Melissa Pagarigan , LCSW

Melissa Pagarigan is a Licensed Clinical Social Worker (LCSW) with ten years of clinical experience who provides therapy for individuals and families in Nevada. She works with a broad range of concerns including depression, anxiety, relationship and familial challenges, ADHD, bipolar disorder, grief, anger, self-esteem struggles, compassion fatigue, parenting difficulties, and recovery from physical, sexual, or emotional trauma.

Melissa emphasizes a personal, relationship-focused style of care, believing that a strong therapeutic connection helps people navigate difficult periods. She draws on cognitive behavioral techniques, humanistic principles, and strengths-based strategies, and adapts these methods to match each person’s needs, goals, and circumstances. Sessions are centered on building practical skills, uncovering strengths, and supporting clients as they make meaningful changes.

Seeking help takes courage, and Melissa aims to empower clients through encouragement and collaborative problem solving. Her background in clinical social work informs a respectful, skills-oriented approach designed to help people increase coping, improve relationships, and move toward greater stability and well-being.

Approaches That Guide Online Care

Melissa integrates cognitive behavioral techniques to help clients identify unhelpful thoughts and develop practical skills for managing symptoms such as anxiety, depression, and mood instability. These strategies focus on concrete tools that patients can apply between sessions.

She also uses humanistic principles that prioritize the therapeutic relationship, empathy, and personal values, which can be especially helpful for relationship concerns, family issues, and grief. In addition, a strengths-based approach highlights a person’s existing resources and abilities, supporting recovery from trauma and compassion fatigue by building resilience and hope.

Finding the right therapeutic approach is a collaborative process. Melissa works with clients to assess needs, preferences, and goals, and to tailor techniques that fit each person’s situation. She supports clients in experimenting with different strategies until a good fit is reached.

Online therapy offers flexibility and accessibility for people with busy schedules or mobility limits. Sessions can take place via video calls, phone, live chat, or text-based messaging, allowing clients to choose the format that best suits their comfort and routine while maintaining consistent therapeutic progress.