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Tommy Fletcher

Tommy Fletcher

LICSW, LCSW · New Mexico

Practical counseling for stress and relationships

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  • Values based support
  • Skill focused care
  • Evening appointments

About Tommy

Tommy Fletcher is a licensed clinical social worker who helps people facing stress, anxiety, depression, grief, relationship and intimacy challenges, and issues related to adoption and foster care. He brings a practical, grounded approach and encourages people to use their own strengths to move forward. Tommy's tone is direct but supportive, aimed at people who need clear, actionable help.

He has more than 10 years of professional counseling experience and a long history of social work dating back to 1987. That background includes work in the legal system and a range of clinical settings. Tommy works with individuals, couples, teens and groups and draws on multiple therapeutic methods to match each person's needs.

In sessions he focuses on what a person can do next. He helps clients clarify values, spot unhelpful thinking patterns, manage strong emotions, and build skills for daily life. The work often mixes talk with exercises and practice between visits to reinforce new habits.

Tommy holds LICSW and LCSW credentials and is licensed in New Mexico and Washington state. He offers appointments in daytime and evening hours Monday through Thursday. He encourages people to notice the courage it takes to begin and to take a first small step toward change.

For parents and caregivers concerned about adoption and foster care issues, Tommy provides a steady, practical presence and helps people address related stress, relationship strain, grief, and identity questions in straightforward ways.

Approaches that translate to online work

Acceptance and Commitment Therapy, or ACT, focuses on clarifying what matters most to a person and taking small committed steps toward those values. It helps with anxiety, depression, and life changes by teaching practical ways to stay present and act in line with goals. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors and teaches concrete skills for changing unhelpful patterns. It is commonly used for anxiety, depression, and stress management. Emotionally-Focused Therapy, or EFT, centers on understanding emotions in relationships and improving connection by naming feelings and creating new interaction patterns.

Finding the best approach is a team effort. The therapist will talk with the client about needs, goals, and preferences and then try methods that fit. If an approach needs adjusting, that plan is revisited so work stays relevant and useful.

Session formats are not specified in the biography, so confirm current session options before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when needed. Many people find it simpler to schedule appointments around work, school, or caregiving responsibilities when online options are available.

Areas of expertise

Primary focus

Also works with

AddictionsLGBTRelationship issuesFamily conflictsGriefEating disordersSleeping disordersCareer difficultiesCoping with life changesCompassion fatigue

Additional focus areas

Adoption and foster careAging and geriatric issuesAntisocial personalityBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDomestic violenceEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobia

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Jungian TherapyMindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

10+ years

Credentials

Washington, New Mexico

Languages

English

Frequently asked questions

What kinds of concerns does Tommy help with?

He works with stress, anxiety, depression, grief, relationship and intimacy issues, addictions, self-esteem and many other challenges. Adoption and foster care concerns are listed among his focus areas.

What is his therapeutic style like?

His style is practical and collaborative. He helps clients identify values, learn coping skills, and practice changes between sessions.

How much experience does he have?

He brings more than 10 years of counseling experience and a social work background going back to 1987, including time working in the legal system.

What credentials and location are listed?

Tommy holds LICSW and LCSW credentials and practices in New Mexico; he is also licensed in Washington state.

Which languages are supported?

Sessions are offered in English.

Can international clients work with him?

International clients are not currently accepted.

How are sessions scheduled and what about cost?

Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time.

How do I begin working with him?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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