01 · Who Salina works with

Salina works with stress, Anxiety, addictions and relationship issues

Salina lists 16 specialisms and 57 further focus areas. Specialisms are the subjects Salina chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Salina's own words

What Salina says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hey there! My name is Salina Mecham. I attended the University of Utah and received a bachelor's and master's degree in Social Work and a certification in substance use treatment. I am a Licensed Clinical Social Worker (LCSW), Master Addiction Counselor (MAC), and Domestic Violence Intervention Treatment Counselor (DVP). I am fully licensed in the states of Utah, Washington, and New Jersey. I have worked with adults and adolescents and enjoy all ages. I got my start in group homes for troubled youth, and I can truly say that I have never felt more fulfillment in my life than when I was getting chairs thrown at my head, and called names that I can never repeat, because in those moments, I was present and doing what I could to help a person in pain.

I eventually moved on to work in a behavioral health hospital where people came when they hit their limit and could no longer cope with living, or their mental health was affecting their ability to function in their lives. I am currently the CEO of Willapa Behavioral Health & Wellness, a community behavioral health agency. I continue to offer treatment at the agency for mental health, substance use disorders, domestic violence intervention treatment, and couples counseling. I also serve clients on BetterHelp because I love providing therapy and don't get to do it nearly enough as a CEO. I am working on getting trained in the Gottman method (couples counseling).

My preference is to utilize video sessions so that I can read the situation more clearly. I can, and do, use the phone, but will not use the live chat option because I have found that concepts and meanings tend to get lost because so many nonverbal cues are not seen. I also utilize the email option often, and return all emails sent to me within 48 hours. When time permits, I can open up special times for sessions if there is an emergency. I feel it is important for my clients to spend their week being aware of the things that happen around them, and how those things affect them, and to be prepared with those and other things they would like to address in their session. I also value honest feedback said to me in the moment. I can make adjustments in my approach if I know it isn't hitting where you need it to. Honesty and openness is so important in therapy and can add so much to the quality of your experience.

I am trained in Gottman Level 1 methods for couples therapy and trained as a Level 1 IFS therapist which is indicated for the treatment of PTSD, depression, and anxiety (and basically everything else). When I am not using these interventions, I do tend to take an eclectic approach to counseling because one size does not fit all. I pull from CBT, ACT, DBT, REBT, and I am trained in, and use EMDR for trauma treatment. It is very important to me that I create a safe place for all my clients. Judgement has no place in my practice. I believe strongly in the golden rule and kindness, curiosity, validation, comfort, and safety are very important to me. No matter the issue, I am open and ready to help you navigate it in a way that can help keep you intact and moving forward.

Salina Mecham, on the BetterHelp listing · read 7 Oct 2026

03 · How Salina works

The 14 approaches Salina lists, in plain English

These are the clinical methods Salina lists. The descriptions are Maker Therapy's, not Salina's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Salina runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Attachment-Based Therapy

Reads present-day relationship difficulty through the lens of how safety and closeness were learned early on. The therapeutic relationship itself is treated as part of the work, because it is where the pattern tends to show up first.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

The Gottman Method

A couples approach built on decades of observational research into what distinguishes relationships that last. Structured and assessment-led: it maps friendship, conflict and shared meaning, then works on the specific mechanics of how the two of you argue.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

Internal Family SystemsIFS

Treats the mind as made up of parts - the critic, the one who withdraws, the one that keeps everything running - each of which is trying to protect you. The work is getting to know them rather than overruling them.

04 · What happens next

From this page to a first session

Salina practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Salina's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Salina at this point.

2. Naming Salina specifically

   BetterHelp matches algorithmically by default, so asking for Salina is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Salina.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Salina

Built from what Salina actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Salina's - Salina has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Attachment-Based Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

Utah

Licence

UT LCSW 5006607-3501, NJ LCSW 44SC06195200

Licence number

5006607-3501

Licence expires

30 Sep 2028

NPI

1942797741

Years in practice

6

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Salina's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Salina. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.