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Melissa Audigé-Perkins

LCSW25 years of experience

My practice is backed by extensive experience across a diverse range of mental health and medical settings. Having navigated complex clinical environments, I bring a deeply rooted knowledge base to our sessions, allowing me to understand the intricate interplay between your mental wellness, emotional struggles, and physical health. This background equips me to handle multifaceted challenges with a high level of clinical insight, ensuring that your care is grounded in proven, real-world expertise. Throughout my years in these varied settings, I have come to deeply value the unique personal experiences of every individual I treat. I recognize that you are the expert on your own life, and that your background, history, and personal insights are vital tools in the healing process. I aim to honor the immense effort you are already putting into your wellness, meeting you exactly where you are with profound respect for your journey and your resilience. In our sessions, you will find a safe, steady environment where compassion meets structured, strength-based problem-solving. My goal is to provide you with unwavering support, valuable therapeutic education, and a collaborative partnership. Together, we will work to alleviate the symptoms of stress, depression, anxiety, trauma, or relationship discord, actively transforming your personal challenges into a clear path toward an enhanced quality of life.

Throughout my years in various complex settings, I have come to deeply value the unique personal experiences of every individual I treat.

First session

We will look at the obstacles holding you back, clear through the mental clutter, and engage in practical, strength-based problem-solving. If you are looking for an empathetic partner who balances compassionate listening with real, actionable strategies to help you heal and thrive, you are in exactly the right place.

Strengths

Whether you are navigating a major life transition, dealing with chronic self-doubt, or just trying to quiet a racing mind. My approach is warm, attentive, and deeply centered on who you are. We will focus on what is happening in your life right now, to find real, observable strategies that make a difference. Taking the step to enter therapy requires immense courage, and it is important to recognize that you are already doing your absolute best to manage the weight on your shoulders. In our work together, you will find a safe, confidential, and completely non-judgmental environment where you can finally step out of survival mode and take a deep breath. We will honor your unique story while gently uncovering the inherent resilience and inner strengths you already possess. Therapy with me is a dynamic, collaborative partnership. We will balance deep compassion with practical, strength-based problem-solving to address challenges like stress, depression, anxiety, marital discord, or trauma. Together, we will look at the obstacles holding you back, clear away the overwhelming mental clutter, and implement real-world tools that fit your daily routine. You do not have to figure out these complex pieces entirely on your own. My ultimate goal is to stand alongside you as a supportive partner, helping you conquer self-doubt, rebuild your confidence, and actively enhance your overall quality of life. We will move at a pace that honors your emotional well-being, transforming moments of uncertainty into a clear, steady path toward lasting healing, genuine empowerment, and everyday ease.

Ideal clients

Whether you are silently struggling with deep emotional distress, trying to process highly stressful life events, or navigating the overwhelming complexities of anxiety, depression, trauma, or relationship strain, your experience is completely valid here. You do not have to have everything figured out to take this step. This description fits anyone who genuinely wants to move beyond just getting by and actively desires to enhance their overall quality of life. My ideal client is someone who recognizes that they are doing their absolute best, yet identifies areas where they want to build more confidence, regain control, and establish healthier patterns. You are someone who wants to transition from a place of survival into a life of genuine ease and fulfillment. Above all, my ideal client is anyone who simply needs a safe, steady space to receive dedicated support. In our work together, you will find a non-judgmental environment where your story is deeply respected and your pace is always honored.

Ongoing work together

Ultimately, future sessions are designed to be a steady anchor in your week. You will leave each appointment feeling deeply heard, clinically supported, and armed with a clearer sense of direction. Over time, our ongoing work will transform moments of overwhelming uncertainty into a predictable, reliable pathway toward lasting confidence, personal empowerment, and genuine everyday ease.

Treatment methods

Psychodynamic

In our sessions, we will focus gently on both the here and now of your daily life and the deeper roots of where your discomfort comes from. Think of our current emotional patterns, reactions, and relationship dynamics as maps we’ve been using for a long time. Often, these maps were lovingly created early in life as a way to keep ourselves safe and navigate difficult moments. By creating a warm, tender space to look back at your history and early relationships, we can softly uncover the 'why' behind how you feel today. We bring that awareness right into our present conversations, helping you understand yourself with immense compassion, untangle old habits that feel heavy, and naturally step into a more peaceful quality of life.

Acceptance and commitment (ACT)

In my practice, I use an approach called Acceptance and Commitment Therapy (ACT). Rather than trying to 'fix' or erase difficult thoughts and feelings, we focus on changing your relationship with them so they no longer hold you back. Together, we’ll figure out what truly matters to you—your core values—and take practical, meaningful steps toward building a rich life, even when stress or self-doubt shows up along the way.

Trauma-Informed Care

My practice is trauma-informed, which means your emotional and physical safety always come first. I recognize that our past experiences deeply shape how we see the world, handle stress, and relate to others today. Instead of asking 'What is wrong with you?' we look at 'What happened to you, and how did you learn to survive it?' You are always in the driver’s seat of our work—we move at a pace that feels safe for you, without ever forcing you to share more than you’re ready to.

Location

Virtual sessions

In-person sessions
99 Main St, Nyack, NY 10960, 322

Identifies as

Top specialties

  • Burnout

Serves

Licensed in

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