Melissa Gramigna, LPC

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience. She approaches counseling in a personable, down-to-earth way and focuses on practical steps people can use right away. She believes talking with a caring professional can help when life feels overwhelming or stuck.

Melissa uses a mix of approaches to match each person's needs. She draws on cognitive-behavioral ideas to help change unhelpful thinking and acceptance and commitment strategies to clarify values and action. She also incorporates mindfulness exercises and elements of existential and psychodynamic thought when those perspectives fit the situation.

Her work covers many concerns, including stress, anxiety, depression, addictions, relationship and intimacy-related issues, grief, trauma and abuse, parenting strain, ADHD, bipolar concerns, sleeping problems, and compassion fatigue. Jealousy is also listed among her areas of focus. She also notes experience with hospice and end-of-life counseling and veteran and armed forces issues.

Sessions aim to be solution-focused but warm and collaborative. Melissa emphasizes listening first, then helping people set small, achievable goals. She encourages clients to use what works in daily life and to adjust as they learn what fits them best.

Clients who choose to work with her go through a brief matching questionnaire and then schedule sessions based on availability. Her approach centers on practical tools, personal values, and steady support during change.

How her approaches translate to online work

Melissa uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in clear, practical ways. Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values, which can be useful for grief, jealousy, or life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors, which often helps with anxiety, depression, sleeping problems, and stress.

Finding the right approach is a collaborative process. The therapist will listen to your goals and preferences, then suggest a mix of strategies and adjust them as you go. You and the therapist review progress together and pick methods that feel useful and realistic for daily life.

Session formats are not specified in the biography, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow shorter check-ins when schedules are tight. Talk with the therapist about what will work best for your routine and needs.