Megan Vaccaro , LMSW

Megan Vaccaro is a Licensed Master Social Worker (LMSW) based in Michigan who has been supporting individuals, couples, and families since graduating from Wayne State University in Detroit in 2000. She brings a practical, respectful style to work with depression, anxiety, grief and loss, behavior challenges, family conflict, trauma and abuse, and parenting concerns.

Her practice emphasizes cognitive behavioral therapy, helping people recognize and reframe distorted thinking patterns so they can reduce unhelpful thinking traps and create more positive experiences. She also incorporates dialectical behavior therapy techniques, teaching mindfulness to notice thoughts and feelings, distress tolerance skills for managing overwhelming moments, emotion regulation strategies, and interpersonal effectiveness tools to strengthen relationships. Solution-focused methods are used when appropriate, aligned with her problem-solving orientation.

Megan adopts a non-judgmental stance that aims to make clients comfortable sharing the circumstances that brought them to therapy. She values clear communication and treats people with the same respect and care she would want for her own family, helping clients develop practical strategies to address life’s challenges.

Evidence-based approaches adapted for online care

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors. In online sessions, CBT offers practical exercises and skill-building to address issues like anxiety, depression, and stress by teaching clients how to reframe thinking patterns and test new behaviors.

Dialectical Behavior Therapy (DBT) emphasizes skills for mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Delivered remotely, DBT tools help clients notice emotions early, tolerate difficult moments, and improve communication in relationships.

Client-Centered Therapy places the client's experience at the forefront, offering an empathic, non-judgmental space where the therapist follows the client’s lead. This approach supports exploration of personal goals and fosters self-directed growth.

Finding the right approach is a collaborative process. Megan works together with clients to decide which methods best match their needs, goals, and preferences, and adapts strategies over time as those needs evolve.

Online therapy through video calls, phone sessions, live chat, or text-based messaging provides flexibility for scheduling, reduces travel time, and makes it easier to maintain continuity of care. These options allow licensed professionals to deliver structured, effective work that fits into busy lives.