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Melanie Alford Dirsa, MSW, MPH, LICSW

Licensed Clinical Social Worker (she/her)


Real change comes from understanding why our impulses and behaviors hold us back from experiencing our true potential and discovering the skills to create the change we seek. I believe in a holistic, person-centered approach to therapy that helps people find the answers that were inside them all along. As a therapist, I am intuitive and compassionate, yet direct, and employ a mix of modalities, including traditional psychotherapy, internal family systems, somatic experiencing and mindfulness techniques.

I specialize in working with individuals from the queer, transgender, non-binary and non-conforming gender communities. I have a special interest in working with individuals who have experienced childhood trauma, as well as working with transgender identified individuals who are seeking support for transition. As a sex-positive practitioner, I enjoy helping individuals who are exploring their sexual and relationship practices, including polyamory and kink. I am a queer. able bodied, white, cis-gendered woman, and go by she/her pronouns. I enjoy working with individuals at various stages of adulthood, from early 20s to elder years. I am available for limited sessions for those seeking therapeutic letters for HRT or gender affirming surgeries.

Areas of Expertise

  • Anxiety
  • Depression
  • Trauma
  • Family of Origin Issues
  • Shame Resilience
  • Grief & Loss
  • Adjustments to life stressors
  • Spirituality
  • Polyamory & Ethical non-monogamy


  • Adults