Salina Mecham, LCSW, LICSW
Flexible, nonjudgmental therapy for change and healing
- Trauma informed support
- Addiction and recovery focus
- Couples and relationship help
About Salina Mecham
Salina Mecham is a Licensed Clinical Social Worker (LCSW) and Licensed Independent Clinical Social Worker (LICSW) with 6 years of experience supporting adults and adolescents. She earned both a bachelor's degree and a master's degree in Social Work from the University of Utah, along with a certification in substance use treatment. Her background also includes specialized credentials as a Master Addiction Counselor (MAC) and a Domestic Violence Intervention Treatment Counselor (DVP).
Her clinical work began in group homes for youth in significant distress, an experience that shaped a steady, present, and compassionate style when life feels chaotic or overwhelming. She later provided care in a behavioral health hospital, helping people who had reached their limit and were struggling to cope or function day to day.
Today, Salina serves as 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 also offers online therapy because direct client work remains an important part of her professional life.
Salina prefers video sessions whenever possible to better understand what is happening in the moment, and she can also meet by phone. She uses written messaging options for between-session support and aims to respond within 48 hours. She values clients who notice patterns during the week, bring those observations into sessions, and share honest feedback in real time so the work can stay aligned with what they need.
Her style is flexible and tailored. She is trained in Gottman Level 1 methods for couples therapy and as a Level 1 IFS therapist. She also draws from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and REBT, and she is trained in EMDR for trauma treatment. Across concerns, she emphasizes kindness, curiosity, validation, and a nonjudgmental space where clients can sort through what is happening and move forward with support.
Her clinical work began in group homes for youth in significant distress, an experience that shaped a steady, present, and compassionate style when life feels chaotic or overwhelming. She later provided care in a behavioral health hospital, helping people who had reached their limit and were struggling to cope or function day to day.
Today, Salina serves as 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 also offers online therapy because direct client work remains an important part of her professional life.
Salina prefers video sessions whenever possible to better understand what is happening in the moment, and she can also meet by phone. She uses written messaging options for between-session support and aims to respond within 48 hours. She values clients who notice patterns during the week, bring those observations into sessions, and share honest feedback in real time so the work can stay aligned with what they need.
Her style is flexible and tailored. She is trained in Gottman Level 1 methods for couples therapy and as a Level 1 IFS therapist. She also draws from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and REBT, and she is trained in EMDR for trauma treatment. Across concerns, she emphasizes kindness, curiosity, validation, and a nonjudgmental space where clients can sort through what is happening and move forward with support.
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 holds the credentials LCSW and 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?
Sessions and support with Salina Mecham are available through video calls, phone sessions, live chat, or text-based messaging.
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 based on factors like 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 pricing and options, click the "Start Therapy" button on this page.
How can I get started with therapy?
To get started, click the "Start Therapy" button and complete a short questionnaire to help 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 Approaches, Delivered Through Online Therapy
Salina Mecham draws from several structured, research-informed styles of counseling to help clients make sense of what they are experiencing and practice new ways of responding.Cognitive Behavioral Therapy (CBT) focuses on how thoughts, emotions, and behaviors interact. It can be especially helpful when stress, anxiety, depression, or life changes start to affect daily routines, relationships, or self-esteem, and it supports clients in building practical skills over time.
Acceptance and Commitment Therapy (ACT) helps clients notice difficult thoughts and feelings without getting stuck in them, while also clarifying personal values and taking steps that align with what matters most. This approach can be useful when people feel pulled between avoidance and overwhelm, or when they want a steadier way to cope with ongoing stressors.
Dialectical Behavior Therapy (DBT) emphasizes skills for emotion regulation, distress tolerance, and interpersonal effectiveness. It can be a strong fit for clients who want tools for intense emotions, relationship conflict, or impulsive patterns.
Finding the right approach is part of the work. Salina collaborates with each client to identify goals, preferences, and what has or has not helped before, then adjusts the plan as therapy progresses.
Online therapy also makes it easier to get support in a way that fits real life. Clients can connect through video calls, phone sessions, live chat, or text-based messaging, making care more flexible and accessible from week to week.