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Melanie Fikse

Therapist profile

Melanie Fikse, LPCC

California

Licensed Professional Clinical Counselor - Stress and Anger

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Key details

  • CredentialsLPCC
  • LicenseLPCC, California / 3363
  • NPI1164730560
  • Experience12 years
  • LanguagesEnglish
  • LocationCalifornia

About

  • CBT strategies
  • Acceptance and Commitment Therapy
  • Trauma-informed care

About Melanie

Melanie Fikse is a Licensed Professional Clinical Counselor (LPCC) in California with 12 years of experience working with adults. She focuses on stress, anxiety, trauma and abuse, grief, mood disorders such as bipolar and depression, addictions, and anger. Melanie also addresses relationship and family concerns, self-esteem, coping with life changes, and issues like compassion fatigue and isolation.

Her approach centers on the person in front of her. She uses client-centered techniques that emphasize collaboration and practical skills. Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) are part of how she helps people notice patterns and try new responses.

Melanie draws on trauma-focused methods when someone has a history of abuse or post-traumatic stress. That work includes building coping skills, managing intense emotions, and pacing steps so people feel more grounded. She also supports people dealing with guilt, shame, emptiness, impulsivity, and codependency questions.

Her background includes a master’s degree from New York University and many years providing therapy in community mental health settings. She has worked in California in more rural settings and with underserved populations earlier in her career. Those experiences shape a practical style that balances skills practice with longer-term reflection.

Practical work in sessions can include learning tools from CBT, values-based action from ACT, and stabilizing strategies for strong emotions. People who come because they want to handle anger, reduce snap reactions, or ease constant frustration will find a steady, skills-focused approach.

How sessions work

How her therapeutic approaches work in online sessions

Acceptance and Commitment Therapy (ACT) helps people notice what matters to them and take small steps that align with their values. It is useful for managing ongoing anxiety, persistent frustration, and patterns that fuel anger. Cognitive Behavioral Therapy (CBT) focuses on identifying thought patterns and testing them with practical experiments. CBT offers concrete tools for reducing snap reactions, reappraising stressful situations, and changing unhelpful behavior cycles.

Choosing the right approach is part of the work. She will collaborate with each person to see which methods fit their goals and preferences. That process can include trying skill-based CBT exercises, values-focused ACT tasks, or trauma-focused pacing when needed. The plan evolves as progress and needs become clearer.

Confirm the session formats available before booking since the biography does not list specific online formats. In general, online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for shorter check-ins when schedules require it. It also lets people practice skills between sessions in their everyday environments, which can speed up learning and make behavior changes more practical.

Areas of focus

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesFamily conflictsAnger managementSelf esteemCoping with life changesCompassion fatigue

Additional focus areas

AbandonmentCodependencyEmptinessFamily problemsForgivenessGuilt and shameImpulsivityIsolation / lonelinessMood disordersParanoiaPersonality disordersPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Trauma-Focused Therapy

Experience

12+ years

Listed in

California

Languages

English

Questions

Frequently asked questions

What kinds of problems does she help with?

She works with stress, anxiety, trauma and abuse, grief, mood disorders, addictions, anger, relationship and family concerns, and related issues such as guilt, shame, and impulsivity.

What is her therapy style like?

Her style is client-centered and collaborative, focusing on practical skills alongside longer-term reflection. She combines approaches like CBT and ACT to address thoughts, behaviors, and values.

How much clinical experience does she have?

She has 12 years of experience working with adults in community and clinical settings, including prior work in community mental health and more rural California practice.

What are her credentials and location?

She is a California Licensed Professional Clinical Counselor (CA LPCC) based in California.

What languages are sessions offered in?

Sessions are offered in English only.

Does she work with international clients?

International clients are not currently accepted.

How does payment and cost work?

Costs vary with location and sessions rely on a subscription model that can be canceled at any time.

How do I begin working with her?

Begin by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is unsafe, use the crisis numbers.

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Melanie Fikse

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