Melissa Roberts Tsiakos (she/her)



Melissa is a Registered Clinical Counsellor (RCC) with over 15 years of experience working with youth, young adults, and families in a variety of public mental health programs and in private practice. She has a depth of expertise in supporting adolescents and young adults with challenges such as eating disorders, anxiety, depression, grief and loss, trauma, and life transitions.

Melissa brings a variety of life experiences to her work. She is a proud mom of 2 young children and a lifelong resident of North Vancouver, where she lives with her husband and children.  


Melissa understands the importance of a strong, trusting therapeutic relationship for meaningful therapy to take place. At the centre of all her work Melissa focuses on building a safe relationship where you can feel seen, heard and valued.

Over time, Melissa has developed an integrative and trauma-informed approach to counseling, which is tailored to each client’s individual needs. Melissa uses a systemic approach that acknowledges each individual in relation to their family, community, and society as a whole. It brings Melissa enjoyment to assist clients in connecting with their inner strength and overcome challenges they are facing.

Melissa uses evidence based therapeutic modalities in her work with her clients.

  • Cognitive Behavior Therapy (CBT)
  • Dialectic Behavior Therapy (DBT)
  • Radically Open Dialectical Behavior Therapy (RO-DBT)
  • Family Based Therapy (FBT) for Pediatric Eating Disorders (New Maudsley)
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Solution Focused Therapy
  • Narrative Therapy
  • Emotionally-Focused Family Therapy (EFFT) 

Melissa’s Profile

Location Vancouver, B.C.
Ages 12 - 30
  • Anxiety
  • Depression
  • Eating Disorders
  • Eating Issues
  • Trauma
  • Grief & Loss
  • Life Transitions
Qualifications Master’s Degree in Counselling Psychology (MA)
Registered Clinical Counsellor (RCC)

Complimentary 15 minute consultation.


Melissa will draw from Dialectical Behaviour Therapy (DBT) and Cognitive Behaviour Therapy (CBT) to explore how thoughts and emotions can impact your overall well-being, and improve interconnectivity between your mind, body, and relationships. Melissa will also use Narrative Therapy to support clients to share and reflect on their own life stories, express their emotional needs, as well as cultivate a sense of belonging and connection with others. She will use Emotion-Focused Family Therapy (EFFT) to support parents/caregivers and families to identify, cope with, regulate, and transform their emotions with the hope of improving relationships with themselves and their loved ones. Melissa uses a combination of Family Based Therapy (FBT) as well as EFFT to effectively support families who have a loved one struggling with an eating disorder.


$170 per 50 minute session for individuals

$200 per 50 Minute Session for family

Payment in the form of a credit card is due at the end of each session unless other arrangements have been made. Please note that 2 business days notice is required to cancel a scheduled appointment to avoid being charged the full session fee. Some third party payment plans such as Insurance and Employee/Family Assistance Programs pay partial or total coverage for counselling services. Please follow up with your benefits plan/health care provider.