About Salina
Salina Mecham helps people facing anxiety, stress, addiction, grief, and parenting challenges. She works with adults on intimacy and relationship concerns, career stress, and coping with life changes. Salina uses a down-to-earth style and encourages honest feedback so sessions stay useful and on track.
Salina completed both a bachelor’s and master’s degree in social work at the University of Utah. She holds LCSW and LICSW credentials. Her early work included roles in group homes and a behavioral health hospital, where she supported people in high-crisis situations.
How Salina works
Her clinical experience spans six years and includes mental health and substance use treatment. Salina has led community behavioral health services as an agency CEO while continuing direct clinical work. That mix gives her perspective on both hands-on care and system-level needs.
Therapeutically she draws from several approaches. She uses Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based and Client-Centered methods, and incorporates trauma work when appropriate. Salina favors video sessions so she can better read interactions, but also offers phone, live chat, and text messaging formats.
She values kindness, curiosity, and direct communication in the room. Salina invites clients to notice how daily events affect them and to bring those observations into sessions. She will adjust the approach when something isn’t helping, aiming for practical progress that fits each person.
Salina lists 14 ways of working on the entry:
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Gottman Method
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
What Salina works with
The areas below are the ones Salina 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
- Abandonment
- Adoption and foster care
- Anger management
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Registers | LCSW, LICSW |
|---|---|
| Years in practice | 6 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Utah |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It can assist with anxiety, stress, and life transitions by focusing on meaningful steps rather than fighting every feeling. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns. This approach is useful for depression, anxiety, and many day-to-day problems.Finding the right approach is part of the work. The therapist will collaborate with each person to see which methods fit their goals and comfort level. Plans can change over time as needs shift, and adjustments are made when something isn’t working.
Online therapy offers flexible ways to connect. Video calls let the therapist read facial expressions and body language, which can help with skills coaching and emotional check-ins. Phone sessions are an option when bandwidth or camera use is difficult, and text-based messaging or live chat can support brief check-ins or ongoing coaching between sessions. These formats make it easier to schedule care around work, family, or other commitments.
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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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