Melissa Gramigna, LPC

Melissa Gramigna is a Licensed Professional Counselor (LPC) who draws on two decades of clinical experience to help people move forward. She approaches each person with a calm, personable manner and focuses on practical steps that can reduce stress and improve daily life.

She combines several methods to match what someone needs in the moment. Melissa uses cognitive-behavioral techniques to address unhelpful thinking and behavior patterns. She brings Acceptance and Commitment Therapy ideas to help people live in line with their values, and she uses client-centered listening to make space for each person's experience.

People come to her for many concerns, including anxiety, depression, grief, addiction, trauma and relationship stress. She also works with issues like parenting strain, sleep problems, ADHD, compassion fatigue, and hospice and end-of-life counseling. Her practice includes attention to intimacy and self-esteem concerns as well.

In sessions she emphasizes clear, doable steps and honest conversation. Melissa favors exercises that people can try between visits, along with reflective listening during sessions. The aim is to build skills and to support practical change over time.

Melissa is based in Texas and has been licensed since 2001. She says taking the first step matters, and she focuses on helping people feel understood while planning concrete next steps toward their goals.

Online approaches and how they fit into care

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters most to a person and taking small steps toward those values even when feelings are difficult. It can help with anxiety, depression, life transitions, and coping with persistent stress. Cognitive Behavioral Therapy (CBT) helps people identify unhelpful thoughts and habits and practice new ways of responding; it is commonly used for anxiety, depression, sleep issues, and many everyday problems. Client-Centered Therapy emphasizes listening and empathic understanding to help people feel heard and to build on their own strengths.

Choosing the right approach is a shared process. The therapist will talk with each person about their goals, preferences, and what has or hasn’t worked before. Together they will try methods that fit the person's needs and adjust the plan over time based on how things are going.

If you are considering online sessions, confirm the current session options before booking since formats are not specified here. Online work can make it easier to fit therapy into a busy life - for example, by reducing travel time, allowing shorter check-ins during a break, or avoiding the need to be on camera if that's helpful. Many licensed professionals use straightforward exercises, value-based planning, and thought-tracking tools in remote sessions to help clients practice skills between meetings.