Vicki Alexander Hess, LCSW

Vicki Alexander Hess is a California-based therapist with five years of professional experience who focuses on helping people navigate stress, anxiety, LGBTQ+ related concerns, trauma and abuse, and executive or professional coaching. She brings a respectful, sensitive, and compassionate approach to each therapeutic relationship, shaping conversations and treatment plans to reflect each person’s unique needs and goals. Vicki is an LCSW - a Licensed Clinical Social Worker - which indicates specialized training and licensure to provide clinical social work services in California (CA LCSW 82877).

Vicki emphasizes collaboration and individualized care, meeting clients where they are and adjusting methods as progress and priorities evolve. She recognizes that beginning therapy takes courage and affirms that taking that first step matters. Her practice combines practical strategies with empathic support so clients can address immediate concerns while building longer term skills for wellbeing. Whether seeking help for anxiety, relationship concerns, career transitions, or recovery from trauma, Vicki offers focused, tailored support aimed at realistic, achievable change.

Therapeutic Approaches and Online Support

Vicki integrates Cognitive Behavioral Therapy and Mindfulness Therapy into online sessions to provide practical, skills-based support. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and learning concrete behavioral strategies to reduce symptoms of anxiety, depression, and stress. Mindfulness Therapy teaches present-moment awareness techniques that can help clients manage emotional reactivity, improve focus, and reduce rumination.

She also draws on Motivational Interviewing to help clients clarify goals and strengthen internal motivation for change. This collaborative, nonjudgmental method supports people who are considering changes in areas such as relationships, substance use, or career direction. Vicki works with each person to determine which approaches fit best, adjusting methods as needs and goals evolve so therapy feels tailored and effective.

Online therapy with Vicki offers flexibility - sessions are available by video call, phone, live chat, or text-based messaging - making it easier to arrange appointments around work, family, and other commitments. These options allow clients to receive consistent therapeutic support from licensed professionals from their own home or another convenient location, while working together to build practical skills and meet personal goals.