Megan Gramlow , LICSW, LCSW

Megan Gramlow greets visitors with a straightforward, caring approach. She is a licensed independent clinical social worker in Minnesota and Wisconsin with 12 years of experience. She focuses on practical help for people who are feeling overwhelmed by stress, anxiety, relationship and intimacy concerns, or big life changes.

Megan uses clear, everyday language in sessions and aims to make therapy feel accessible. She helps people manage attention and focus challenges, including those related to ADHD and neurodivergence. Conversations often include building better communication and coping skills that can be used right away.

Her work covers a wide range of relationship and sexual health topics while also addressing issues like isolation, impulsivity, and questions about life purpose. She also supports people dealing with money and financial stress, seasonal mood shifts, and complex interpersonal patterns such as attachment or narcissism-related dynamics.

Megan draws on several therapeutic approaches to shape sessions around each person’s needs. She combines a client-centered stance with tools from cognitive behavioral and mindfulness-based work, and she uses motivational strategies to help people take practical steps between sessions.

She speaks English and practices from Minnesota. The first step is a simple matching process followed by scheduling. Sessions are offered in formats that fit varied schedules and communication preferences.

How therapy approaches translate online

Client-centered therapy focuses on the person’s own goals and priorities and involves listening closely and shaping sessions around what the client brings. It helps when someone wants a supportive, nonjudgmental space to sort out feelings and choices.

Cognitive Behavioral Therapy, or CBT, breaks down thoughts, feelings, and actions into specific patterns. It offers concrete techniques for managing anxiety, stress, attention challenges, and unhelpful thinking that get in the way of daily life.

Dialectical Behavior Therapy, or DBT, emphasizes skills for emotional regulation, distress tolerance, and clearer communication. It can be useful for managing strong emotions, impulsivity, and relationship patterns.

Finding the right mix of approaches is part of the work together. The therapist will collaborate with each person to identify goals, try techniques, and adjust methods based on what is helpful and realistic for daily life.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which allow therapy to fit different schedules and comfort levels. Video is good for face-to-face conversation, phone can be easier when bandwidth or camera use is limited, and chat or messaging can work for brief check-ins or ongoing support between sessions. These options make it easier to maintain regular contact and try skills in real time while managing busy lives.