Vicki Alexander Hess , LCSW

Vicki Alexander Hess is a licensed clinical social worker in California with five years of professional experience supporting adults through a range of challenges. She works with people managing stress and anxiety, LGBTQ-related concerns, trauma and abuse, and offers executive and professional coaching to help clients navigate career and life transitions. Vicki approaches each person with respect, sensitivity, and compassion, adapting conversations and treatment plans to meet the individual needs and goals of each client.

Her LCSW credential means she is a Licensed Clinical Social Worker trained to provide therapy and clinical support, and she applies that training to tailor interventions that fit each situation. Vicki recognizes that reaching out for help takes courage, and she honors that first step by creating a collaborative and thoughtful process aimed at practical progress. Whether addressing relationships, grief, addiction, mood concerns, or professional stressors, she emphasizes a partnered approach that focuses on what matters most to the client.

Vicki aims to build a respectful, empathetic space where clients can explore healing, increase coping skills, and pursue meaningful change at a pace that suits them.

Approaches and Convenience of Online Therapeutic Care

Vicki integrates Cognitive Behavioral Therapy, Mindfulness Therapy, and Motivational Interviewing into her online practice. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thoughts and behaviors to reduce symptoms of anxiety, depression, and stress and to build practical coping skills that clients can use in day-to-day life. Mindfulness Therapy teaches present-moment awareness and acceptance techniques to help people manage stress, regulate emotions, and respond more calmly to difficult situations. Motivational Interviewing is a collaborative way of exploring a person’s own goals and ambivalence, useful for building motivation and commitment when facing change such as recovery, career shifts, or habit changes.

Choosing the right approach is part of the therapeutic process, and Vicki works together with each person to determine the best fit based on their needs, goals, and preferences. That collaborative stance means techniques are adapted over time as progress and priorities evolve, with licensed professionals and therapists often drawing from multiple approaches to support meaningful outcomes.

Online therapy with Vicki offers practical flexibility - sessions can take place by video call or phone, and shorter check-ins can happen via live chat or text-based messaging. This range of options makes it easier to fit therapy into a busy schedule, maintain continuity during life transitions, and access consistent professional support from wherever the client is located within California.