Works with
- Anger
- Stress, Anxiety
- Addictions
- Relationship issues
- Anger management
- Depression
How Melissa works
Practical facts
- Credentials
- LPC
- Licensed in
- Texas
- Years in practice
- 20
- Languages
- English
- Session format
- Online, through our partner platform
About Melissa
Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with two decades of experience. She offers straightforward, compassionate care for people dealing with stress, anxiety, anger, depression, addictions, grief, and related concerns. Melissa aims to make the first steps toward change feel manageable and respectful.
Her approach blends practical strategies with attention to each person's values and goals. She uses cognitive-behavioral tools to address unhelpful thoughts and behaviors.
Background and approach
She also draws on Acceptance and Commitment Therapy ideas to help clients clarify what matters to them and build committed action. Melissa incorporates client-centered principles to keep the work grounded in each person's priorities. Dialectical Behavior Therapy skills provide concrete ways to manage emotion and tolerate distress when things feel overwhelming.
She also uses elements of Emotionally-Focused and existential work to explore relationship patterns and meaning when relevant. Over 20 years in practice has involved a wide range of concerns, including parenting stress, workplace burnout, intimacy issues, trauma and end-of-life topics. Melissa describes her style as personable and service oriented; she aims to tailor methods to what helps each individual most.
Expect clear explanations, practical exercises, and steady support as you try new ways of coping. People who reach out can expect a collaborative process that keeps goals practical and paced to fit real life. Melissa focuses on small steps that build toward lasting change while honoring each client's unique story.
What Melissa works with
Everything Melissa lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Melissa's practice.
- Stress, Anxiety
- Addictions
- Relationship issues
- Anger management
- Depression
- LGBT
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- ADHD
- Hospice and end-of-life counseling
- Jealousy
- Veteran and Armed Forces Issues
- Paranoia
- Personality disorders
- Seasonal Affective Disorder (SAD)
- Self-harm
Approaches Melissa lists
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
- Internal Family Systems
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Therapeutic approaches suited to online care
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts, clarify personal values, and take small steps toward what matters. It is useful for anxiety, depression, stress, anger, and life transitions because it pairs reflection with doable actions. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing thought and behavior patterns that keep problems going, and it provides practical exercises to reduce symptoms like anxiety, insomnia, or low mood. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and interpersonal effectiveness skills that are valuable when emotions feel intense or relationships are strained.Finding the right approach is part of the work. The therapist will talk with each person about goals and preferences, then shape a plan that may draw on ACT, CBT, DBT, or client-centered methods. This is a collaborative process and adjustments are made as progress and needs become clearer.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which make it easier to fit therapy into a busy life. Video works well for face-to-face conversation and exercises that use visual cues. Phone sessions can be a lower-bandwidth option or a quick way to check in. Live chat and text messaging allow brief check-ins, homework review, and ongoing support between longer sessions. These options give flexibility for scheduling, different modes of expression, and varied ways to practice skills outside of sessions.
Questions people ask about Melissa
What kinds of problems does Melissa help with?
She helps people facing stress, anxiety, anger, depression, addictions, grief, trauma, relationship and intimacy concerns, sleep and parenting issues, ADHD, and related challenges.
What is her general therapy style?
Her style is personable and practical. She focuses on clear explanations, collaborative goal-setting, and exercises you can use between sessions.
How long has she been practicing?
Melissa has 20 years of experience as a Licensed Professional Counselor working with a wide range of mental health concerns.
Where is she licensed and based?
She is a Licensed Professional Counselor (LPC) in Texas and practices there.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging.
How are sessions billed or paid for?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.