- CBT methods
- ACT strategies
- Emotion work
About Tommy
Tommy Fletcher is a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Clinical Social Worker (LCSW) with ten years of clinical experience in New Mexico and Washington state. He works with adults on issues such as stress, anxiety, trauma and abuse, intimacy-related concerns, self-esteem, depression, addictions, relationship and family challenges, grief, and problems with sleep and eating. Sessions are offered in English and are aimed at adults and teens as noted in his background.
He draws on several practical approaches in session. Cognitive Behavioral Therapy (CBT) is used to identify and shift unhelpful thoughts and behaviors. Acceptance and Commitment Therapy (ACT) helps people notice difficult feelings without getting stuck in them. Emotionally-Focused Therapy (EFT) and Dialectical Behavior Therapy (DBT) inform how he addresses emotion and interpersonal patterns.
Tommy frames the client as the expert in their story and looks for strengths to work from. He uses straightforward conversation, skill building, and problem-solving to help people change patterns that trace back to earlier family experiences. He also brings experience from social work roles and work within the legal system dating back to the late 1980s.
Practical concerns like motivation and confidence are worked on alongside emotional topics. He has experience with adoption and foster care issues, blended family dynamics, codependency, and family of origin issues. Care is focused on helping people notice patterns, practice different responses, and try new ways of relating.
To begin, he asks people to use the platform matching tools and schedule a first session. Cost varies by location and sessions use a subscription that can be canceled at any time.
How therapeutic approaches guide online sessions
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting entangled in them, then choosing actions that align with personal values; it can help with anxiety, depression, and patterns that come from family of origin issues. Cognitive Behavioral Therapy (CBT) identifies specific thoughts and behaviors that keep problems going and teaches practical exercises to change them, which can help with stress, sleep, eating, and low mood. Emotionally-Focused Therapy (EFT) concentrates on understanding and reshaping emotional responses in close relationships, useful for intimacy and relationship concerns.Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, try methods that fit those goals, and adjust the approach as therapy progresses. Clients are invited to give feedback so work in sessions stays relevant to their needs.
Session formats are not specified in the biography, so please confirm current options before booking. In general, online work can make it easier to fit sessions around busy days, allow shorter check-ins when needed, and reduce travel time. Online sessions can support practical skills work, homework review, and emotion-focused conversations in ways similar to in-person meetings. Reach out via the platform matching tools to confirm session options and schedule an initial appointment.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Washington, New Mexico
Languages
English
Frequently asked questions
What kinds of concerns does he work with?
He works with stress, anxiety, trauma and abuse, intimacy-related issues, self-esteem, depression, addictions, relationship and family concerns, grief, sleep and eating problems, and related areas.
How would you describe his therapeutic style?
He uses straightforward conversation, skill building, and practical problem-solving while inviting clients to use their own strengths and insights.
How much clinical experience does he have?
Tommy has ten years of clinical practice and earlier social work roles going back to 1987, including time working in the legal system.
What are his credentials and where is he based?
He holds LICSW and LCSW credentials, with licensure in Washington (WA LICSW) and New Mexico (NM LCSW), and is based in New Mexico.
Which languages are supported for sessions?
Sessions are offered in English.
Does he work with clients outside the country?
He does not accept international clients at this time.
How are sessions scheduled and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.