- Emotionally-Focused Therapy
- ACT and CBT methods
- Grief and trauma focus
About Melissa
Melissa Gramigna is a Licensed Professional Counselor (LPC) in Texas with 20 years of experience. She works with people facing stress, anxiety, depression, addiction, relationship and intimacy concerns, grief, trauma and abuse, parenting strain, sleep problems, ADHD, bipolar issues, and related difficulties. Sessions are conducted in English.
Melissa focuses on practical, talk-based counseling. She combines Emotionally-Focused Therapy with Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help clients name feelings and notice patterns that keep problems going. She also draws on Client-Centered and Dialectical Behavior Therapy ideas when they fit a person’s goals.
In sessions she listens to what matters most and then uses exercises or reflections to test new ways of responding. That can include learning specific skills, shifting daily habits, or practicing different ways of speaking about hard emotions. The work is collaborative and paced to what a person can try between meetings.
Her background includes two decades in clinical practice across common and complex presentations. Melissa has experience addressing issues such as compassion fatigue, hospice and end-of-life counseling, veteran and armed forces concerns, jealousy, paranoia, personality disorder features, seasonal affective disorder, and self-harm among other focuses.
To begin, a short questionnaire and an initial scheduling step are used to match a person with appropriate session options and plan the first appointment.
How therapeutic approaches translate to online work
Emotionally-Focused Therapy (EFT) focuses on identifying and naming emotions and the relationship patterns they create. It helps people recognize attachment-related responses and practice different, more connected ways of expressing feelings. Acceptance and Commitment Therapy (ACT) teaches skills for noticing thoughts and feelings without getting stuck, and for taking actions that match personal values. Cognitive Behavioral Therapy (CBT) looks at links between thoughts, feelings, and behaviors and uses practical exercises to change unhelpful patterns.Choosing the right approach is part of the collaboration. Melissa will work with a client to decide which methods suit their goals and situation, and she will adjust techniques as progress is tracked. That means sessions can mix EFT, ACT, CBT, or client-centered practices depending on what a person needs.
Practical benefits of doing therapy online include easier fitting of sessions into a busy week and fewer travel demands. Online work can make shorter check-ins or skills practice more manageable during a lunch break or between commitments. Because the biography does not list specific session formats, people should confirm the current online session options before booking. The focus is on making therapy usable in everyday life while testing approaches that help with emotions, behavior, and relationship patterns.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, depression, addictions, relationship and intimacy issues, grief, trauma and abuse, parenting strain, sleep problems, ADHD, bipolar concerns, and related matters.
How would you describe her therapeutic style?
She uses Emotionally-Focused Therapy alongside ACT, CBT, DBT, and client-centered ideas to help people name feelings and try new ways of responding.
How much experience does she have?
Melissa has 20 years of experience working with a wide range of mental health concerns and clinical presentations.
What are her credentials and where is she based?
She is a Licensed Professional Counselor (LPC) licensed in Texas and provides services from that state.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats does she provide?
Confirm current session options before booking by using the platform’s scheduling steps, as formats are not specified in the biography.
How does payment work and what does it cost?
Cost varies with location and services; sessions use a subscription model that can be canceled at any time.
How do I get started with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to begin.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.