Sheet 1
- CBT informed
- Humanistic focus
- Strengths based
About Melissa
Licensed Clinical Social Worker (LCSW) with 10 years of experience, Melissa Pagarigan works with a range of concerns including relationship and family stress, trauma and abuse, compassion fatigue, grief, parenting strain, anger, self-esteem, bipolar disorder, and ADHD. She offers therapy in Nevada and conducts sessions in English. Melissa frames her work around building a practical working relationship and addressing problems directly.
Melissa prefers a personal, collaborative style. She uses cognitive behavioral ideas alongside humanistic and strengths-based perspectives. In session she helps people identify patterns, test new ways of responding, and build on what already works. The language is straightforward - clients talk about specific situations and leave with steps to try between sessions.
Her background includes a decade in clinical social work, holding LCSW credentials in Utah and Nevada. That experience includes supporting people after physical, sexual, or emotional trauma and helping with mood and attention-related concerns. She draws on practical techniques and problem-solving drawn from established therapeutic methods.
Sessions are paced to the person. Melissa focuses on concrete goals, like reducing anger outbursts, improving communication in relationships, managing symptoms of bipolar disorder, or developing strategies for ADHD. Homework and small experiments are common tools she uses to track progress.
People who prefer direct, human-centered conversations about real-life problems often find her style useful. For new clients, she starts by clarifying immediate concerns, then selects approaches that fit the client’s needs and preferences.
Sheet 2
How her therapeutic approaches work in remote sessions
Melissa draws on cognitive behavioral techniques to help people notice unhelpful thoughts and test different responses. CBT-style work often focuses on practical steps, behavior experiments, and skills that reduce distress related to mood, anxiety, anger, or ADHD symptoms.She also uses humanistic ideas that prioritize the client’s experience and strengths-based work that highlights existing skills. Humanistic approaches encourage clear, honest conversation about feelings and values. Strengths-based work looks for what’s already working and builds from there to handle relationship strain, grief, or compassion fatigue.
Choosing the right approach is a collaborative process. Melissa will talk through your concerns, goals, and preferences and then suggest which techniques to try first. She checks in regularly and adjusts methods based on what helps most.
The biography does not list which session formats she offers. Before booking, confirm the available session formats. In general, remote sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and avoid travel time. These practical benefits help people keep consistent contact with a licensed professional while they work on specific goals.
Sheet 3
Areas of expertise
Primary focus
Also works with
Experience
10+ years
Listed in
Nevada, Utah, Washington
Languages
English
Sheet 4
Frequently asked questions
What kinds of concerns does she address?
She works with relationship and family stress, trauma and abuse, compassion fatigue, grief, parenting issues, anger, self-esteem, bipolar disorder, and ADHD.
What is her therapeutic style?
She uses a personal, practical approach combining cognitive behavioral ideas, humanistic perspectives, and strengths-based work to set concrete goals and small steps.
How long has she practiced?
She has ten years of experience as a clinician in social work practice.
What are her credentials and location?
She is an LCSW with licensing in Utah and Nevada, and practices in Nevada.
Which languages can sessions be held in?
Sessions are offered in English.
Can people outside the United States work with her?
She is not accepting international clients at this time.
What session formats are available?
The original biography does not specify session formats. Confirm current session options before booking to know which formats are offered.
How are fees and billing handled?
Cost varies with location; sessions use a subscription that can be canceled at any time.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.