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Melanie Fikse

Profile / United States

Melanie Fikse, LPCC

California

LPCC in California - Anxiety and Trauma

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  • CBT and ACT methods
  • Trauma-focused care
  • LGBTQ allied

About Melanie

Melanie Fikse is a Licensed Professional Clinical Counselor (LPCC) in California with 12 years of experience helping adults manage stress, anxiety, trauma, grief, mood disorders, and relationship concerns. She works with people who are worn down by persistent symptoms and who want straightforward, practical help to handle day-to-day life.

Her approach centers on practical therapy methods such as Cognitive Behavioral Therapy and Acceptance and Commitment Therapy. She uses these alongside client-centered and trauma-focused work to address problems like depression, bipolar disorder, addictions, and self-harm. Sessions focus on identifying unhelpful thoughts and habits and teaching concrete skills to respond differently.

Melanie draws on years of community mental health work and a Master’s degree from New York University. She has lived and worked in both New York and rural California settings, and has experience supporting people with significant trauma histories and complex mood and personality concerns.

In sessions she emphasizes collaboration and practical tools. People can expect to work on skills for managing anxiety, grief, impulsivity, and relationship difficulties. She also addresses codependency, abandonment issues, guilt and shame, and loneliness.

Melanie states clear support for LGBTQ people and uses techniques such as mindfulness, motivational interviewing, trauma-focused interventions, and CBT-based skill building. Her work aims to help people notice patterns, try different responses, and build manageable routines that fit daily life.

How structured approaches work online

Melanie draws from Cognitive Behavioral Therapy to help people identify and test unhelpful thoughts and behaviors. CBT focuses on small, specific changes you can try between sessions to reduce anxiety and low mood.

She also uses Acceptance and Commitment Therapy to help people notice painful thoughts without getting stuck in them and to clarify personal values that guide action. Client-Centered Therapy is part of her practice as well, which emphasizes listening and working together on goals the person sets.

Choosing the right approach is part of the work. Melanie will review concerns, goals, and what methods feel most useful, and then adjust the plan as needed. That decision is collaborative and revisited over time.

The biography does not list specific online session formats, so confirm current session options before booking. In general, online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It can also let people practice skills in everyday settings and bring real-life examples into sessions to discuss what happens between meetings.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesFamily conflictsAnger managementSelf esteemCoping with life changesCompassion fatigue

Additional focus areas

AbandonmentCodependencyEmptinessFamily problemsForgivenessGuilt and shameImpulsivityIsolation / lonelinessMood disordersParanoiaPersonality disordersPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Trauma-Focused Therapy

Experience

12+ years

Listed in

California

Languages

English

Frequently asked questions

What kinds of concerns does she address most often?

She works with stress, anxiety, depression, trauma and abuse, grief, bipolar disorder, addictions, relationship and family issues, and related problems like codependency and isolation.

How does she use Cognitive Behavioral Therapy?

CBT is used to notice unhelpful thoughts and behaviors and then practice alternative responses. Sessions include practical exercises and homework to build new habits.

What is her professional background?

She has 12 years of experience and a Master’s degree from New York University, including work in community mental health settings and in California.

What credential does she hold and where is she based?

She is a Licensed Professional Clinical Counselor, LPCC, practicing in California.

Which languages are supported during sessions?

Sessions are offered in English.

Can people outside the United States work with her?

She does not accept international clients at this time.

How are sessions paid for?

Cost varies with location and sessions use a subscription model that can be canceled at any time.

How do I begin working with her?

Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Melanie Fikse

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