Melissa Gramigna, LPC

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience. She approaches therapy with a warm, down-to-earth style and a focus on practical change. Melissa welcomes frank conversations and helps people take the next step when life feels overwhelming.

She uses a mix of approaches to match each person's needs. That can include cognitive-behavioral techniques to challenge unhelpful thoughts, acceptance and commitment ideas to clarify values, and mindfulness exercises to steady a busy mind. She also draws on emotion-focused ideas and dialectical skills when relationships or strong emotions are central concerns.

Melissa has worked with many common struggles such as stress, anxiety, depression, grief, addictions, and sleep problems. She also supports people dealing with trauma, relationship and intimacy issues, parenting strain, career stress, and life transitions. Additional focus areas listed include hospice and end-of-life counseling, veteran and armed forces issues, and seasonal affective disorder.

In sessions she aims to be personable and solution-focused. Expect straightforward conversation, practical tools you can try between meetings, and steps to build toward your goals. Her approach is collaborative and paced to your needs.

To begin, Melissa asks people to complete a short matching questionnaire and then schedule sessions according to her availability. She practices in Texas and works in English.

How Melissa Uses Evidence-Based Approaches Online

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take committed steps toward those values even when uncomfortable feelings are present. It can be useful for anxiety, stress, and situations that require motivation to change. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors that feed depression and anxiety. It often includes practical exercises to try between sessions and tracking patterns that interfere with daily life. Dialectical Behavior Therapy (DBT) offers skills for managing strong emotions, improving distress tolerance, and building healthier interpersonal skills, which can help with anger, relationship strain, and emotional volatility.

Finding the right approach usually happens together. Melissa will discuss goals, preferences, and what feels most useful, then tailor techniques from these approaches to fit each person's needs. That collaborative process helps shape a plan that feels workable and realistic.

If you are interested in online therapy, confirm the current session options before booking. The profile does not specify formats, so checking available session types is advised. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and remove travel time so therapy can happen around work, school, or caregiving. Licensed professionals can adapt ACT, CBT, and DBT skills to an online setting so you can practice tools and strategies between meetings.