Tommy Fletcher, LICSW, LCSW

Tommy Fletcher is a licensed clinical social worker with a decade of professional counseling experience. He works with adults and teens on stress, anxiety, trauma and abuse, relationship and intimacy concerns, depression, addiction, self-esteem, grief, and other life changes. Tommy speaks plainly and offers steady support when people feel stuck or overwhelmed.

He believes people know their own stories and brings a respectful, collaborative approach. Sessions focus on identifying strengths, building practical skills, and challenging unhelpful thoughts that get in the way of daily life. Tommy aims to make each meeting useful and down-to-earth rather than full of jargon.

Tommy's background includes many years of social work and experience inside legal-system settings dating back to 1987. That history informs his awareness of complex stressors and real-world challenges clients may face. He combines that perspective with contemporary therapeutic methods to tailor support to each person.

His style is adaptable and patient. He draws on a mix of approaches to match a client's goals, from skills-based work to emotionally focused conversations. Clients can expect practical suggestions, check-ins on progress, and space to talk through difficult emotions.

Tommy holds social work licenses in New Mexico and Washington and offers appointments on weekday days and evenings Monday through Thursday. To begin, clients follow the site process to request a match and then schedule sessions according to his availability.

How these approaches translate to online work

Acceptance and Commitment Therapy, or ACT, helps people clarify values and take small meaningful actions despite difficult thoughts or feelings. It is useful for stress, anxiety, and when life changes make decision-making hard. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking patterns and testing new behaviors to shift mood and function. CBT tends to help with anxiety, depression, sleep, and coping skills. Emotionally-Focused Therapy centers on emotions in relationships and on building stronger connection and understanding during hard conversations.

Finding the right approach is part of the work. The therapist will discuss goals and preferences and then recommend methods that fit the client's needs. This is a collaborative process that may combine elements of different approaches depending on what helps most.

The biography does not list specific session formats, so confirm which options are offered before booking. Online work can make it easier to fit appointments into a busy day, save time on travel, and allow short check-ins during a break. It can also let people choose sessions that match their comfort level, such as lower-bandwidth calls or video conversations when helpful. Ask about available formats when you schedule to match sessions to your routine.