Thérèse Fletcher , LCSW

Thérèse Fletcher is a Licensed Clinical Social Worker (LCSW) with 13 years of experience working in medical and social services. She has spent much of her career supporting highly vulnerable communities in urban settings and brings that practical background to a wide range of concerns. As an LCSW, she is an independently licensed clinician trained in clinical social work, and she has supervised and trained other social workers during her career.

Her work focuses on helping people navigate relationship challenges, grief and loss, life transitions, and emotional stress, as well as chronic illness and caregiving concerns. She also supports issues related to self-esteem, career problems, anxiety and depression, addictions, trauma and abuse, sleep difficulties, parenting, anger, and family dynamics. Additional areas of focus include adoption and foster care, aging and geriatric issues, cancer and hospice concerns, codependency, family of origin issues, forgiveness, guilt and shame, midlife transitions, money and financial stress, mood disorders, and women's issues.

Thérèse approaches therapy from a strengths-based, collaborative perspective, meeting people where they are and working with them to set realistic, beneficial goals. She combines short-term, solution-oriented techniques with the option for longer-term emotional processing so that clients gain practical tools and lasting skills. Her practice emphasizes respect, empowerment, and accountability as clients work toward greater satisfaction and meaning in their lives.

Therapeutic Approaches and Online Care

Thérèse Fletcher uses Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Mindfulness Therapy to tailor care to each person's needs. Client-Centered Therapy emphasizes empathy, active listening, and collaboration so clients can explore values, build confidence, and set meaningful goals; it is useful for relationship issues, self-esteem concerns, and life transitions. Cognitive Behavioral Therapy focuses on identifying unhelpful thinking and behavior patterns and learning practical skills to change them; it is often effective for anxiety, depression, stress, sleep difficulties, and addictions. Mindfulness Therapy teaches present-moment awareness and emotion-regulation strategies to reduce reactivity and support coping with persistent stress and grief.

Finding the right approach is part of the therapeutic process. Thérèse works collaboratively with each person to determine which methods best fit their goals, preferences, and circumstances, and she adapts techniques over time as needs evolve.

Online therapy offers flexible options for connecting with licensed professionals and therapists. Sessions can take place by video call, phone, live chat, or text-based messaging, allowing people to schedule around work, caregiving, or geographic constraints. These formats make it easier to maintain continuity of care during life changes and to access support from different locations.