LPC

Melissa Gramigna, LPC

Experience20 years
LocationTexas
Focus areasADHD, Stress and Anxiety, and Addictions
Therapy approachesAcceptance and Commitment Therapy (ACT) and Client-Centered Therapy

Check the available next steps for working with Melissa online.

About Melissa

Melissa Gramigna is a Licensed Professional Counselor (LPC) with two decades of clinical experience working in Texas. She emphasizes evidence-informed approaches that help clients clarify values, build practical skills, and manage symptoms such as stress, anxiety, depression, and ADHD.

Background and approach

Her practice blends cognitive-behavioral techniques with acceptance and commitment principles and emotion-focused methods to support meaningful, sustainable change. Known for a warm and personable style, she frames therapy as a collaborative process and adapts interventions to each person's needs.

Melissa draws on skills from dialectical behavior therapy and client-centered work to teach coping tools, improve relationships, and address issues including trauma, grief, addictions, intimacy concerns, and sleep problems. She also brings experience with hospice and end-of-life counseling, compassion fatigue, bipolar disorder, and other complex challenges.

Melissa encourages those ready to explore change to take the first step, offering guidance that balances practical strategies with attention to values and personal growth. Her practice aims to empower clients to move forward with clearer goals and better tools for daily living.

Therapeutic approaches suited to online work

Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and learning practical ways to accept uncomfortable thoughts while committing to meaningful action. This approach is helpful for people managing anxiety, stress, and life transitions who want to build a value-driven life rather than eliminate every difficult feeling. Cognitive Behavioral Therapy (CBT) teaches concrete skills for identifying and changing unhelpful thinking patterns and behaviors, and it is often used for depression, anxiety, sleep difficulties, and coping with ADHD-related challenges. Emotionally-Focused Therapy (EFT) concentrates on understanding and reshaping emotional responses to improve relationship patterns and emotional regulation.

Finding the right approach is part of the therapeutic process, and the therapist works collaboratively with each client to determine which methods best align with their goals, preferences, and current needs. Sessions may blend elements from these models so that the plan reflects what is most useful for the individual.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing clients to connect from their own locations and fit sessions into busy schedules. These options can make regular care more accessible and support continuity of work between meetings, while still relying on the same licensed professionals and established therapeutic methods used in traditional care.

Frequently asked questions

What kinds of concerns does Melissa address?

She works with a broad range of issues including stress, anxiety, depression, ADHD, addictions, trauma and abuse, grief, relationship and intimacy issues, sleep problems, and career or self-esteem concerns.

What is her general therapeutic style?

Her approach is collaborative and adaptable, combining acceptance and commitment, client-centered, cognitive behavioral, dialectical behavior, and emotionally-focused methods to match each person's needs.

How much clinical experience does she have?

She has 20 years of experience providing counseling in a variety of areas and draws on that background to offer practical, skills-based support alongside deeper therapeutic work.

What credentials and location are listed?

Melissa holds the LPC credential and is licensed in Texas as TX LPC 17026. Her practice is based in Texas.

Which languages are available for sessions?

Sessions are offered in English. She is not accepting international clients at this time.

What session formats are offered?

Clients can meet through video calls, phone sessions, live chat, or text-based messaging depending on availability and preference.

How is cost structured for therapy?

Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling a session according to therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety AddictionsRelationship issuesAnger managementDepression

Also works with

LGBTFamily conflictsTrauma and abuse GriefIntimacy-related issuesSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

Hospice and end-of-life counselingJealousyVeteran and Armed Forces IssuesParanoiaPersonality disordersSeasonal Affective Disorder (SAD)Self-harm

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyInternal Family Systems

Experience

20+ years

Licensed

Texas

Languages

English

What Melissa can help with

Melissa Gramigna works with clients on stress and anxiety, addictions, relationship issues, anger management, and depression.

How Melissa approaches therapy

Melissa's clinical approaches include Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Existential Therapy, Mindfulness Therapy, and Motivational Interviewing.

Experience and training

Melissa is a Licensed Professional Counselor practicing in Texas, with 20 years of clinical experience.

Therapy style

Melissa aims to support and empower you as you move forward.