Salina Mecham, LCSW, LICSW
Collaborative therapy for change, coping, and connection
- Trauma informed care
- Addiction focused support
- Couples and relationship work
About Salina Mecham
Salina Mecham is a Licensed Clinical Social Worker (LCSW) and Licensed Independent Clinical Social Worker (LICSW) with six years of experience supporting adults and adolescents. She earned both her bachelor’s and master’s degrees in Social Work from the University of Utah and also completed certification in substance use treatment. Her background includes early work in group homes for youth with significant behavioral and emotional needs, where she learned how to stay grounded, present, and helpful in high-intensity moments with people who were hurting.
Salina later provided care in a behavioral health hospital, working with individuals whose mental health and coping had reached a breaking point and were interfering with daily functioning. She is currently the CEO of Willapa Behavioral Health & Wellness, a community behavioral health agency, and continues to provide treatment through the agency for mental health concerns, substance use disorders, domestic violence intervention treatment, and couples counseling. She is trained in Gottman Level 1 methods for couples therapy and is also trained as a Level 1 IFS therapist. Her style is flexible and tailored, drawing from approaches such as CBT, ACT, and DBT, and she is trained in EMDR for trauma treatment.
In sessions, Salina prefers video so she can better understand what is happening in the moment, though she can also meet by phone. She encourages clients to notice how day-to-day experiences affect them between sessions and to bring that awareness into the work together. She values direct, in-the-moment feedback so she can adjust her approach when needed, and she emphasizes kindness, curiosity, validation, comfort, and a nonjudgmental therapeutic space.
Salina later provided care in a behavioral health hospital, working with individuals whose mental health and coping had reached a breaking point and were interfering with daily functioning. She is currently the CEO of Willapa Behavioral Health & Wellness, a community behavioral health agency, and continues to provide treatment through the agency for mental health concerns, substance use disorders, domestic violence intervention treatment, and couples counseling. She is trained in Gottman Level 1 methods for couples therapy and is also trained as a Level 1 IFS therapist. Her style is flexible and tailored, drawing from approaches such as CBT, ACT, and DBT, and she is trained in EMDR for trauma treatment.
In sessions, Salina prefers video so she can better understand what is happening in the moment, though she can also meet by phone. She encourages clients to notice how day-to-day experiences affect them between sessions and to bring that awareness into the work together. She values direct, in-the-moment feedback so she can adjust her approach when needed, and she emphasizes kindness, curiosity, validation, comfort, and a nonjudgmental therapeutic space.
Areas of Expertise
Primary Focus
Also Specializes In
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 Approach
Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Eye Movement Desensitization and Reprocessing (EMDR) Gottman Method Mindfulness Therapy Motivational Interviewing Narrative Therapy Psychodynamic Therapy Solution-Focused Therapy Trauma-Focused Therapy Internal Family Systems
Frequently Asked Questions
How much experience does Salina Mecham have?
Salina Mecham has 6 years of experience providing therapy and behavioral health support.
Is Salina Mecham a licensed therapist?
Yes. Salina Mecham is licensed as an LCSW and an LICSW. License details include NH LCSW 4058 and WA LICSW LW61049548.
In which languages does Salina Mecham provide therapy?
Salina Mecham provides therapy in English.
Where is Salina Mecham located?
Salina Mecham is located in Utah.
How can I work with Salina Mecham as my therapist?
You can work with Salina Mecham through video calls, phone sessions, live chat, or text-based messaging. These options can make it easier to get support in a format that fits your schedule and communication style.
Does Salina Mecham work with international clients?
No. Salina Mecham does not currently work with international clients.
How much does therapy with Salina Mecham cost?
The cost of therapy can vary depending on factors such as your location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the “Start Therapy” button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the “Start Therapy” button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Evidence-Based Tools, Made Flexible With Online Therapy
Salina Mecham draws from structured, skills-based approaches that translate well to online work. Cognitive Behavioral Therapy (CBT) focuses on the connection between thoughts, feelings, and actions, helping clients notice unhelpful patterns and practice more workable responses to stress, anxiety, depression, and everyday challenges.Acceptance and Commitment Therapy (ACT) emphasizes building psychological flexibility by making room for difficult emotions while taking steps toward what matters most. It can be especially helpful when clients feel stuck, overwhelmed, or pulled off course by worry, trauma-related reactions, or life transitions. Dialectical Behavior Therapy (DBT) adds practical skills for emotion regulation, distress tolerance, and interpersonal effectiveness, supporting clients who want steadier coping and clearer communication during high-intensity moments.
Finding the right approach is part of the process. Salina collaborates with clients to clarify goals, understand preferences, and adjust the pace and tools so the work fits the person rather than forcing a one-size-fits-all plan.
Online therapy also offers practical flexibility. Sessions can take place through video calls, phone sessions, live chat, or text-based messaging, making it easier to stay consistent, get support between sessions, and choose a format that fits changing schedules and needs.