- ACT and CBT
- DBT skills
- Emotion-focused work
About Tommy
Tommy Fletcher is a Licensed Independent Clinical Social Worker (LICSW) in Washington and a Licensed Clinical Social Worker (LCSW) in New Mexico with ten years of direct practice experience. He works with people who face stress, anxiety, trauma and abuse, intimacy-related issues, self-esteem concerns, depression, addictions, relationship and family matters, grief, sleep and eating struggles, and career or life-change stressors.
He uses a mix of approaches drawn from Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), and client-centered work. In sessions he listens for what matters most to each person and links practical strategies to those priorities. He encourages people to notice unhelpful patterns and to try small experiments that change day-to-day responses.
Tommy has an extended background in social work roles going back to the late 1980s, including work within the legal system. That history informs how he navigates complex situations and systems with clients. He has worked with adults, teens, groups and couples over the years.
Sessions are scheduled during day and evening hours Monday through Thursday. Cost can vary by location and uses a subscription model that can be canceled at any time. Sessions are conducted in English and international clients are not accepted at this time.
To begin, a prospective client completes a short matching questionnaire and then schedules a first session. Tommy focuses on clear steps people can use between meetings to notice progress and manage immediate stressors.
He aims to make sessions straightforward and practical, helping people build skills for managing anxiety, repairing relationship patterns, and coping with life transitions.
Therapeutic approaches and how online work can fit
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small committed steps toward those values, even when anxiety is present. Cognitive Behavioral Therapy (CBT) breaks down how thoughts, feelings and behaviors interact and teaches practical techniques to test and change patterns that keep anxiety and avoidance going. Dialectical Behavior Therapy (DBT) offers concrete skills for managing intense emotions, improving distress tolerance, and building better interpersonal effectiveness.Choosing the right approach is part of the work. The therapist will discuss goals, preferences and typical reactions and then try out methods to see what fits. That collaborative stance means techniques may shift as the needs and goals become clearer.
Session formats are not specified in the biography, so confirm the current online options before booking. Online work can make it easier to fit sessions into a busy day, allow shorter check-ins when needed, and remove travel time that otherwise interrupts routines. For people practicing exposure for social anxiety, remote sessions can offer graded opportunities to speak, present, or try social tasks while keeping the session focused on learning and skill use. Working this way keeps the practical parts of therapy - skill practice, homework, and reviewing progress - central to each appointment.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Washington, New Mexico
Languages
English
Frequently asked questions
What concerns does Tommy commonly help with?
He works with stress, anxiety, trauma and abuse, intimacy-related issues, self-esteem, depression, addictions, grief, relationship and family concerns, sleep and eating problems, and career or life changes.
What is his therapeutic style like?
He listens for what matters to each person and combines practical strategies with reflective conversation. Sessions often include skill practice and small experiments between meetings.
How much clinical experience does he have?
He has ten years of direct practice experience and earlier social work roles dating back to 1987, including work in the legal system.
Which credentials and location apply?
He holds WA LICSW and NM LCSW credentials and practices in New Mexico.
Are sessions offered in other languages or internationally?
Sessions are offered in English. International clients are not accepted at this time.
What session formats are available?
Current session formats are not specified here; please confirm the exact options when booking.
How does cost work for sessions?
Cost varies with location and uses a subscription that can be canceled at any time.
How do I get started with a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.