Melissa Gramigna, LPC

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of experience. She blends practical therapy methods to help people manage stress, anxiety, depression, addictive behaviors, and relationship and intimacy concerns. Melissa uses straightforward, goal-oriented sessions to help parents, professionals, and individuals facing life changes find clearer ways forward.

She commonly uses cognitive behavioral techniques to spot unhelpful thoughts and try different behaviors. Acceptance and Commitment Therapy tools help clients identify values and take steps toward them. Melissa also draws on client-centered and emotionally focused ideas to create a respectful, listening space.

In a typical session she listens first, then works with the person to set simple, realistic goals. Sessions may include skill practice, mindfulness exercises, or problem-solving steps for sleep, anger, or stress. Melissa aims to match the approach to each person's needs rather than use the same plan for everyone.

Her background includes work with grief, trauma and abuse, compassion fatigue, ADHD, bipolar concerns, hospice and end-of-life counseling, and veteran and armed forces issues. She also supports people dealing with jealousy, paranoia, personality-related struggles, seasonal mood shifts, and self-harm thoughts.

Melissa describes her style as warm and service-oriented. She focuses on helping people develop practical strategies and a clearer sense of direction. Reaching out for help is framed as a first step, and she works to support and empower each person as they move forward.

How CBT and ACT translate to online sessions

Melissa uses Cognitive Behavioral Therapy to help people notice patterns of thought and try small behavior changes that can ease anxiety, depression, and sleep problems. CBT sessions often include simple exercises and homework that can be practiced between online meetings.

She also integrates Acceptance and Commitment Therapy to clarify what matters most to a person and to build steps toward those values. ACT techniques are useful for coping with grief, chronic stress, addiction impulses, and life changes by teaching acceptance and committed action.

Finding the right approach is part of the online process. The therapist will listen to your goals and suggest which methods to try first. Together you will adjust techniques and pace based on progress and preferences, keeping the work collaborative.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video calls allow face-to-face conversation and visual cues, phone sessions can be a good fit when bandwidth is limited, and messaging or chat work well for brief check-ins, skill prompts, or ongoing support between meetings. These options make it easier to fit therapy into work, caregiving, or medical schedules while still doing structured therapeutic work.