Melissa Gramigna, LPC - Therapist in Texas

About Melissa

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas. She brings two decades of clinical experience to conversations about stress, anxiety, addiction, grief, parenting, and other life challenges. Her style is warm and straightforward, and she treats talking to a therapist as a practical step toward change.

Her sessions draw on a mix of evidence-based tools. She uses cognitive behavioral techniques to help identify unhelpful thoughts and create new patterns.

Background and approach

She often uses acceptance and commitment ideas to help people focus on values and move forward even when things feel hard. Melissa also incorporates skills from dialectical behavior therapy to teach emotion regulation and distress tolerance. Emotionally-focused methods are used when relationship feelings or intimacy issues are central to the work.

She adapts her approach to match each persons needs rather than following a fixed checklist. Practical exercises, mindfulness practices, and respectful conversation are common parts of sessions. The therapist emphasizes collaboration and clear, doable steps between meetings.

That structure helps people see small changes add up over time. Her background includes 20 years of practice in Texas and an LPC license granted in 2001. She brings particular attention to concerns such as parenting, trauma and abuse, depression, bipolar disorder, ADHD, compassion fatigue, and end-of-life issues.

Melissa aims to provide steady professional support as people work toward clearer goals.

Therapeutic approaches suited to online care

Acceptance and Commitment Therapy (ACT) encourages people to notice difficult thoughts and feelings while taking action on personal values. It can help when someone is stuck or facing life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce symptoms like anxiety and depression. Dialectical Behavior Therapy (DBT) offers concrete skills for managing intense emotions and tolerating distress, often using step-by-step practice.

Choosing the right approach is part of the process. The therapist works collaboratively to find methods that match a persons goals and preferences. Sessions may start with practical problem solving and shift over time as needs change.

Online work is offered through video calls, phone, live chat, or text-based messaging to fit different schedules and comfort levels. These options make it easier to connect from home, keep momentum between meetings, and use brief check-ins when helpful. The focus remains on clear tools, skills practice, and steady progress regardless of the format.

Acceptance and Commitment Therapy (ACT)

Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Frequently asked questions

What kinds of problems does she help with?

She addresses a wide range of concerns including stress, anxiety, addictions, depression, grief, parenting issues, relationship and intimacy concerns, trauma and abuse, bipolar disorder, ADHD, and compassion fatigue.

What is her therapy style like?

Sessions are practical and collaborative, using clear, doable steps. She blends cognitive behavioral, acceptance and commitment, dialectical behavior, and emotionally-focused methods based on client needs.

How much experience does she have?

She has 20 years of clinical experience working with various mental health issues and started her licensure in 2001.

Where is she licensed to practice?

She is a Licensed Professional Counselor with license number TX LPC 17026 and practices in Texas.

Which languages are supported for sessions?

Sessions are offered in English.

What formats are available for online sessions?

She offers video calls, phone sessions, live chat, and text-based messaging as options for meeting.

How are sessions billed or paid for?

Cost varies with location and therapist availability; sessions use a subscription 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 then schedule a session according to therapist availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Addictions
Relationship issues

Also works with

Therapeutic approaches

Experience: 20 years
Licensed: Texas
Languages: English

Next step

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