Melissa Gramigna, LPC

Texas · 20 years in practice

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of clinical experience.

License and registration

LPC, Texas: 17026 · expires December 2027
NPI: 1265869796 · national provider identifier
Years in practice: 20
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Melissa

Melissa Gramigna is a Licensed Professional Counselor (LPC) based in Texas with 20 years of clinical experience. She focuses on helping people manage stress, anxiety, depression, addiction concerns, and relationship or intimacy struggles. Melissa aims to create a warm, supportive space where people can talk through hard moments and find workable ways to move forward.

Her approach blends Emotionally-Focused Therapy with practical skills from cognitive behavioral methods and acceptance and commitment principles.

Background and approach

She also draws on client-centered listening and techniques from dialectical behavior therapy when useful. Sessions emphasize understanding emotions, building clearer communication, and developing coping tools that fit each person’s life. Melissa often helps people facing grief, trauma and abuse, parenting strain, sleep problems, and career stress.

She also supports those navigating identity and LGBT concerns, bipolar disorder, ADHD, compassion fatigue, and end-of-life or hospice related issues. Her work includes addressing anger, jealousy, paranoia, personality disorder challenges, and self-harm concerns when they arise. In therapy she focuses on simple, concrete steps rather than jargon.

Melissa favors short exercises, reflective conversation, and practical homework that people can try between sessions. She encourages small changes that add up and helps people notice progress over time. Sessions are offered in English and take place online through video, phone, chat, or text formats.

To begin, someone completes a short matching questionnaire and schedules a time that works with Melissa’s availability.

Focus areas and approaches

Everything Melissa lists on their public professional profile, in their own terms.

Stress, Anxiety
Addictions
Relationship issues
Anger management
Depression
LGBT
Family conflicts
Trauma and abuse
Grief
Intimacy-related issues
Sleeping disorders
Parenting issues
Self esteem
Career difficulties
Bipolar disorder
Coping with life changes
Compassion fatigue
ADHD
Hospice and end-of-life counseling
Jealousy
Veteran and Armed Forces Issues
Paranoia
Personality disorders
Seasonal Affective Disorder (SAD)
Self-harm

Approaches Melissa names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Emotion and skills online - how therapy can work

Emotionally-Focused Therapy helps people name and work with the emotions that drive patterns in relationships and daily life. It focuses on increasing emotional awareness and shifting interaction patterns so emotions lead to healthier responses rather than repeated conflict or withdrawal.

Acceptance and Commitment Therapy (ACT) teaches practical ways to accept difficult thoughts and feelings while taking steps toward what matters most. It is useful for anxiety, depression, and life changes where people want clearer values-guided action. Cognitive Behavioral Therapy (CBT) looks at how thoughts affect feelings and behavior and offers concrete exercises to change unhelpful patterns, which suits issues like anxiety, depression, and sleep problems.

Choosing the right approach is part of the work together. The therapist will listen to goals, try different methods, and adapt based on what helps most. This is a collaborative process that focuses on what a person wants to change and how they prefer to work.

Online sessions offer flexibility through video calls, phone sessions, live chat, or text-based messaging. Video is useful for deeper conversation and visual cues, phone can be easier when bandwidth is limited or for a quicker check-in, and chat or text can fit short updates or times when typing feels easier. These options make it simpler to fit therapy into a busy life and try different formats to see what works best.

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Questions people ask

What problems does Melissa help with?

She works with a wide range of concerns including stress, anxiety, depression, addictions, trauma, grief, relationship and intimacy issues, sleep difficulties, and parenting strain.

What is her general therapy style?

Her style is warm and person-centered, combining emotionally-focused work with practical strategies from CBT, ACT, and DBT to help people manage emotions and try new behaviors.

How much clinical experience does she have?

Melissa has twenty years of experience as a Licensed Professional Counselor working with diverse mental health concerns.

Where is she licensed and based?

She is a Licensed Professional Counselor with licensure listed as TX LPC and practices from Texas.

Which languages are supported?

Sessions are offered in English.

Can people outside the U.S. work with her?

She does not accept international clients at this time.

What session formats are available?

Therapy is available through video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

How do I begin working with her?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability. The service uses a subscription that can be canceled at any time.

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