At a glance
- Credentials
- LPC
- License
- LPC, Texas / 17026
- NPI
- 1265869796
- Experience
- 20 years
- Languages
- English
- Location
- Texas
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
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- Motivational support
- Practical coping skills
- Values based work
About Melissa
Melissa Gramigna is a Licensed Professional Counselor (LPC) in Texas with 20 years of experience. She listens without judgment and helps people who are ready to make changes in their lives. She values a warm, approachable style and aims to make therapy feel practical and manageable.
Melissa draws on a mix of methods to match each person's needs. She often uses Motivational Interviewing to support people who want to find their own reasons for change. She also works with Acceptance and Commitment Therapy, cognitive behavioral strategies, and dialectical behavior ideas when those tools fit the situation.
In sessions she focuses on workable steps and real-life skills. That can include learning new coping strategies for anxiety or depression, managing stress, handling grief, improving sleep, or addressing relationship and intimacy concerns. She also addresses conditions like ADHD, bipolar symptoms, and the challenges tied to trauma and compassion fatigue.
Her background blends a client-centered attitude with practical exercises, mindfulness practices, and an understanding of how life experience shapes behavior. Melissa aims to empower people so they can make decisions that match their values and goals.
She invites people to take the first step by reaching out and completing the intake process. The work is collaborative and paced to what each person needs, with attention to both short-term relief and longer-term changes.
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Using Motivational and Acceptance-Based Approaches Online
Motivational Interviewing is a conversational style that helps people find their own reasons to make a change. It focuses on listening, asking questions, and building motivation one step at a time. Acceptance and Commitment Therapy (ACT) works on noticing difficult thoughts and feelings while taking actions that match personal values, which can help with anxiety, depression, and life transitions.
Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and preferences. That choice can shift over time as needs change, and sessions are paced to the individual.
Confirm current session options before booking since specific formats are not listed in the biography. Online therapy can make it easier to fit sessions into a busy day, reduce travel time, and allow for shorter check-ins when needed. For some people video can help with face-to-face connection, while audio or other arrangements may suit those who prefer a quieter setup or lower bandwidth. A licensed professional can explain available formats and help arrange appointments that match daily routines. -
Areas of expertise
Primary focus
Also works with
LGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHDAdditional focus areas
Hospice and end-of-life counselingJealousyVeteran and Armed Forces IssuesParanoiaPersonality disordersSeasonal Affective Disorder (SAD)Self-harmTherapeutic approaches
Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyInternal Family SystemsExperience
20+ years
Listed in
Texas
Languages
English
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Frequently asked questions
What concerns can Melissa help with?
She works with a wide range of concerns including stress, anxiety, addictions, depression, grief, relationship and intimacy issues, sleep problems, parenting strain, ADHD, bipolar symptoms, trauma and abuse, and compassion fatigue.
How would you describe her therapeutic style?
Her style is personable and solution-focused. She combines Motivational Interviewing, Acceptance and Commitment Therapy, cognitive-behavioral strategies, and elements of dialectical and existential approaches to fit each person.
What is her professional background?
She is a Licensed Professional Counselor with 20 years of experience working with many mental health concerns and life transitions.
Where is she based and what are her credentials?
She practices in Texas and holds the credential LPC, which stands for Licensed Professional Counselor.
Are sessions offered in other languages or internationally?
Sessions are offered in English. She does not accept international clients at this time.
What session formats are available?
Please confirm current session options before booking, as the biography does not list specific formats. The therapist can clarify whether remote or in-person appointments are offered during scheduling.
How are costs and payments handled?
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?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule a session according to therapist availability.
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Online talk therapy is not emergency or medical care. Stopping or cutting down alcohol or other drugs can be unsafe without medical advice. In immediate danger? Crisis numbers