Tommy Fletcher, LICSW, LCSW

Tommy Fletcher is a licensed clinical social worker practicing in New Mexico and Washington state with 10 years of professional counseling experience. He holds the credentials LICSW and LCSW - LICSW stands for Licensed Independent Clinical Social Worker and LCSW stands for Licensed Clinical Social Worker - and has worked with adults, teens, couples and groups across a range of emotional and life challenges.

His background includes many years in social work roles dating back to 1987 and significant experience working within the legal system, which informs a pragmatic and trauma-aware approach to care. Tommy assists clients with stress and anxiety, trauma and abuse, depression, addictions, self-esteem and motivation, intimacy-related concerns, relationship and family issues, grief, eating and sleeping difficulties, career transitions, and coping with life changes, among other areas.

Tommy approaches therapy from a strengths-based stance, viewing each person as the expert of their own story and building on existing resources to address unhelpful beliefs, thoughts and past behaviors. He offers day and evening sessions Monday through Thursday to accommodate different schedules, and provides services through multiple remote modalities to meet clients where they are.

Therapeutic Approaches and Online Care with Tommy Fletcher

Tommy Fletcher draws on evidence-informed approaches to tailor work to each client's needs. Acceptance and Commitment Therapy (ACT) helps people clarify personal values and take committed action despite difficult thoughts or emotions - it is often useful for anxiety, stress, and life transitions. Client-Centered Therapy focuses on meeting clients with empathy, respect and nonjudgmental listening so they can explore feelings and make their own changes - this approach supports self-esteem, relationship concerns, and identity work. Cognitive Behavioral Therapy (CBT) examines the links between thoughts, feelings and behaviors and uses practical strategies to reduce symptoms and change unhelpful patterns, which can help with depression, anxiety and coping skills.

Finding the right approach is part of the therapeutic process. Tommy collaborates with clients to identify which methods fit their goals, preferences and life circumstances, adjusting recommendations as work progresses so therapy feels aligned and manageable.

Online therapy offers flexible access to licensed professionals through video calls, phone sessions, live chat and text-based messaging. These options make it easier to fit sessions into busy schedules, maintain continuity through life changes, and receive support from a location that works for the client, while preserving the relational core of therapy.