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LPC

Melissa Gramigna, LPC

  • Experience20 years
  • LocationTexas
  • Focus areasStress and Anxiety, Addictions, and Relationship
  • Therapy approachesInternal Family Systems and Acceptance and Commitment Therapy (ACT)
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About Melissa

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas who brings 20 years of clinical experience to her work.

Background and approach

She emphasizes Internal Family Systems alongside a mix of evidence-informed methods to tailor care to each person’s needs, drawing on acceptance and commitment principles, cognitive-behavioral strategies, and mindfulness techniques. Her approach is warm and solution-focused, aimed at helping people who are motivated to make changes in their lives.

Clients can expect a personable clinician who values collaboration and practical skills alongside reflective exploration. Melissa addresses a wide range of concerns including stress, anxiety, addiction, relationship and intimacy issues, grief, trauma and abuse, mood concerns such as depression and bipolar, attention challenges like ADHD, and life transitions.

She also works with issues related to hospice and end-of-life counseling, compassion fatigue, and self-harm, among other areas. Melissa frames therapy as a partnership that honors each person’s unique goals and strengths.

She encourages individuals to view reaching out for help as an important first step and aims to support and empower them through the changes they seek.

Using Integrative Approaches in Online Therapy

Melissa uses Internal Family Systems to help clients identify and relate to different internal parts, offering a way to access and understand emotions and patterns that contribute to stress, anxiety, trauma responses, or relationship conflicts. Acceptance and Commitment Therapy (ACT) is used to build psychological flexibility through values-based action and acceptance strategies, which can be helpful for coping with chronic worry, life transitions, and mood difficulties. Client-centered therapy provides a compassionate, nonjudgmental environment that emphasizes the client’s own resources and pace of change.

Choosing the right approach is a collaborative process. Melissa works with each person to explore which methods best match their goals, symptoms, and preferences, adapting techniques as new information emerges during treatment. This partnership helps ensure that therapy feels relevant and workable for daily life.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility and easier access to care. These formats allow clients to engage in skill work, reflective conversation, and experiential exercises from locations that fit their schedules, making it simpler to maintain consistency in therapy while balancing other responsibilities.

Frequently asked questions

What difficulties does she commonly address?
Melissa works with a broad range of concerns including stress, anxiety, addictions, relationship challenges, anger, depression, grief, trauma and abuse, intimacy-related issues, sleeping problems, parenting concerns, self esteem, career issues, bipolar disorder, ADHD, and coping with life changes.
What is her therapeutic style and approach?
Her work blends Internal Family Systems with client-centered, acceptance and commitment, cognitive-behavioral, and dialectical behavior approaches to create a practical and reflective therapy process tailored to individual needs.
How much clinical experience does she have?
She brings 20 years of experience as a practicing counselor, offering long-term clinical work across many mental health concerns.
Where is she licensed and what are her credentials?
She is a Licensed Professional Counselor (LPC) practicing in Texas with the license TX LPC 17026.
Does she provide services in other languages or accept international clients?
Sessions are conducted in English, and she is not currently accepting international clients.
What session formats are available?
Melissa offers video calls, phone sessions, live chat, and text-based messaging as options for connecting with clients.
How are fees and subscriptions handled?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesAnger managementDepression

Also works with

LGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

Hospice and end-of-life counselingJealousyVeteran and Armed Forces IssuesParanoiaPersonality disordersSeasonal Affective Disorder (SAD)Self-harm

Therapeutic 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 Systems

Experience

20+ years

Licensed

Texas

Languages

English