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Salina Mecham

Salina Mecham, LCSW, LICSW

Utah

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Licensed Clinical Social Worker - Anger and Trauma

  • CBT and ACT methods
  • DBT skills training
  • EMDR for trauma

About Salina

Salina Mecham is a Licensed Clinical Social Worker (LCSW) and a Licensed Independent Clinical Social Worker (LICSW) with six years of clinical experience. She is based in Utah and works with adults on concerns such as stress, anxiety, depression, addiction, grief, parenting strain, and anger.

She began her career in group home settings and went on to work in a behavioral health hospital where people came when they were at crisis points. That early work shaped how she responds when emotions are intense and behavior feels out of control. She has also worked in community behavioral health and continues to provide clinical care alongside agency leadership.

Salina draws from several practical approaches when people need help managing strong emotions. She uses Cognitive Behavioral Therapy (CBT) for changing thought patterns, Acceptance and Commitment Therapy (ACT) to clarify values and steady action, and Dialectical Behavior Therapy (DBT) skills for managing intense feelings. She also uses Eye Movement Desensitization and Reprocessing (EMDR) for trauma when appropriate.

Her sessions favor video so she can read nonverbal cues, though she will use the phone and communicates by email with typical replies within 48 hours. She asks clients to notice how daily life affects them between sessions and to bring those observations into the work. Feedback during sessions is invited so she can adjust her approach if it isn’t helping.

Salina emphasizes straightforward, practical work aimed at keeping people functioning and moving forward. She combines direct skills training with discussion of patterns that keep anger and other problems repeating, and she helps people build small, usable changes they can keep practicing.

How her approaches translate to online work

Salina uses Acceptance and Commitment Therapy (ACT) to help people clarify what matters and take small consistent steps toward those values. ACT is useful when anger or frustration gets in the way of living the life someone wants.

She also draws on Cognitive Behavioral Therapy (CBT) to identify and change patterns of thinking that fuel reactive behavior. CBT supplies concrete exercises and experiments people can practice between sessions to test new ways of responding.

Finding the right method is part of the work together. The therapist and client discuss goals and preferences and decide which approaches to emphasize. That collaborative process can change as problems shift or as a person learns new skills.

Session formats used in the practice should be confirmed before booking. The therapist prefers video because it allows more reading of nonverbal cues and also uses phone calls and email communication with typical email replies within 48 hours. When formats are not specified, check current session options before scheduling. Online sessions can make it easier to fit meetings into a busy week, allow shorter check-ins when needed, and reduce travel time so skill practice can happen sooner in daily life.

Areas of expertise

Also works with

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 approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Gottman MethodMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

6+ years

Listed in

Utah, Washington, New Jersey, New Hampshire

Languages

English

Frequently asked questions

What kinds of problems does she help with?

She works with stress, anxiety, depression, addictions, trauma, grief, parenting strain, anger, and related concerns.

What is her therapy style like?

She uses practical, skills-focused work and discussion. Sessions mix skill practice, values-based planning, and looking at patterns that keep problems repeating.

How much clinical experience does she have?

She has six years of clinical experience, including work in group homes and behavioral health hospital settings.

What are her credentials and location?

She is an LCSW and LICSW practicing from Utah.

Which languages are supported?

Sessions are offered in English.

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

International clients are not accepted at this time.

How does pricing work?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I begin a first session?

Select the See online therapy options button, complete the short matching questionnaire, and schedule your first session.

Whenever you are ready

Review online therapy options and next steps on BetterHelp, in your own time.

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Online talk therapy is not emergency care. If anyone is in danger, or you are afraid of someone at home, contact emergency services. Emergency and domestic abuse numbers

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Salina MechamLCSW, LICSW

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