About Melissa
Melissa Gramigna is a Licensed Professional Counselor who brings two decades of experience to her work. She aims to be warm and practical, offering straightforward help when life feels overwhelming. Melissa treats each person as an individual and focuses on clear steps people can use right away.
She often combines cognitive-behavioral ideas with acceptance and commitment elements to help people manage thoughts and act on their values. Melissa also uses client-centered skills to listen deeply and dialectical behavior ideas when emotions are intense.
Background and approach
Her approach is flexible and shaped around what a person needs most in the moment. Melissa has worked with a wide range of concerns, including stress, anxiety, depression, addictions, grief, trauma and anger. She also supports people struggling with intimacy, parenting stress, sleeping problems, career doubts, ADHD, bipolar concerns, and compassion fatigue.
Additional focus areas include hospice and end-of-life counseling, veteran and armed forces issues, and personality-related challenges. Sessions aim to be collaborative and practical. Melissa helps people set small goals and practices they can try between meetings.
She emphasizes understanding how patterns developed and then finding better ways forward. Based in Texas, Melissa draws on 20 years of counseling experience to shape a steady, compassionate presence. Her style is approachable and goal-oriented, meant to help people build skills and move toward meaningful change.
How therapy approaches translate to online care
Acceptance and Commitment Therapy (ACT) encourages people to notice uncomfortable thoughts and feelings while still taking steps that align with their values. It often helps with anxiety, depression, and life transitions by focusing on meaningful action rather than only changing thoughts. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches practical skills to change unhelpful patterns. CBT can be useful for anxiety, mood concerns, sleeping problems, and coping with stress. Client-Centered Therapy prioritizes empathic listening and respect for the person's perspective, creating space to explore goals and decisions at a comfortable pace.Finding the right approach is part of the work together. The therapist will collaborate with each person to identify which methods fit their goals and preferences, and may combine techniques from different approaches as needed. That collaborative process helps shape sessions that feel useful and realistic.
Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. Video lets people read facial cues and use visual exercises, while phone calls can be less bandwidth-heavy and easier during a busy day. Live chat or text-based messaging can provide brief check-ins or ongoing support between longer sessions. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping treatment consistent and accessible.
Questions people ask
What kinds of problems does this counselor help with?
What is the therapeutic style like during sessions?
How much experience does she have in counseling?
What are her credentials and where is she based?
Which languages are supported for sessions?
What session formats are available online?
How are costs and billing handled?
How do I begin working with this counselor?
What this counselor works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Career difficulties
- Compassion fatigue
- Coping with life changes
- Depression
- Family conflicts
- Grief
- Hospice and end-of-life counseling
- Intimacy-related issues
- Jealousy
- LGBT
- Paranoia
- Parenting issues
- Personality disorders
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sleeping disorders
- Trauma and abuse
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Texas
- Languages
- English