Find a therapist in Portsmouth, NH — covered by insurance

Hi, I’m Salina Mecham. I earned both my bachelor’s and master’s degrees in Social Work from the University of Utah, along with certification in substance use treatment. I am a Licensed Clinical Social Worker (LCSW), Master Addiction Counselor (MAC), and Domestic Violence Intervention Treatment Counselor (DVP), and I am fully licensed in Utah, Washington, New Hampshire, and New Jersey.

I have experience working with adolescents and adults in a variety of settings, including residential programs, behavioral health hospitals, and community mental health. I began my career in group homes for youth, where I developed a strong foundation in working with individuals in high-stress and high-need situations. Since then, I have continued to support individuals navigating mental health challenges, substance use, trauma, relationship concerns, and life transitions.

I am a trained Level 1 Gottman therapist (working on Level 2), this is helpful to those struggling with relationship issues. I am also a trained Level 1 IFS therapist, which is a great modality for people struggling with PTSD, depression, anxiety, etc. I have invested countless hours in learning other helpful modalities and concepts that add to my knoweldge.

People tend to seek me out because they are looking for someone who feels normal and approachable. Sure, I have a quirk or two, but people often describe talking with me as feeling like they are talking with an old friend who happens to know a lot of mental health specific things and who gives solid counsel and makes them feel valid in this crazy world.

I am an individual and family therapist with over a decade of experience supporting adolescents, adults, and parents navigating challenging behaviors. I specialize in helping clients manage life transitions and cope with symptoms related to Depression, Anxiety, Post-Traumatic Stress Disorder, Attention-Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, and grief.

You're the one people call when things fall apart. You're good at it — steady, competent, the person who knows what to do. And somewhere along the way you stopped having anywhere to put your own stuff.

So you can run the meeting, hold the crisis, answer the phone at 2 a.m. — and still not be able to make yourself open the mail. Competence and collapse live together far more often than anyone admits out loud.

I work with adults carrying that particular load: substance use and recovery, emotions that arrive at full volume with no dimmer switch, thoughts of self-harm or not wanting to be here, and the specific erosion that comes from caring for other people for a living. Helpers, clinicians, parents, first responders — people whose exhaustion doesn't have an obvious place to go. I work with teenagers too, often the ones in families like these.

My style is direct, warm, and collaborative. I'm not going to nod quietly for fifty minutes. We'll find what's actually driving things, build skills you can use on a Tuesday afternoon when it counts, and I'll tell you honestly what I'm seeing. You set the pace. I'll bring the structure.

I’m a Licensed Marriage and Family Therapist passionate about helping people feel supported, understood, and empowered through life’s challenges and transitions. I have experience working with children, teens, young adults, and families in settings including crisis shelters, substance use recovery programs, community mental health, and private practice. I earned my Bachelor’s degree in Human Development and Family Studies from the University of New Hampshire and my Master’s degree in Marriage and Family Therapy from Plymouth State University. I especially enjoy supporting clients through major life transitions, including pregnancy and the postpartum period, and strive to create a warm, collaborative space where clients feel safe being themselves.

I am a Licensed Clinical Social Worker, licensed in both Louisiana (#7329) and New Hampshire (#3228). I earned my Masters degree in Social Work from Tulane University. My training focused on looking at the whole picture — not just your immediate symptoms, but all the moving parts of your life that affect your well-being. I often work with adults (ages 24 - 70) dealing with anxiety, trauma, stress, burnout, and life transitions.

I am compassionate and eager to help my clients understand and overcome their struggles.

Please note, I do not accept insurance for couples therapy.

I have almost 20 years of experience working with couples and individuals of all backgrounds. Outside of this, I have quite extensive training in working with healthcare professionals, spirituality, and substance abuse. I hold my masters in both divinity and couple & family therapy, and am trained in postmodern clinical approaches.