding. This approach is practical, structured, and focused on creating real, day-to-day changes.
Acceptance and Commitment Therapy (ACT)
ACT focuses on changing your relationship with your thoughts rather than trying to get rid of them. Instead of getting stuck in overthinking or avoidance, we work on making space for difficult thoughts and feelings while still moving toward what matters to you. The goal is to help you live a meaningful life—even when anxiety or discomfort shows up.
Dialectical Behavior Therapy (DBT)
DBT focuses on building skills to manage intense emotions, navigate relationships, and cope with stress more effectively. This includes tools for distress tolerance, emotional regulation, and mindfulness. It’s especially helpful if you feel overwhelmed by your emotions or find it hard to stay grounded in difficult moments.
"Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom"
- Victor Frankl