Dean Melrose, LMHC, LCMHC

Dean Melrose is a licensed mental health counselor with 30 years of practice. He works with adults in New Hampshire and brings calm, practical attention to everyday struggles. His style is straightforward and compassionate, aimed at helping people make usable changes in their lives.

He often draws on Cognitive Behavioral Therapy, which focuses on the link between thoughts, feelings, and actions. He combines that with a client-centered stance that keeps the person's experience central. Motivational Interviewing and Solution-Focused ideas also shape his sessions when people want to tackle specific goals or break habits.

Sessions are action-oriented and collaborative. Dean helps people notice unhelpful patterns, try different behaviors, and reflect on what works. He is comfortable addressing issues like anxiety, depression, addictions, low self-esteem, grief, and stress from life changes.

He also focuses on concerns such as chronic pain and illness, communication problems, control issues, and compassion fatigue. Additional areas include gender dysphoria, HIV/AIDS related worries, hoarding, infidelity, isolation, and questions about life purpose and midlife changes.

People who prefer clear, practical steps and a respectful, down-to-earth therapist may find his approach helpful. He aims to create a steady space for honest conversation and small, achievable progress.

How his approaches work online

Dean often uses Cognitive Behavioral Therapy to help people notice the thoughts and behaviors that keep problems going, and then test small changes to see what helps. Client-Centered Therapy is also part of his work and focuses on listening closely and reflecting a person's experience so they feel understood and able to decide next steps.

Finding the right mix of approaches is a collaborative process. He will work with each person to choose strategies based on goals, preferences, and how problems show up in daily life. Together they check what is working and adjust the plan as needed.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions are useful for in-depth conversations and nonverbal cues. Phone sessions can be simpler when bandwidth is limited or a quick check-in is needed. Live chat and text messaging suit brief updates, step-by-step guidance between sessions, or people who prefer writing. These options make therapy more flexible and easier to fit into work, caregiving, or busy schedules.