Melissa Gramigna

Melissa Gramigna is a Licensed Professional Counselor (LPC) who brings two decades of clinical experience to her work. She approaches sessions with a warm, down-to-earth manner and focuses on practical steps people can take to feel better. Melissa emphasizes listening first and then helping clients decide what change looks like for them.

Her approach blends several evidence-based methods to meet each person's needs. She uses cognitive behavioral techniques to identify and change unhelpful thinking and behavior patterns. Acceptance and Commitment Therapy ideas and mindfulness practices help people tolerate difficult feelings while moving toward valued goals. Melissa also draws on emotionally-focused and existential perspectives to address relationship strains and questions about meaning.

People come to her for many concerns, including anxiety, depression, stress, grief, trauma, addictions, and issues with intimacy or self-esteem. She also provides support around hospice and end-of-life counseling and coping with major life transitions. Melissa has experience helping people manage compassion fatigue and work through challenges related to ADHD, bipolar disorder, and seasonal mood changes.

Sessions are conversational and goal-oriented. Melissa aims to help clients leave with practical tools they can use between meetings. Her style is supportive while staying focused on the steps that move people forward.

Therapeutic approaches and online care you can try

Melissa uses Acceptance and Commitment Therapy (ACT) to help people notice difficult thoughts and feelings without getting stuck in them, then move toward what matters most. This approach can be helpful for anxiety, stress, grief, and coping with life changes. She also uses Cognitive Behavioral Therapy (CBT) to outline patterns of thinking and behavior and to practice new, more helpful skills for problems like depression, insomnia, and mood swings.

Finding the right approach is a collaborative process. The therapist will work with clients to identify goals and preferences, and then suggest which methods to try first. Clients and the therapist review progress and adjust methods as needed so the work stays useful and relevant.

Confirm current session options before booking to know what formats are offered. Online work can make it easier to fit counseling into a busy schedule, reduce travel time, and allow shorter check-in sessions when that helps maintain progress. Licensed professionals can guide the pacing and homework so online sessions remain practical and focused on real-life change.