Beyond Borders CBT

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Meet Melissa Lillie, LCSW

Clinical Expertise

Melissa Lillie, LCSW (she/her), is a licensed clinical social worker practicing in North Carolina, Colorado, Virginia, and Massachusetts. She provides therapy for clients ages 8 and up, offering compassionate and evidence-based care across a wide range of life stages. With over a decade of experience, Melissa specializes in anxiety and other concerns including: OCD, BFRBs, Anxiety and Tics/Tourettes. She also has experience working with Autistic individuals. Melissa is extensively trained in Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), Inference-Based Cognitive Behavioral Therapy (I-CBT), Habit Reversal Training (HRT), and Comprehensive Behavioral Intervention for Tics (CBIT). She treats all subtypes of OCD, including harm-related fears, Relationship OCD, contamination fears, existential obsessions, “just right” experiences, and unwanted sexual thoughts. Having navigated OCD herself, Melissa deeply understands the shame, exhaustion, and frustration that can accompany intrusive thoughts. She brings empathy and lived insight to her work and is an LGBTQIA+ allied provider.

Education

Melissa earned her Master of Social Work from the University of Calgary in Alberta, Canada, and completed her undergraduate studies at Warren Wilson College in Asheville, North Carolina. She has worked in both hospital and private practice settings and has extensive training and experience supporting clients with OCD, Autism Spectrum Disorders, Tourette Syndrome, and BFRBs.

Personal

Melissa is an avid hiker and paddle-boarder who finds joy and peace in the outdoors. She’s a passionate traveler with an ever-growing list of places to explore and is happiest when digging in her garden, trying to keep her plants thriving. At her core, Melissa is committed to growth—constantly challenging herself to lean into discomfort, embrace uncertainty, and stay curious about the world.

In Their Own Words

Firstly, I just wanted to say what a brilliant company I have found Beyond Borders CBT to work with. I was very skeptical doing online therapy sessions but wouldn't think twice about it now. Your whole offering and experience is brilliant and super easy. Secondly, I just wanted rave about the wonderful Melissa. I've suffered with OCD for many years, had lot's of different types of therapy but, never actually worked with an OCD expert before, as they are very hard to find here. Melissa is so knowledgeable about the disorder and really understands the treatment process. She's been absolutely inspirational and a true rock in my progress, being on hand when I need her, explaining my irrational thoughts and helping me come through a really difficult period. She's taught me things I didn't know about OCD and worked in a way that suited my needs. In Melissa I have found a therapist that I can trust and know will be there for me as I continue to learn to live with the wonderful OCD!

—DD

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