Melissa Gramigna, LPC
- Stress and anxiety
- Addictions and recovery
- Relationship and family
About Melissa Gramigna
Her practice supports people working through stress, anxiety, addictions, relationship and family difficulties, trauma and grief, mood concerns such as depression and bipolar disorder, issues around intimacy and parenting, and other challenges including career stress, compassion fatigue, and ADHD. Melissa emphasizes collaboration and empowerment, helping clients identify goals, learn coping skills, and take steps toward meaningful change. As an LPC - a professional credential that denotes state licensure and training to provide counseling services - she blends evidence-informed approaches with a compassionate, individualized style to help clients navigate life transitions and build practical tools for daily living.
Areas of Expertise
Primary Focus
Also Specializes In
Additional Focus Areas
Therapeutic Approach
Frequently Asked Questions
How much experience does Melissa Gramigna have?
Melissa Gramigna has 20 years of experience in the field of mental health.
Is Melissa Gramigna a licensed therapist?
Yes. She holds the credential LPC, which stands for Licensed Professional Counselor. Her license details are TX LPC 17026.
In which languages does Melissa Gramigna provide therapy?
Melissa Gramigna provides therapy in English.
Where is Melissa Gramigna located?
Melissa Gramigna is located in Texas.
How can I work with Melissa Gramigna as my therapist?
You can work with Melissa Gramigna through video calls, phone sessions, live chat, or text-based messaging.
Does Melissa Gramigna work with international clients?
Melissa Gramigna does not currently work with international clients.
How much does therapy with Melissa Gramigna cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic approaches and the benefits of online sessions
Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking committed action even when difficult thoughts or feelings are present. It helps people build psychological flexibility and is often useful for stress, anxiety, and life transitions. Cognitive Behavioral Therapy (CBT) is a structured, skills-based approach that helps identify and change unhelpful thought and behavior patterns; it is commonly used for anxiety, depression, and coping with everyday challenges. Client-Centered Therapy emphasizes an accepting, nonjudgmental therapeutic relationship in which the client s pace and perspective guide the work; this approach supports building self-understanding, self-esteem, and emotional processing.
Finding the right approach is part of the therapeutic process. Melissa will work collaboratively with each person to determine which methods fit their needs, goals, and preferences, adjusting the plan as progress and feedback guide the work. This collaborative process helps ensure treatment feels relevant and manageable.
Online therapy offers practical flexibility - sessions by video call, phone, live chat, or text-based messaging make it easier to fit care into busy schedules and to maintain continuity through life changes. Licensed professionals can use these formats to teach skills, provide support, and guide therapeutic progress in ways that meet different communication preferences and logistical needs.