- Hospice and end-of-life
- Trauma and grief
- Anxiety and stress
About Salina
Salina Mecham is a Licensed Clinical Social Worker (LCSW) and a Licensed Independent Clinical Social Worker (LICSW) who focuses on helping people facing grief, stress, and end-of-life concerns. She speaks plainly and works with adults who are coping with anxiety, depression, addiction, trauma, and big life changes. Her practical style aims to help people stay steady and move forward through hard times.
Salina trained at the University of Utah and has six years of clinical experience. Her early work in group homes for youth taught her to stay calm in crisis and to keep showing up for people in pain. She later worked in a behavioral health hospital where she supported people whose mental health affected daily functioning.
She blends several therapy approaches to fit each person’s needs, drawing on cognitive behavioral techniques, acceptance and commitment methods, attachment-informed work, and dialectical skills. She also uses EMDR for trauma when it’s a good match for a client. Salina values honesty and asks for direct feedback so she can adjust her approach during sessions.
Salina prefers video sessions because she can better read nonverbal cues, but she will also use the phone and answers email within 48 hours. She emphasizes real-world practice between sessions so people notice what affects them during the week. Her aim is to help clients manage symptoms, clarify goals, and build coping strategies that fit their daily life.
As a clinician based in Utah, Salina’s work includes support around caregiving stress, compassion fatigue, attachment issues, relationship concerns, parenting struggles, and coping with cancer or chronic illness. She encourages openness, kindness, and curiosity as part of the healing process.
Salina trained at the University of Utah and has six years of clinical experience. Her early work in group homes for youth taught her to stay calm in crisis and to keep showing up for people in pain. She later worked in a behavioral health hospital where she supported people whose mental health affected daily functioning.
She blends several therapy approaches to fit each person’s needs, drawing on cognitive behavioral techniques, acceptance and commitment methods, attachment-informed work, and dialectical skills. She also uses EMDR for trauma when it’s a good match for a client. Salina values honesty and asks for direct feedback so she can adjust her approach during sessions.
Salina prefers video sessions because she can better read nonverbal cues, but she will also use the phone and answers email within 48 hours. She emphasizes real-world practice between sessions so people notice what affects them during the week. Her aim is to help clients manage symptoms, clarify goals, and build coping strategies that fit their daily life.
As a clinician based in Utah, Salina’s work includes support around caregiving stress, compassion fatigue, attachment issues, relationship concerns, parenting struggles, and coping with cancer or chronic illness. She encourages openness, kindness, and curiosity as part of the healing process.
Areas of expertise
Primary focus
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
How therapy approaches shape online sessions
Acceptance and Commitment Therapy (ACT) asks you to notice thoughts and feelings without fighting them, then pick actions that match your values. It can help with anxiety, depression, and handling life changes by clarifying what matters most and building small consistent steps. Cognitive Behavioral Therapy (CBT) looks at patterns of thought and behavior and teaches practical exercises to change unhelpful habits. It is often used for anxiety, depression, and coping skills. Attachment-Based Therapy focuses on relationship patterns people repeat from early life and helps strengthen how you relate to others and to yourself.Finding the right approach is part of the work. Salina will talk with you about your goals and try methods that suit your needs. She aims to be collaborative and will adjust techniques if something is not helping you as expected.
Session logistics should be confirmed before booking since formats vary by clinician. Salina prefers video sessions because she can read nonverbal cues more clearly, and she also uses the phone and regular email communication with a 48-hour response window. Online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time so you can focus on building coping skills and making steady progress.
Frequently asked questions
What concerns does Salina help with?
She helps people with stress, anxiety, depression, addictions, grief, trauma, intimacy issues, parenting strain, caregiver stress, and coping with major life changes.
What is her general therapy style?
Her style is practical and direct, using an eclectic mix of approaches to match each person's needs and focusing on skills you can use between sessions.
How much clinical experience does she have?
She has six years of clinical experience, including work in group homes and a behavioral health hospital.
What credentials and region does she hold?
She holds LCSW and LICSW credentials and practices out of Utah.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, complete the short matching questionnaire, and schedule according to therapist availability.