About Salina
Salina Mecham, LCSW, LICSW, offers a calm, practical approach for people dealing with anxiety and stress. She writes simply and listens carefully to what feels most urgent. Sessions focus on clear steps people can use between visits.
Salina aims to help clients feel more able to manage day-to-day challenges and big changes. Salina earned both a bachelor’s and a master’s degree in Social Work at the University of Utah. Early work in group homes taught her how to stay present when emotions run high.
Background and approach
She later worked in a behavioral health hospital where she supported people facing severe crises and intense distress. Across six years of practice she has helped with addiction concerns, trauma and abuse, grief, depression, and relationship issues. Her additional focus areas include parenting strain, attachment difficulties, body image, caregiver stress, and coping after loss or disaster.
She also addresses intimacy-related issues and career or identity transitions. Salina draws from several therapeutic approaches to match each person’s needs. She commonly uses Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy alongside attachment-based and client-centered techniques.
EMDR is part of her toolkit for trauma work. She primarily offers sessions by video, and also uses phone sessions, live chat, and text messaging. Sessions use a subscription model that can be canceled at any time.
Salina practices in Utah and conducts therapy in English.
How Salina’s Approaches Work Online
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them and then choose actions that match their values. It can be useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and teaches practical skills to change unhelpful patterns, which often helps with anxiety and depression. Dialectical Behavior Therapy (DBT) offers concrete skills for managing intense emotions and improving interpersonal effectiveness and distress tolerance.Finding the right approach is a team effort. Salina will work with each person to decide which methods fit their goals and day-to-day life. She welcomes feedback and can adapt her approach if something isn’t working, so therapy stays focused and relevant to what the client needs.
Online sessions include video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs. Video sessions allow for clearer observation of body language and are often preferred for fuller conversations. Phone sessions can be a good option when bandwidth is limited or for a shorter check-in. Messaging and live chat can work well for brief updates, between-session coaching, or when someone needs flexible timing. These formats make it easier to fit therapy into work, caregiving, or other busy routines.
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What this therapist works with
Most often
- 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
Therapeutic approaches
- 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
- Experience
- 6 years
- Licensed
- Utah, Washington, New Jersey, New Hampshire
- Languages
- English
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