Salina Mecham, LCSW, LICSW
Licensed clinician for trauma and addiction
- Trauma and abuse
- Addictions and recovery
- Couples and family
About Salina Mecham
Salina Mecham brings a blend of clinical training and hands-on experience to her work with adults and adolescents, drawing on both academic preparation and years in behavioral health settings. She earned a bachelor s and master s degree in Social Work from the University of Utah and completed a certification in substance use treatment. Her credentials include LCSW - Licensed Clinical Social Worker, MAC - Master Addiction Counselor, and DVP - Domestic Violence Intervention Treatment Counselor, reflecting focused training in mental health, addiction, and domestic violence intervention.
Her early career began in group homes for youth, where she worked directly with young people facing intense behavioral and emotional challenges. That groundwork led to clinical roles in a behavioral health hospital, supporting people in crisis and helping them regain functioning when symptoms became overwhelming. Today she serves as CEO of Willapa Behavioral Health & Wellness, a community behavioral health agency, and continues to provide treatment there for mental health concerns, substance use disorders, domestic violence intervention, and couples counseling.
Salina favors a flexible, evidence-informed approach and often tailors interventions to fit each person s needs. She is trained in Gottman Level 1 methods for couples therapy and Level 1 Internal Family Systems (IFS), and she uses EMDR for trauma treatment. She also integrates techniques from cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and rational emotive behavior therapy (REBT) when appropriate. She values kindness, curiosity, validation, and openness, and encourages honest feedback so she can adjust her style to better meet a client s goals.
For clinical work she prefers video sessions to be able to read nonverbal cues, and she also conducts phone sessions and exchanges email, typically responding within 48 hours. When needed and when time permits, she can arrange special times for urgent concerns. Her practice focuses on helping people navigate stress, anxiety, trauma, relationship and family issues, addiction and recovery, grief, parenting and intimacy-related concerns, and other life changes, with the aim of keeping clients supported and moving forward.
Her early career began in group homes for youth, where she worked directly with young people facing intense behavioral and emotional challenges. That groundwork led to clinical roles in a behavioral health hospital, supporting people in crisis and helping them regain functioning when symptoms became overwhelming. Today she serves as CEO of Willapa Behavioral Health & Wellness, a community behavioral health agency, and continues to provide treatment there for mental health concerns, substance use disorders, domestic violence intervention, and couples counseling.
Salina favors a flexible, evidence-informed approach and often tailors interventions to fit each person s needs. She is trained in Gottman Level 1 methods for couples therapy and Level 1 Internal Family Systems (IFS), and she uses EMDR for trauma treatment. She also integrates techniques from cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and rational emotive behavior therapy (REBT) when appropriate. She values kindness, curiosity, validation, and openness, and encourages honest feedback so she can adjust her style to better meet a client s goals.
For clinical work she prefers video sessions to be able to read nonverbal cues, and she also conducts phone sessions and exchanges email, typically responding within 48 hours. When needed and when time permits, she can arrange special times for urgent concerns. Her practice focuses on helping people navigate stress, anxiety, trauma, relationship and family issues, addiction and recovery, grief, parenting and intimacy-related concerns, and other life changes, with the aim of keeping clients supported and moving forward.
Areas of Expertise
Primary Focus
Also Specializes In
Family conflictsGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue
Additional Focus Areas
AbandonmentAdoption and foster careAttachment issuesBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameHIV / AIDSHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismPanic disorder and panic attacksParanoiaPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues
Therapeutic Approach
Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Eye Movement Desensitization and Reprocessing (EMDR) Gottman Method Mindfulness Therapy Motivational Interviewing Narrative Therapy Psychodynamic Therapy Solution-Focused Therapy Trauma-Focused Therapy Internal Family Systems
Frequently Asked Questions
How much experience does Salina Mecham have?
Salina Mecham has 6 years of experience.
Is Salina Mecham a licensed therapist?
Yes. She holds the credentials LCSW and LICSW. License details include NH LCSW 4058 and WA LICSW LW61049548.
In which languages does Salina Mecham provide therapy?
She provides therapy in English.
Where is Salina Mecham located?
She is located in Utah.
How can I work with Salina Mecham as my therapist?
You can work with Salina Mecham through video calls, phone sessions, live chat, or text-based messaging.
Does Salina Mecham work with international clients?
No. Salina Mecham does not currently work with international clients.
How much does therapy with Salina Mecham 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 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
Salina Mecham commonly draws from Acceptance and Commitment Therapy, Attachment-Based Therapy, and Cognitive Behavioral Therapy when working with clients. Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them while clarifying personal values and taking steps toward a meaningful life - it is useful for anxiety, avoidance, and life transitions. Attachment-Based Therapy focuses on patterns that form in close relationships, helping people understand how early bonds affect current trust, intimacy, and communication - it can be especially helpful for relationship concerns, attachment issues, and family dynamics. Cognitive Behavioral Therapy (CBT) targets unhelpful thinking and behavior patterns, teaching practical skills to manage symptoms of anxiety, depression, and stress.Finding the right approach is part of the therapeutic process. Salina collaborates with clients to identify which methods fit their needs, goals, and preferences, and she adjusts techniques over time to ensure the work feels relevant and effective.
Online therapy offers practical flexibility - video sessions allow visual connection and better reading of nonverbal cues, phone sessions can be a good alternative when video is not possible, and messaging or text-based options support ongoing check-ins between appointments. These options make scheduling easier and help clients access licensed professionals from locations that suit their lives.