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Salina Mecham

Salina Mecham, LCSW, LICSW

Utah

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Licensed Clinical Social Worker - Blended family issues

  • stress and anxiety
  • addictions and trauma
  • parenting concerns

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 practices in Utah and works with adults on concerns such as stress, anxiety, addictions, depression, trauma and abuse, grief, parenting, and blended family issues. Sessions are offered in English.

Salina began her career in group homes and then worked in a behavioral health hospital. That early work shaped how she responds when people feel overwhelmed or unable to cope. She later moved into community behavioral health and now leads an agency while continuing direct treatment for mental health and substance use concerns.

Her approach mixes practical skills and talking therapies. She uses methods such as Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT). She also draws on experience with trauma-focused care and substance use treatment when relevant.

Salina prefers video so she can read nonverbal cues, but she will use the phone and email as needed. She aims for clear, honest feedback in sessions and adjusts her style if something isn’t working. She encourages clients to notice weekly patterns between sessions to bring into their work together.

Practical matters include using a subscription billing model that can be canceled at any time. To begin, a person selects the See online therapy options button, completes a short matching questionnaire, and schedules a first session.

How her approaches fit with online sessions

Acceptance and Commitment Therapy (ACT) focuses on values and committed actions. It helps people notice difficult thoughts and still take steps that matter to them, which can suit stress, anxiety, and life transitions. Attachment-Based Therapy looks at patterns in close relationships and how early bonds influence reactions today; it is often useful for intimacy issues and blended family dynamics. Cognitive Behavioral Therapy (CBT) teaches practical skills to change unhelpful thoughts and behaviors, and it can address mood, anxiety, and coping strategies.

Finding the right mix of approaches is part of the work. The therapist will talk with each person about goals, preferences, and what feels useful. Together they decide which methods to try and make small adjustments if something isn’t helping.

Confirm the current session options before booking, as the profile notes a preference for video and mentions phone and email use. Online sessions can make it easier to fit appointments into a busy week, allow shorter check-ins when needed, and reduce travel time. They also let the therapist observe facial expressions and nonverbal cues during video sessions, which can help when talking about family interactions and relationship patterns.

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 concerns does she address?

She works with adults on stress, anxiety, addictions, depression, trauma and abuse, grief, parenting, blended family issues, and related concerns listed in her profile.

How would she approach therapy?

She combines practical talking therapies and skills-based work, drawing from ACT, CBT, DBT, attachment-focused ideas, and client-centered techniques to address symptoms and behaviors.

What is her clinical background?

She has six years of experience, began in group homes, worked in a behavioral health hospital, and now leads a community behavioral health agency while continuing to treat clients.

Which credentials and location apply?

She holds LCSW and LICSW credentials and practices in Utah as listed in her profile.

Does she offer sessions in other languages or internationally?

Sessions are offered in English, and she is not accepting international clients at this time.

What session formats are used?

The profile notes a preference for video sessions and that phone and email may be used; confirm current session options before booking.

How does billing and cost work?

Costs vary with location and sessions use a subscription that can be canceled at any time.

How do I start working with her?

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

Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.

Salina MechamLCSW, LICSW

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