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 working with adults, teens, groups, and couples. He brings a long history in social work roles dating back to 1987 and has spent many years working within the legal system, which informs his practical, grounded approach to care.

Tommy focuses on helping people manage stress and anxiety, recover from trauma and abuse, and address intimacy-related concerns. He also works with issues such as motivation, self-esteem, confidence, depression, addictions, relationship and family challenges, grief, and life transitions. He emphasizes that each person is the expert on their own story and builds on existing strengths to shift unhelpful beliefs, thoughts, and behaviors that get in the way of well-being.

Tommy holds LICSW and LCSW credentials, indicating advanced clinical social work licensure. He offers sessions during daytime and evening hours Monday through Thursday, and provides care for individuals and couples in a respectful, strengths-based manner. Taking the first step toward therapy often takes courage, and Tommy acknowledges and supports that decision at the start of work together.

Therapeutic approaches and online care

Tommy Fletcher integrates several evidence-based approaches to help people navigate stress, trauma, relationship concerns, and other life challenges. Acceptance and Commitment Therapy, or ACT, helps people clarify their values and build psychological flexibility by learning to accept difficult thoughts and focus on meaningful action - it is often used for anxiety, depression, and life transitions. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce symptoms of anxiety, depression, and related issues. Client-Centered Therapy emphasizes empathy, unconditional positive regard, and collaboration so that the client feels heard and empowered to find their own solutions.

Finding the right approach is part of the therapeutic process. Tommy works collaboratively with each person to determine which methods fit their goals, needs, and preferences, and adapts interventions over time as those needs evolve. Licensed professionals use these models flexibly rather than one-size-fits-all.

Online therapy sessions can be scheduled as video calls, phone conversations, live chat, or text-based messaging, offering practical benefits for people with busy schedules, mobility constraints, or those living away from traditional offices. These options increase access and make it easier to maintain continuity of care while fitting therapy into everyday life.