- Guilt and shame
- CBT elements
- Strength-based work
About Marissa
Marissa Gurello is a Licensed Mental Health Counselor (LMHC) in Massachusetts with four years of clinical experience. She works with adults, adolescents, and children on stress, anxiety, depression, relationships, family concerns, and self-esteem. She also focuses on attachment issues, caregiver stress, communication problems, impulsivity, social anxiety, women's issues, and feelings of guilt and shame.
Marissa uses a collaborative, strength-based style in sessions. She blends elements of Cognitive Behavioral Therapy and client-centered practice to help people notice patterns and try different ways of responding. Sessions are conversational and goal-focused, with practical steps between meetings when useful.
She pays attention to each person's history and goals instead of applying one method to everyone. That can mean working on communication skills one week and examining self-judging thoughts the next. Marissa aims to help people make small, concrete shifts that change daily life.
Her approach is suited to people managing ongoing stress or a specific problem that keeps repeating. She helps with relationship tension, struggles tied to caregiving, and the heavy self-criticism that often shows up as guilt or shame. Sessions include reflection, skill-building, and planning so people can try different responses outside of therapy.
If someone is considering starting, she asks them to think about what they want to change and what feels most urgent. That helps shape early sessions and sets clear, practical steps forward.
Evidence-based approaches and how they translate to online work
Marissa integrates practical, evidence-based techniques such as Cognitive Behavioral Therapy and client-centered work. Cognitive Behavioral Therapy involves identifying unhelpful thought patterns and testing different behaviors to reduce distress; it is often used for anxiety, depression, and self-critical thoughts. Client-centered practice focuses on listening and reflecting so people can clarify what matters to them and decide on next steps.Finding the right mix of approaches is part of the process. Marissa will collaborate with each person to identify which methods fit their goals, needs, and comfort level, and she adjusts the plan as progress and preferences become clearer.
The original biography does not list specific online session formats, so confirm the available options before booking. Online work can make it easier to fit therapy into a busy day, allow shorter check-ins when time is limited, and remove travel time. It also lets people continue care when schedules or location make in-person meetings difficult. Licensed professionals can use these practical benefits to help people try small changes in everyday life without overhauling routines.
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She supports people with stress, anxiety, depression, relationship and family concerns, and self-esteem. Additional focus areas include attachment issues, caregiver stress, communication problems, impulsivity, social anxiety, women's issues, and guilt and shame.
How does she approach therapy?
Her style is collaborative and strength-based, mixing elements of Cognitive Behavioral Therapy and client-centered practice. Sessions focus on noticing patterns, trying new responses, and setting practical steps between meetings.
How much experience does she have?
She has four years of clinical experience working with adults, adolescents, and children. That experience includes helping people handle everyday stressors and longer-standing concerns.
What are her credentials and where does she practice?
She is an LMHC, a Licensed Mental Health Counselor, practicing in Massachusetts.
Does she work in other languages or with international clients?
Sessions are offered in English. She is not currently accepting international clients.
What session formats are available?
The original biography does not specify session formats. Please confirm current session options before booking.
How is cost handled for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started with a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.