CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

MG Portrait of Melissa Gramigna

Melissa Gramigna

Compassionate CBT-informed counseling for life challenges

LPC Texas

Experience
20 years in practice
Focus areas
Stress, Anxiety, Addictions, Relationship
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Melissa

About Melissa

Melissa Gramigna is a Licensed Professional Counselor (LPC) with two decades of clinical experience working in Texas. She blends cognitive behavioral techniques with acceptance and commitment principles and other evidence-informed approaches to help people address concerns ranging from anxiety and depression to addiction, trauma, grief, and relationship struggles.

Background and approach

Melissa frames therapy as a collaborative process and emphasizes practical strategies that fit each person’s life circumstances. Known for a warm, service-oriented manner, she draws on client-centered and emotionally focused perspectives alongside elements of dialectical behavior therapy and existential thinking to tailor care to individual needs.

Her practice also encompasses issues such as bipolar disorder, ADHD, compassion fatigue, end-of-life and hospice concerns, and intimacy-related problems. Melissa aims to empower clients who are motivated for change by combining problem-solving skills with mindfulness and values-based work.

She accepts sessions in English and conducts work with a focus on meeting clients where they are, helping them build coping skills, improve relationships, and navigate life transitions. Melissa’s practice highlights accessible, solution-focused counseling coupled with respect for each person’s unique story and goals.

Combining evidence-based approaches with flexible online care

Melissa commonly uses Cognitive Behavioral Therapy (CBT) to help people identify and shift unhelpful thinking and behavior patterns; this approach is practical and often used for anxiety, depression, sleeping concerns, and coping skills. She also incorporates Acceptance and Commitment Therapy (ACT), which focuses on clarifying values and building psychological flexibility through acceptance and mindful action, useful for stress, chronic worry, and life transitions.

Choosing the right therapeutic approach is part of the collaborative work. The therapist will discuss goals, preferences, and current challenges to determine whether CBT, ACT, client-centered techniques, DBT skills, or a blend will best support progress, and adjustments are made as needs evolve.

Online therapy with Melissa is offered through multiple formats including video calls, phone sessions, live chat, and text-based messaging to provide accessibility and convenience. These options allow for consistent care across different schedules and life demands, making it easier to practice skills between sessions and maintain continuity while working toward personal goals.

Frequently asked questions

What kinds of concerns does Melissa address?
She works with a broad range of issues including stress, anxiety, addictions, depression, trauma and abuse, grief, relationship and intimacy-related problems, sleeping difficulties, self esteem, ADHD, bipolar disorder, and career or life changes.
What is her therapy style and approach?
Her approach is collaborative and solution-focused, integrating Cognitive Behavioral Therapy (CBT) with Acceptance and Commitment Therapy (ACT), client-centered techniques, DBT skills, and emotionally-focused ideas as appropriate.
How much clinical experience does she have?
Melissa brings 20 years of experience as a practicing counselor, offering long-term practice knowledge across a variety of mental health concerns.
What are her credentials and where is she based?
She is a Licensed Professional Counselor with the credential TX LPC 17026 and practices in Texas.
Can non-U.S. clients work with her?
Sessions are conducted in English and she is not currently accepting international clients.
Which session formats does she offer?
Available formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How are fees and scheduling handled?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time.
What are the steps to begin working with her?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesAnger managementDepression

Also works with

LGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

Hospice and end-of-life counselingJealousyVeteran and Armed Forces IssuesParanoiaPersonality disordersSeasonal Affective Disorder (SAD)Self-harm

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyInternal Family Systems

Experience

20+ years

Licensed

Texas

Languages

English