About Melissa
Melissa Pagarigan is a licensed clinical social worker (LCSW) practicing in Nevada. She focuses on helping people facing relationship strain, family stress, trauma and abuse, compassion fatigue, grief, parenting challenges, anger, self-esteem struggles, bipolar disorder, and attention-deficit hyperactivity disorder. Melissa aims to create a steady, supportive space where people can start to make sense of hard moments.
She uses a personal style in sessions and emphasizes building a strong connection first.
How Melissa works
That foundation helps guide practical work on coping skills and daily routines. Melissa draws on cognitive-behavioral ideas to identify unhelpful thoughts and try different ways of responding. She also works from humanistic perspectives that honor each person’s values and experiences.
A strengths-based outlook is woven into the work, helping people notice what already helps them get through difficult times. Melissa adapts methods to fit individual needs rather than prescribing a single plan. With ten years of overall clinical experience, Melissa has supported people through a wide range of concerns, including various forms of trauma and mood-related challenges.
She encourages small steps and focuses on what is workable in everyday life. Getting help can feel risky, and Melissa acknowledges that first step is often the hardest. She aims to partner with people to set realistic goals and build skills that make daily life feel more manageable.
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.
- Relationship issues
- Family conflicts
- Trauma and abuse
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Compassion fatigue
- Grief
- Parenting issues
- Self esteem
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Nevada |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Melissa Brings Evidence-Based Techniques Online
Melissa uses evidence-based therapeutic techniques in a straightforward way. Cognitive-behavioral work focuses on spotting unhelpful thoughts and testing small behavior changes to reduce distress and improve daily routines. This approach can help with mood swings, anxiety, ADHD challenges, and getting unstuck from repetitive patterns.Humanistic techniques center on acknowledging what matters to the person and building on existing strengths. That work helps people reconnect with values, increase self-compassion, and make choices that feel more aligned with their goals.
Finding the right approach is a collaborative process. Melissa will talk with each person about their needs, goals, and preferences, then tailor the mix of techniques. She aims to involve the client in decisions so the plan makes sense and feels doable.
Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or a quieter check-in is needed. Live chat and text messaging provide shorter, more frequent contact for pacing support between sessions. These options make it easier to fit therapy into busy schedules and to continue care when in-person visits are difficult.
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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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