Profile / United States
Melissa Gramigna, LPC
Texas
Licensed Professional Counselor - Anxiety and Addiction
See online therapy options- Cognitive Behavioral Therapy
- Acceptance and Commitment Therapy
- Client-centered approach
About Melissa
Melissa Gramigna is a Licensed Professional Counselor (LPC) practicing in Texas with 20 years of experience. She works with people facing stress, anxiety, addiction, depression, grief, trauma and abuse, relationship and intimacy issues, parenting concerns, ADHD, bipolar disorder, and related challenges. Sessions are conducted in English and focused on practical steps clients can try between meetings.
Melissa uses Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy (ACT), client-centered techniques, Dialectical Behavior Therapy (DBT) skills, and Emotionally-Focused Therapy (EFT) ideas. She favors clear, solution-focused conversations that identify unhelpful thoughts and habits and test small changes. Expect concrete tools such as thought records, values clarification, behavioral experiments, and grounding skills.
Her style is personable and straightforward. She draws on both present-focused strategies and an understanding of how problems developed over time. Sessions include discussion, skill practice, and planning for real-life situations where clients want to see a difference.
Melissa has worked in mental health since she received her LPC in 2001. That experience includes supporting people through crisis, end-of-life concerns, work-related burnout, and stress tied to caregiving. She also lists focus areas such as jealousy, veteran and armed forces issues, paranoia, personality disorders, Seasonal Affective Disorder, and self-harm.
People who contact her can expect a therapist who emphasizes practical change. The first appointments typically review immediate concerns, set goals, and outline specific exercises to try before the next session. Melissa asks each person to note what is most important to them so sessions stay focused on workable steps.
How Melissa Uses Structured Approaches Online
Melissa frequently draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in online work. CBT focuses on spotting and testing unhelpful thoughts and behaviors so clients can try different ways of responding. ACT centers on clarifying values and committing to small actions that matter, which can help with anxiety, depression, and life changes.She also uses client-centered techniques to make sessions collaborative and DBT-derived skills for emotion regulation when people need concrete tools for strong feelings. The therapist will talk with each person about which mix of methods fits their goals and daily life, and will adjust approaches as progress is reviewed.
Confirm the exact session formats before booking, since formats were not specified in the biography. Online sessions can make it easier to fit therapy around work, caregiving, or travel by removing commute time and allowing shorter check-ins on busy days. They also let people practice new skills in real-life settings and report back with what worked and what didn't. The focus is on practical techniques that can be used between sessions so progress continues outside the meeting time.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Texas
Languages
English
Frequently asked questions
What concerns does she commonly help with?
She works with stress, anxiety, addictions, depression, relationship and intimacy issues, grief, trauma and abuse, ADHD, bipolar disorder, and related problems.
How does she use Cognitive Behavioral Therapy?
She uses CBT to identify unhelpful thoughts and routines and create small experiments to test different responses in daily life.
What is her professional background?
Melissa has 20 years of experience in mental health and received her LPC in 2001.
Where is she licensed and practicing?
She is a Licensed Professional Counselor (LPC) licensed in Texas and practices there.
In which languages are sessions offered?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How does pricing work for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What should I do to begin?
Select 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.