About Melissa
Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of practice. She offers straightforward, calm guidance for people feeling overwhelmed by stress, anxiety, depression, or life changes. Melissa aims to make starting therapy feel simple and approachable for a worried parent reading on their phone.
She combines practical tools with a warm, person-focused manner. Sessions often focus on skills you can use between meetings, such as coping strategies for anxiety, emotion regulation for anger, and steps to manage addictive behaviors.
How Melissa works
Melissa also helps people sort through grief, relationship and intimacy concerns, and struggles with sleep and self-esteem. Her work draws on several therapy styles to match each person's needs. Techniques from cognitive behavioral approaches help change unhelpful thinking and behavior.
Acceptance and Commitment Therapy supports values-based choices and managing difficult feelings. Dialectical skills and emotionally-focused ideas are used when stronger emotion regulation or relationship patterns come up. Melissa has experience supporting people coping with trauma, bipolar mood patterns, ADHD, compassion fatigue, and end-of-life or hospice-related concerns.
She also addresses issues like jealousy, paranoia, personality disorder traits, seasonal mood shifts, and self-harm thoughts in a practical way. Sessions are offered in English and delivered online by video, phone, live chat, or text messaging. To begin, a short matching questionnaire is completed and scheduling is arranged based on the therapist's availability.
Melissa lists 11 ways of working on the entry:
What Melissa works with
The areas below are the ones Melissa selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LPC |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approach and access in online therapy
Acceptance and Commitment Therapy (ACT) encourages noticing thoughts and feelings without getting stuck in them, then taking actions that match what matters most. It can help with anxiety, depression, and decision-making when life feels out of sync. Cognitive Behavioral Therapy (CBT) focuses on spotting and changing unhelpful thinking and behavior patterns, which is useful for anxiety, depression, sleep problems, and many day-to-day struggles. Dialectical Behavior Therapy (DBT) supplies concrete skills for managing intense emotions and improving distress tolerance, which can be helpful for anger, relationship strain, and coping with strong urges.Choosing the best approach is a collaborative process. The therapist will talk with the client about goals, preferences, and how symptoms show up, then suggest methods that fit. Plans are adjusted over time so the work stays relevant and practical for each person.
Online therapy is offered by video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video lets a therapist and client use face-to-face interaction for deeper conversation. Phone sessions can be easier when bandwidth is limited or when someone prefers not to use video. Live chat and text messaging work well for brief check-ins, ongoing encouragement, or when written reflection helps the person process between sessions. These options make it easier to fit therapy into busy schedules and varied routines.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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