- Years in practice
- 20
- Credentials
- LPC
- Licensed in
- Texas
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Addictions
- Focus
- Relationship issues
About Melissa
Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience. She offers straightforward, empathetic support for people facing stress, anxiety, addiction, grief, parenting challenges, and other life changes. Melissa emphasizes practical steps and listens without judgment to help clients move forward.
Her approach blends several evidence-informed methods to match each person's needs. She draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people notice unhelpful thoughts and take meaningful action.
Background and approach
Client-centered principles shape sessions so people feel heard and respected. Melissa also uses techniques from Dialectical Behavior Therapy and Emotionally-Focused Therapy when emotion regulation or relationship concerns are central. She includes simple mindfulness exercises and values-based planning to build steady coping skills.
These tools are presented in clear, everyday language so parents and busy adults can use them between sessions. Over two decades in practice, Melissa has worked with a wide range of concerns including depression, anger, trauma, ADHD, and compassion fatigue. She also offers support around hospice and end-of-life counseling, veteran and armed forces issues, and intimacy-related struggles.
Her style is practical, warm, and focused on goals the client cares about. People who choose Melissa can expect a collaborative process. She helps set realistic steps, checks progress, and adjusts plans as needed.
The aim is steady improvement rather than quick fixes.
What Melissa works with
Everything Melissa lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Melissa helps people with.
- 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 name their values and take small steps that match those values despite difficult thoughts or feelings. It often helps with anxiety, stress, and parenting frustration by focusing on what matters most. Cognitive Behavioral Therapy (CBT) teaches practical techniques to notice and change unhelpful thought and behavior patterns. CBT is useful for anxiety, depression, sleeping trouble, and building routine coping skills. Client-Centered Therapy emphasizes listening, respect, and collaboration so people feel understood and can explore solutions at their own pace.Choosing the right approach is part of the work together. Melissa will talk through goals, try methods, and adjust based on what helps most. This collaborative process makes it easier to find strategies that fit a person's daily life and parenting responsibilities.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video calls are close to an in-person meeting for deeper conversation. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging allow for quick check-ins, written exercises, and ongoing support between scheduled sessions. These options provide flexibility for busy schedules and people managing home or work demands.
Questions people ask about Melissa
What kinds of concerns does Melissa help with?
She works with stress, anxiety, depression, addictions, trauma and abuse, grief, parenting concerns, relationship and intimacy issues, sleeping problems, ADHD, bipolar disorder, and related struggles.
What is her general therapy style?
Her style is personable and practical. Sessions focus on listening, setting goals, and using clear strategies clients can try between meetings.
How much clinical experience does she have?
Melissa has 20 years of counseling experience and has worked with a broad range of mental health concerns across that time.
What are her professional credentials and where is she located?
She is a Licensed Professional Counselor, LPC, practicing in Texas.
Which languages are sessions offered in?
Sessions are offered in English.
What formats are available for sessions?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging.
How does billing and cost work?
Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on therapist availability.
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