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Salina Mecham

Salina Mecham

LCSW, LICSW

Compassionate, practical therapy for life’s challenges

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesTrauma and abuseDepression

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

Credentials

Utah, Washington, New Jersey, New Hampshire

Languages

English

Licenses listed

  • LCSW, Utah5006607-3501
  • LICSW, WashingtonLW61049548
  • LCSW, New Jersey44SC06195200
  • LCSW, New Hampshire4058
  • NPI 1942797741

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

  • Mindful approach
  • Practical tools
  • Collaborative style

About Salina

Salina Mecham is a Licensed Clinical Social Worker who focuses on helping people manage stress, anxiety, substance use, grief, parenting concerns, and major life shifts. She works in plain language and helps people figure out practical next steps. Salina draws on a mix of skills so conversations are straightforward and useful for day-to-day life.

Her background began in group homes and moved into behavioral health hospitals, where she supported adults and adolescents in crisis. That early work shaped how she stays present when things feel intense. She has a bachelor's and a master's degree in social work from the University of Utah and holds LCSW and LICSW credentials.

Salina uses mindfulness practices alongside evidence-based tools such as Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. She also integrates attachment-focused ideas to help people understand patterns in relationships and connection. She favors video sessions to read nonverbal cues but will use phone and email when needed.

Her approach is collaborative and practical. She asks clients to notice what happens during the week and bring specific moments to sessions. She welcomes honest feedback and adjusts her work when something isn’t helpful.

Salina has experience in substance use treatment and domestic violence intervention, and she offers trauma-informed approaches including EMDR and Internal Family Systems methods at a basic training level. She aims to make therapy a kind, curious space where people can work toward feeling more steady and able to cope.

How her approaches translate to online work

Salina often uses mindfulness practices to help people notice their thoughts and bodily reactions in the moment, which can reduce reactivity and build calm. Acceptance and Commitment Therapy (ACT) helps clients clarify values and take small committed steps toward them, useful for anxiety, stress, and life transitions. Attachment-Based ideas focus on patterns in relationships and offer ways to change unhelpful cycles and improve connection.

Choosing the right approach is part of the work together. The therapist will talk with each person about goals and preferences and try different techniques to see what fits. Sessions adapt over time based on what the client needs and what feels most effective for them.

Salina prefers video so she can pick up on nonverbal cues, and she also uses phone and email when appropriate. The profile does not list other specific formats, so confirm the current session options before booking. Online sessions can make it easier to fit therapy into a busy week, allow for shorter check-ins when needed, and reduce travel time so people can attend from their usual routines.

These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.

Frequently asked questions

What concerns does Salina commonly address?

She helps people with stress, anxiety, depression, addictions, trauma and abuse, grief, parenting and career struggles, and many related issues listed in her specialties.

What is her therapeutic style like?

Her style is collaborative and down-to-earth, blending mindfulness with practical therapies like ACT and CBT so sessions focus on usable tools and insight.

What is her clinical background?

She trained at the University of Utah with a bachelor’s and master’s in social work and has six years of clinical experience including work in group homes and behavioral health hospitals.

Which credentials and region apply to her practice?

Salina holds LCSW and LICSW credentials and practices out of Utah according to her profile.

Which languages are sessions offered in?

Sessions are offered in English.

Can international clients schedule with her?

She does not accept international clients at this time.

How does pricing and billing work?

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

How do I begin working with her?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

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