Tommy Fletcher, LICSW, LCSW

Tommy Fletcher is a licensed clinical social worker practicing in New Mexico. He draws on ten years of recent clinical experience and a long history in social work to help people who are dealing with stress, anxiety, depression, trauma, relationship and intimacy concerns, addiction, grief, and low self-esteem.

Tommy keeps sessions straightforward and focused. He listens first, then helps clients notice unhelpful thoughts and try practical changes. He treats each person as the expert on their life while offering tools to manage emotions, improve communication, and build clearer goals.

His approach blends Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and client-centered methods alongside other strategies when useful. That mix lets him work on thoughts and behaviors while also addressing values, emotions, and relationship patterns.

Tommy has worked in many social work roles since the late 1980s, including time connected to the legal system. That background informs his practical, results-oriented style and his focus on real-life problems and steady progress.

Sessions are available by video, phone, live chat, or text messaging at varying times. To start, people use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions to suit their needs.

How therapeutic approaches translate to online work

CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and changing behaviors that keep problems going. It is useful for anxiety, depression, sleep issues, and many stress-related problems because it targets practical steps and experiments clients can try between sessions.

Acceptance and Commitment Therapy helps people clarify what matters to them and take actions that match those values, even when strong emotions are present. ACT can be helpful for chronic stress, rumination, and issues where avoidance has become a pattern.

Client-centered therapy emphasizes a respectful, nonjudgmental listening stance where the therapist follows the client's lead. That approach supports people who need space to explore feelings, figure out goals, and build confidence at their own pace.

Finding the right mix of methods is part of the work. The therapist will collaborate with each person to choose approaches that fit their goals, needs, and comfort level, and will adjust strategies as progress is made.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to provide flexibility. Video is good for face-to-face conversation and skill practice. Phone sessions can work well when bandwidth is limited or a session needs to fit into a short break. Live chat and text messaging are useful for brief check-ins, written exercises, and ongoing support between longer sessions.