Melissa Gramigna

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience. She offers straightforward, person-centered counseling and helps people who are ready to make change. She views reaching out for help as an important first step and aims to provide a warm, supportive space for that work.

Her approach combines practical strategies with thoughtful listening. Melissa draws on cognitive behavioral techniques to clarify unhelpful thinking and build new habits. She uses elements of Acceptance and Commitment Therapy to help people notice their values and take committed actions toward them.

Melissa also incorporates client-centered and emotion-focused ideas to make sure people feel heard and understood. Mindfulness exercises and existential perspectives are available for those wanting to explore meaning, choice, and life direction. She adapts methods to each person rather than following a single formula.

Over two decades she has worked with a broad range of concerns including stress, anxiety, anger, depression, grief, addictions, trauma, relationship challenges, and issues around identity and intimacy. She also lists experience with ADHD, bipolar symptoms, parenting stress, and end-of-life conversations.

Sessions emphasize practical skills, compassionate listening, and collaborative planning. Melissa encourages people to set manageable goals and to practice small changes between sessions. She welcomes questions and helps clients find a pace that suits their needs.

Approaches that translate well to online work

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small, practical steps toward those values. It often uses simple exercises to notice thoughts and choose actions that match goals. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thinking and experimenting with different behaviors to change mood and stress. It often involves brief skills practice and homework between sessions. Client-Centered Therapy emphasizes listening and empathy so people feel understood and can explore solutions at their own pace.

Figuring out which approach fits best is part of the work. The therapist will talk with each person about goals and preferences and adjust techniques as needed. That collaboration helps shape a plan that feels doable and relevant.

If you are considering online therapy, check the current session options before booking since formats are not specified in the biography. Online work can make it easier to fit appointments into a busy life, reduce travel time, and use shorter check-ins when days are tight. It also supports using practical tools at home, like mindfulness exercises or behavioral experiments, that can be practiced between sessions. Licensed professionals can adapt these approaches so the sessions focus on what matters most to the client.