Dean Melrose, LMHC, LCMHC

Dean Melrose is a licensed therapist with 30 years of clinical experience. He practices in New Hampshire and brings a calm, direct style to sessions. People come to him for help when life feels overwhelming or confusing. He uses practical, evidence-informed methods such as Cognitive Behavioral Therapy and Client-Centered Therapy. Sessions focus on understanding the problem, identifying unhelpful patterns, and trying new ways of coping. Dean also uses Motivational Interviewing and Solution-Focused techniques when those fit a person's goals. Many people see him for stress, anxiety, depression, and problems with self-esteem. He also helps with relationship concerns, intimacy-related issues, grief, anger, addictions, and issues tied to chronic pain or illness. Jealousy and communication problems are part of his wider focus areas. His style is straightforward and compassionate. He aims to make therapy a collaborative process where clients set goals and test practical steps between sessions. Conversations are meant to be clear, focused, and useful for everyday life. Getting started typically means answering some brief questions and scheduling a time to meet. Dean wants clients to feel understood and to leave sessions with concrete next steps they can try before the next meeting.

Approaches for change in online sessions

Dean commonly uses Cognitive Behavioral Therapy and Client-Centered Therapy in work with clients. CBT looks at patterns of thought and behavior that keep problems going and tests small experiments to shift those patterns, which helps with anxiety, depression, and stress. Client-Centered Therapy prioritizes the person’s perspective, offering a listening environment where clients shape the goals and pace of work.

He also draws on Motivational Interviewing when people want help resolving mixed feelings about change; this method uses gentle questions to build motivation and clarify values. Together these approaches are used in a collaborative way so the client and therapist decide what makes the most sense for the situation.

Finding the right approach is part of the process. Dean will talk with each person about their needs, goals, and preferences and will adjust methods as therapy progresses. If you decide to explore online sessions, confirm the current session options before booking so you know what formats are available. Online work can make it easier to fit short check-ins into a busy day, reduce travel time, and allow sessions from more convenient locations, while still focusing on real-life goals and practical steps.