About Melissa
Melissa Gramigna is a Licensed Professional Counselor practicing in Texas. She brings 20 years of experience and a calm, person-centered style to sessions. She listens first, then helps people set small, practical goals they can try between meetings.
Melissa often uses tools from cognitive behavioral work to spot unhelpful thinking patterns. She blends that with Acceptance and Commitment Therapy ideas to help people notice their feelings without getting stuck. Mindfulness and emotion-focused techniques also appear in her work when they fit the client’s needs.
Background and approach
She has supported people dealing with stress and anxiety, addictions, depression, and grief. Other common concerns she addresses include relationship and intimacy issues, anger, sleep problems, and challenges tied to parenting and career changes. Melissa also lists work with trauma, compassion fatigue, bipolar disorder, ADHD, and end-of-life counseling among her focus areas.
Sessions are shaped around each person’s goals and life situation. Melissa aims to offer practical strategies you can use right away, plus space to talk through painful experiences. Her approach is warm and straightforward, focused on what helps you move forward.
If you decide to start, she guides the process from the first intake steps through goal-setting and follow-up. The emphasis is on steady progress rather than quick fixes, and on building skills that fit into everyday life.
How therapy approaches work online
Acceptance and Commitment Therapy, or ACT, helps people notice their thoughts and feelings without getting ruled by them. It focuses on identifying values and taking small steps toward a meaningful life, which can help with anxiety, stress, and life transitions.Cognitive Behavioral Therapy, or CBT, looks at the connections between thoughts, feelings, and actions. It uses clear, practical exercises to change patterns that increase anxiety or depression and teaches skills to manage symptoms more effectively.
Finding the right approach is a collaborative process. The therapist will talk with the client about goals, try techniques that fit those goals, and adjust the plan as progress is tracked. Clients and the therapist decide together what tools to keep using over time.
Online formats offer flexibility for people with busy lives. Video calls allow face-to-face conversation when discussing emotions and practicing skills. Phone sessions can work when bandwidth is limited or when a camera is not desired. Live chat and text-based messaging make it possible to check in between sessions or use brief coaching-style support on a tighter schedule.
Questions people ask
What concerns does she commonly help with?
What is her general therapy style?
How much experience does she have?
What are her credentials and where is she based?
Which languages are offered for sessions?
What session formats are available online?
How are sessions billed and what does it cost?
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Career difficulties
- Compassion fatigue
- Coping with life changes
- Depression
- Family conflicts
- Grief
- Hospice and end-of-life counseling
- Intimacy-related issues
- Jealousy
- LGBT
- Paranoia
- Parenting issues
- Personality disorders
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sleeping disorders
- Trauma and abuse
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Texas
- Languages
- English
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