Sheet 1
- Acceptance and Commitment Therapy
- Cognitive Behavioral Therapy
- Client-Centered Therapy
About Melissa
Licensed Professional Counselor (LPC) in Texas with 20 years of experience, Melissa Gramigna helps people work through stress, anxiety, addiction, relationship challenges, grief, trauma, and related concerns. She practices using approaches listed in her biography, including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centered Therapy, and Emotionally-Focused Therapy. Melissa offers straightforward, practical support for common and complex problems.
Melissa frames sessions around problem-solving and skills people can use between meetings. She combines cognitive-behavioral strategies with acceptance-based ideas and mindfulness exercises. She also draws on existential perspectives and psychodynamic ideas when they help explain how problems began and what keeps them going.
In a session she focuses on what is causing distress now and on steps the person can take next. That may include learning coping skills, working on relationship patterns, or addressing sleep and self-esteem difficulties. She also lists hospice and end-of-life counseling, veteran and armed forces issues, and compassion fatigue among areas she attends to.
Her practice covers a wide range of concerns, including bipolar disorder, ADHD, personality disorders, seasonal affective disorder, self-harm, jealousy, paranoia, and intimacy-related issues. Melissa uses methods from DBT and EFT when emotional regulation and attachment conversations are useful.
Sessions are conducted in English and follow the LPC credential standard Melissa holds in Texas. Cost varies by location and uses a cancellable subscription model. To begin, a prospective client selects the See online therapy options button, completes a short matching questionnaire, and schedules a first session.
Sheet 2
How Melissa’s approaches translate to online work
Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking practical steps toward them while learning to accept difficult thoughts and feelings. It can help with anxiety, stress, and life transitions by shifting attention to meaningful action.Cognitive Behavioral Therapy (CBT) teaches concrete tools to change unhelpful thinking and behavior patterns. It is commonly used for depression, anxiety, sleep problems, and coping with change. Dialectical Behavior Therapy (DBT) offers skills for emotion regulation and distress tolerance when strong emotions or anger feel overwhelming.
Finding the right approach is a collaborative process. The therapist will work with the person to decide which methods fit their goals and preferences, and may combine techniques from different approaches as needed. The plan can be adjusted as progress is tracked.
Confirm current session options before booking since formats were not specified in the biography. Online work often makes it easier to fit sessions into busy schedules, for example by avoiding travel or allowing brief check-ins during a workday. Different approaches can be used over video or phone depending on what best supports skills practice, emotional work, or focused problem-solving.
Sheet 3
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Texas
Languages
English
Sheet 4
Frequently asked questions
What concerns does she address?
She addresses a wide range of concerns including stress, anxiety, addictions, relationship issues, anger, depression, trauma and grief, and many related topics listed in her profile.
What therapeutic approaches does she use?
Her work uses Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centered Therapy, and Emotionally-Focused Therapy depending on the client’s needs.
How much clinical experience does she have?
She has 20 years of experience as a counselor, having been licensed in 2001 and working with many mental health issues since then.
Where is she licensed and based?
She is a Licensed Professional Counselor (LPC) in Texas and practices under that credential.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
International clients are not accepted at this time.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin if I want to work with her?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.