LPCC
Melanie Fikse , LPCC
Therapist in California
Online therapy - get matched and start messaging.
About Melanie
Her work is client-centered and collaborative. She listens first, then shares practical skills such as cognitive-behavioral techniques and acceptance strategies. She also uses trauma-focused methods when past harms affect day-to-day life. Sessions aim to build clear tools for coping, reduce suffering, and strengthen what already helps a person move forward.
Melanie has a background working in community mental health and in rural California settings. That experience shaped her focus on accessible, down-to-earth care for people dealing with mood disorders, addiction concerns, relationship strain, compassion fatigue, and identity-related stress. She is allied with the LGBT community and supports people exploring those issues.
She pays attention to patterns like codependency, abandonment, shame, impulsivity, and isolation, and helps people name and change unhelpful cycles. Melanie also works with those facing complex mood presentations such as bipolar disorder, seasonal mood shifts, and personality-related challenges.
Her sessions tend to mix practical skill-building with validation and exploration of deeper wounds. The goal is to help people find more ease in daily life, make clearer choices, and reconnect to inner strengths.
Therapeutic approaches and online care
Melanie commonly draws on Acceptance and Commitment Therapy (ACT) and Trauma-Focused Therapy. ACT focuses on helping people notice difficult thoughts and feelings while choosing actions that match their values, which can help with anxiety, avoidance, and feeling stuck. Trauma-Focused Therapy works with the impact of past harm on current life, helping people process painful memories and develop grounding and safety skills to reduce their day-to-day distress.Finding the right approach is a team effort. Melanie works together with each person to pick and adapt methods that fit their goals, needs, and preferences. She adjusts pacing and tools over time so therapy stays useful and relevant rather than rigid or one-size-fits-all.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging. Video is useful for in-depth conversations and skill practice. Phone can be easier when bandwidth is limited or a quieter check-in is needed. Chat and text-based messaging are helpful for short updates, ongoing support between sessions, and people who prefer written communication. These options make it easier to fit therapy into work, family, or travel schedules while maintaining continuity of care with a licensed professional.
Frequently asked questions
What kinds of concerns does Melanie address?
She works with stress, anxiety, depression, trauma and abuse, grief, bipolar disorder, addictions, and compassion fatigue. Additional focuses include codependency, shame, impulsivity, isolation, and self-harm.
What is her therapeutic style like?
Her style is client-centered, collaborative, and practical. Sessions blend validation with hands-on tools from cognitive and acceptance-based approaches.
How long has she worked in the field?
She has 12 years of clinical experience, including community mental health work and many years practicing in California.
What credentials and location are listed?
She is a Licensed Professional Clinical Counselor, LPCC, practicing in California.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How do subscriptions and cost work?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
12+ years
Licensed
California
Languages
English
Ready to work with Melanie?
Begin with a short quiz to get matched and start messaging.
Start with Melanie →