Tommy Fletcher , LICSW, LCSW

Tommy Fletcher is a licensed clinical social worker with more than a decade of direct counseling experience, licensed in both New Mexico and Washington state. He holds the credentials LICSW and LCSW - professional social work licenses that indicate advanced clinical training and the ability to provide independent clinical services. Fletcher has worked in multiple social work roles since 1987 and brings several years of experience within the legal system to his clinical practice, informing a steady, experienced approach to complex cases.

He provides counseling for adults and teens in individual, group, and couples formats, addressing concerns such as stress and anxiety, trauma and abuse, intimacy-related issues, motivation, self-esteem, and confidence. His practice also includes work with depression, addictions, relationship and family difficulties, grief, eating and sleeping challenges, career transitions, compassion fatigue, and other life changes. Additional focus areas include adoption and foster care matters, blended family dynamics, body image, codependency, domestic violence, and family of origin issues.

Fletcher approaches therapy from a strengths-based perspective, viewing each person as the expert of their own story and helping them draw on existing strengths to shift unhelpful beliefs and patterns. He acknowledges the courage it takes to begin therapy and supports clients through that first step. He maintains availability during day and evening hours Monday-Thursday, and is not currently accepting new clients.

Therapeutic Approaches and Online Care

Tommy Fletcher integrates several evidence-informed approaches to meet each person where they are. Acceptance and Commitment Therapy - ACT - helps people clarify what matters most to them, learn to accept difficult thoughts and feelings, and take meaningful action toward valued goals; it can be useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy - CBT - focuses on identifying and adjusting unhelpful thinking patterns and behaviors, offering practical skills for managing symptoms like depression, anxiety, and sleep or eating concerns. Client-Centered Therapy emphasizes empathy, respect, and collaboration, giving space for clients to explore identity, relationships, and self-esteem in a supportive environment.

Finding the right fit is part of the therapeutic process. Fletcher works collaboratively with each person to determine which approaches align with their goals, preferences, and circumstances, and he adapts methods as progress unfolds. Licensed professionals often combine techniques to best support individual needs.

Online therapy provides practical flexibility - sessions can occur via video calls, phone sessions, live chat, or text-based messaging - making it easier to schedule care around work, family, or mobility constraints. These options increase accessibility and make it simpler for people to maintain consistent therapeutic work over time.