Melissa Gramigna, LPC
- Trauma informed care
- Anxiety and mood support
- Relationship and family work
About Melissa Gramigna
Her style is warm and personable, informed by a range of therapeutic traditions. She integrates cognitive-behavioral techniques and acceptance and commitment principles with mindfulness practices, existential perspectives, and a psychodynamic understanding of how problems can develop over time. This blended approach is tailored to meet the needs of each person she works with.
Melissa has worked with a wide variety of concerns, including stress and anxiety, depression, addictions, relationship and family issues, trauma and abuse, grief, intimacy and sexual concerns, parenting difficulties, sleep problems, and issues related to LGBT identity. She also addresses mood disorders such as bipolar disorder, ADHD, coping with life changes, compassion fatigue, and end-of-life and hospice-related counseling.
Her practice emphasizes empowerment and practical skills - helping people identify values, develop coping strategies, repair relationships, and move toward meaningful change. Melissa seeks to create a supportive environment where motivated individuals can pursue goals, build resilience, and find clearer direction in their lives.
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.
Is Melissa Gramigna a licensed therapist?
Yes. She holds the credential LPC, which stands for Licensed Professional Counselor. License details: TX LPC 17026.
In which languages does Melissa Gramigna provide therapy?
She provides therapy in English.
Where is Melissa Gramigna located?
She 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 with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps 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 Online Care with Melissa Gramigna
Melissa often draws on Acceptance and Commitment Therapy (ACT) to help people clarify their values and build meaningful action even in the presence of difficult thoughts or feelings. ACT emphasizes acceptance, mindfulness, and committed steps toward what matters most, which can be helpful for anxiety, depression, and life transitions.
She also uses Cognitive Behavioral Therapy (CBT), a structured approach that helps identify and change unhelpful thinking and behavior patterns. CBT is useful for managing symptoms of anxiety, depression, stress, sleep difficulties, and many everyday problems by teaching practical coping skills.
Finding the right approach is a collaborative process. Melissa works together with each person to assess needs, preferences, and goals, then tailors methods so therapy feels relevant and effective. She views treatment as a partnership in which techniques are adapted over time based on what is most helpful.
Online therapy with Melissa is offered via video calls, phone sessions, live chat, or text-based messaging, providing flexibility to fit different schedules and comfort levels. These options make it easier to access consistent support without travel, allowing continuity of care through life changes while maintaining the therapeutic focus on progress and wellbeing.