- Solution-focused care
- Mindfulness and ACT
- Sleep-aware support
About Melissa
Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience. She focuses on practical, compassionate care and often helps people who are struggling with stress, anxiety, sleep problems, mood concerns, addictions, and relationship issues. Melissa values a warm, down-to-earth approach and aims to make the first conversation straightforward and judgment-free.
Her work combines several therapy styles into a plan tailored to each person. She draws on cognitive behavioral ideas to identify unhelpful thinking and to practice new habits. Acceptance and Commitment Therapy principles and mindfulness tools are used to build tolerance for difficult feelings and refocus on meaningful goals.
Melissa also uses skills from dialectical behavior therapy when stronger emotion regulation is needed, and emotionally-focused and existential perspectives to look at relationships and life purpose. She describes her stance as solution-focused and personable, matching methods to what a client actually needs in day-to-day life. This includes attention to sleep and rest as part of overall wellness when that comes up in sessions.
Clients can expect direct conversations, practical exercises, and actionable steps between meetings. Melissa encourages people to set small, manageable goals and to notice even small improvements. Her aim is to support people through change, whatever brought them to therapy.
She invites prospective clients to begin by sharing what feels most urgent and what they hope will be different. That information guides the plan they build together.
How therapy approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then commit to small actions that match their values. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and practicing new behaviors to reduce symptoms and improve daily routines. Dialectical Behavior Therapy (DBT) offers concrete skills for managing strong emotions and improving relationships when emotions feel overwhelming.Choosing the right approach is a collaborative process. The therapist will talk with the person about goals, symptoms, and preferences and then suggest methods to try. This plan can evolve as progress is made and new priorities emerge.
The practical benefits of online therapy include easier fitting of sessions into a busy schedule and fewer barriers to attending regularly. Before booking, confirm which session formats are currently offered, since formats were not specified in the biography. Online work can still include skill practice, sleep and routine planning, and short check-ins that help people use new tools between sessions.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Credentials
Texas
Languages
English
Frequently asked questions
What concerns does Melissa commonly address?
She works with stress, anxiety, depression, addictions, relationship and intimacy issues, anger, grief, and sleep difficulties among other concerns listed in her specialties.
What is her therapy style like?
Her style is personable and solution-focused, mixing practical exercises, mindfulness, and talk therapy to help people change habits and cope with strong emotions.
How much clinical experience does she have?
Melissa has 20 years of experience as a Licensed Professional Counselor since first receiving licensure in 2001.
Where is she licensed and based?
She holds an LPC credential and practices in Texas.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the US work with her?
International clients are not currently accepted; she works with people located within applicable regions.
How are fees and payment handled?
Cost varies by location and therapist availability; sessions are provided through a subscription that can be canceled at any time.
What should I do to begin working with her?
Use the Start Therapy button, complete the short matching questionnaire, and then schedule sessions based on the therapist's availability.