About Melissa
Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience. She focuses on practical, down-to-earth support for people managing stress, anxiety, addiction, mood concerns, ADHD, grief, and relationship struggles. Melissa speaks plainly and listens without judgment so people can start making small, steady changes.
Her approach blends several methods to meet individual needs. She uses acceptance and commitment ideas to help people notice what matters most and act on it.
Background and approach
Cognitive-behavioral techniques are used to identify unhelpful thought and behavior patterns and replace them with more useful ones. Melissa also draws on client-centered and emotionally-focused ways of working that prioritize the person in front of her. That often means spending time on clear goals, emotion awareness, and improving how people connect with others.
Dialectical skills are added when intense emotions or self-harm concerns make daily life hard. She has experience supporting people through trauma, end-of-life and hospice concerns, compassion fatigue, bipolar issues, and substance use. Sessions aim to be straightforward - talking through pressing problems, learning tools to cope, and planning practical next steps.
People who reach out will find a calm, encouraging presence and a focus on doable progress. Melissa frames therapy as a team effort and works with each person to find what helps them move forward.
How Melissa Uses Practical Therapies Online
Acceptance and Commitment Therapy (ACT) helps people clarify values and take small steps toward them despite painful thoughts or feelings. It is useful for stress, anxiety, grief, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns; it is often used for anxiety, depression, sleeping problems, and some ADHD-related challenges. Client-centered therapy focuses on being heard and understood so people can explore what matters and decide on their own next steps.Choosing the right approach is part of the work. The therapist and client collaborate to pick methods that match current goals, personal preferences, and the issues at hand. That may mean trying one strategy for several weeks and adjusting based on what helps.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video is useful for deeper conversations and seeing nonverbal cues, phone can work when bandwidth is limited, live chat suits shorter check-ins, and messaging supports ongoing reflection between sessions. These options let people fit therapy into busy days and maintain continuity while working on real problems.
Questions people ask
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How much clinical experience does she have?
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Career difficulties
- Compassion fatigue
- Coping with life changes
- Depression
- Family conflicts
- Grief
- Hospice and end-of-life counseling
- Intimacy-related issues
- Jealousy
- LGBT
- Paranoia
- Parenting issues
- Personality disorders
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sleeping disorders
- Trauma and abuse
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Texas
- Languages
- English
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